■Please register the representative using the form below. After registration, an Excel file will be sent from the office so please enter the individual work information in that Excel file. *You must input the information in English or Japanese. We cannot accept the input of Chinese and Korean. If your mother language is two-language (Japanese, Korean, Chinese, and so on), please make sure to use half-size character when you enter this form. *The group entry is available only for category B. *Fields marked with a “*” are required. Nationality* JapanAfghanistanAlbaniaAmerican SamoaAndorraAngolaAnguillaAntiguaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia-HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsChadChileChina, Peoples Republic ofColombiaCongoCongo, The Democratic Republic ofCook IslandsCosta RicaCroatiaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEquatorial GuineaEgyptEl SalvadorEritreaEstoniaEthiopiaFaeroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgia, Republic ofGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIreland, Republic ofIsraelItalyIvory CoastJamaicaJordanKazakhstanKenyaKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldives, Republic ofMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestine AutonomousPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSabaSaipanSaudi ArabiaSenegalSeychellesSingaporeSlovak RepublicSloveniaSouth Africa Republic ofSpainSri LankaSt. BarthelemySt. EustatiusSt. Kitts and NevisSt. LuciaSt. MaartenSt. VincentSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTanzaniaThailandTogoTrinidad and TobagoTunisiaTurkeyTurkmenistan, Republic ofTurks and Caicos IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamWallis and Futuna IslandsYemen, Republic ofYugoslaviaZambiaZimbabwe (Please select) ■If you have Japanese citizenship, you must type in the details of “yomigana.” Please enter a blank space between last name and first name. Name* Name (Yomigana) Date of Birth* (Half-size, Ex.1980/01/01) Sex* MaleFemale Postal Code* (Half-size, Ex.***-****) Address* (Half-size) Telephone Number* (Half-size, Ex.01-2345-6789) Telephone Number 2. (Half-size, mobile phone, etc) FAX Number (Half-size) E-mail Address* (No mobile address) E-mail Address* (Type in again) Company Name/School Name* Section Name/Affiliation Total Number of Works(General details are enough.)* (Half-size Number)