Application for OUIAA Member Registration

Name of branch
Required Name in alphabetic Characters
Name in Chinese Characters  
Required Gender
Male   Female
Date of birth Year  Month  Day
Required Nationality
Major field of study at Okayama University
Period of study at Okayama University Year  Month  Day
Year  Month  Day
Name of supervisor
Present address
Mobile (or home) phone number
Required E-mail_address
Place of employment
Office address
Required Present situation
Director  Vice director  Member

【NOTE 1】If you do not receive an email from the Secretariat of OUIAA within one week after sending your application, please contact the Secretariat ( .

【NOTE 2】No membership fee as of October 2021.

I agree with the handling of personal information.

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