JAHSS MEMBERSHIP REGISTRATION FORM | 会員登録フォーム

Please provide your profile information in English or Japanese 情報を入力してください(英語または日本語で)
* Compulsory (*印は必須)

住所(1)にはご所属先の住所を入力してください。住所(2)にはご自宅の住所を記載してください。ご所属先が無い場合は住所(1)にご自宅の住所を記入してください。なお、住所(1)の入力は必須です。

Please fill in your affiliation’s address on Address (1), and your home address on Address (2). If an address of your affiliation is not available, please fill in your home address on Address (1) and keep Address (2) blank. In either case, entry on Address (1) is compulsory. If you live outside Japan, please write the country name as well.


Protection of Personal Information
The information provided through the membership registration will be strictly protected and will not be used for reasons other than shipping documents or announcement pertinent to the Association's activities.