16thInternational Symposium on Nanotechnology (JAPAN NANO 2018)

February 16, 2018

Date: 201//

Registration Office of JAPAN NANO 2018

c/oJTB Communication Design, Inc.

Celestine Shiba Mitsui Bldg.

3-23-1 Shiba, Minato-ku, Tokyo

105-8335 Japan

Tel: +81-3-5657-0727 Fax: +81-3-3452-8534

E-mail:

Deadline: February 13, 2018

1. Participant *Title: Prof. Dr. Mr. Ms.

*Family Name:*Given name:

Middle Name:

*Affiliation:

Department:Position/Grade:

Contact:Office Home *Street:

City*:State/Province/Region:

ZIP/Postal Code:*Country:

*Phone:FAX:

*e-mail:

2. Questionnaire

*Please select the session(s) which you are interested in.

Plenary Lecture

Special Lecture

Session1:Nanotechnology for Innovation (Ⅰ)

Session 2: Nanotechnology for Innovation (Ⅱ)

Session3:Nanotechnology for Innovation (Ⅲ)

Session 4 : nanotech 2017 award lecture

Session 5 : Topics of Nanotechnology Platform

<Please select your affiliation category.>

Company/Industry University/College Laboratory/Research institute

Foundation/Incorporated association Private organization

Embassy Governmental organization Others

<Please select the technical field(s) of your work.

Life science Information communication Envirionment and energy

Materials Measurement, evaluation and processing

Industrial infrastructure Aviation, space and ocean Others

●Job Category: Research & Development

Designing/Production/Manufacture/Quality Management Executive

Sales/Marketing/Service/Others Student

●Gender: Male Female

●Age:10’s 20’s 30’s 40’s 50’s 60’s or more

●Would you like to subscribe to e-mail magazines concerning NanotechJapan?Yes No

16th International Symposium on Nanotechnology (JAPAN NANO 2018)

How we handle personal information

1.Your personal identifiable information (personal information) will be used only for the management of the Symposium, sending registrants who live in Japan the invitation to “The 16th International Nanotechnology Exhibition & Conference nano tech 2018”, and sending the information on future Symposium relating of JAPAN NANO 2018.
2. For smooth operation of the Symposium, we (JAPAN NANO Committees) are entrusting the operation of collecting, storing, managing and handling personal information regarding the symposium to the following company who act as the Secretariat and Registration Office under a confidentiality agreement. In order to send out the invitation to “The 16th International Nanotechnology Exhibition & Conference nano tech 2018”, the company may entrust the personal information to third parties which completed the non-disclosure agreement.

3. We do not use cookies and/or web beacons to acquire any personal information.
Contact Information of the Secretariat managing personal information
JTB Communication Design, Inc.
Meeting & Convention Business Unit
Attn: Makito Itagaki (General Manager)
Celestine Shiba Mitsui Bldg. 3-12-1, Shiba, Minato-ku, Tokyo 105-8335 Japan
Phone: +81-3-5657-0727 FAX: +81-3-3452-8534

*JTB Communication Design -Privacy Policy:

Administrator of personal information collected for JAPAN NANO 2018

Organizing Committee of JAPAN NANO 2018

Shigeo Tanuma (Chair)