======================= Registration Form ============================
                Deadline for application: Nov.20.
======================================================================


      Name:

Affiliation:

  Position:

       Tel:

    E-mail:

Period of attendance: (We will start at 10:00 am.)
   8th(  ), 9th(  )

Would you like to give a talk?

   Yes/No

(If Yes,
  Title:                                                  )

Do you need support from ICRR ?

   Yes/No

(If Yes,
 home address:                                            )


Visiting period:
   From **  To ** (** nights)

Would you like to reserve a room at the Kashiwa campus dormitory?

   Yes/No


  (If Yes.)
   From ** To ** (** nights)


Would you like to join the banquet?

   Yes/No



===================== End of the registration form ===================