JASMEE

The 18th Medical Englishi Seminar
Application Form
（English input page）

Pre-registration is completed by paying the entry fee.
【Entry fee】　 Member：\3,000
　　　　　 Non-Member：\7,000

The URL, ID and password will be sent to the registered email address from Tuesday, September 26, 2023.

Application Form

All items below are required.

Name ≫お名前が漢字表記の方はこちら	Prefix：Dr. Mr. Ms. Mrs.
Membership	Member （Entry fee：¥3,000） Non-Member （Entry fee：¥7,000）
Organization	*If you are a student, please enter your department and grade.
E-mail
Phone number
Method of Payment	Credit card Bank transfer