Contact Address and Online Application Form

Prof. D. Sakthi Kumar (Chairman,Indian JSPS Alumni Association) Bio Nano Electronics Research Center Dept. of Applied Chemistry TOYO University Kawagoe-Shi, Saitama, JAPAN - 350-8585 Email :admin@indianjspsalumni.org

Online Application form for associate membership of Indian JSPS Alumni Association (For JSPS fellows, Ronpaku fellows, Japanese professors and for honorary membership) Name * : Dr Prof JSPS ID No. (for JSPS fellows only) : Please specify the type of membership status : JSPS fellow Ronpaku_fellow Host_Scientist Honorary_member Date of birth : Occupation * : Your research field/s : Institute/workplace & department * : Tel : Home Page : E-mail for contact * : Can we publish your address and email id in our web site? : Yes No Fax : Try Different Image : Type the code shown * : Letters Should Be case sensitive Japanese Host Scientist and the univ. where you worked (for JSPS fellow) (JSPS fellow worked along with you (for Japanese host scientist)): (Please delete which is not suitable for you) E mail (Japanese host scientist / JSPS fellow) : How did you hear about the Association? :

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