ASHS_MEMBERSHIP INFORMATION CHANGE
The only required input is "Name".
Other than the registered member information, please enter only the items that have changed below.
※Name
姓
名
Please enter in English. "姓" is the family name and "名" is the first name.
Title
* "Mx." Is a title that does not specify gender.
Affiliation
only enter the name of your organization.
Faculty / Academic field
Job Title
Ex.) Professors, university teachers, students, researchers, nurses, nursery teachers, etc.
Contact address
E-mail Address
If you enter an incorrect email address, you will not be able to contact us. Input correctly.
Postal code [〒]
Address
Please enter the building name and room number without omitting them.
TEL
- -
Other form
Please check the "個人情報の取扱への同意" checkbox below.
Please confirm the above input contents and click the "確認画面へ" button below.
▼▼▼
※個人情報の取扱への同意
個人情報の取扱はこちら
上記の入力内容を確認して「確認画面へ」ボタンを押してください