Application form of Japan Society of KANSEI Engineering for Regular/ student member
Please fill out and send by E-mail or FAX.

Application day: 	Society treatment column	No. 	

                                                    □Male         □Female
Name:                 	
The date of birth:	
Sort of member:               □Regular          □Student	
Present home address, Country

TEL	
FAX	
E-mail	
Employment / School name

	
Address

	
Position/post, department name, academic year(student member only)

	
TEL:            	
FAX:            	
E-mail:	
Final educational background:	
	
Date of Completion of the course:	
Degree: Graduate(     ), Master(     ), Doctor(     ) ,Professor	
Particular field:	
Sending destination:      □Home         □Employment / School	
Recommender / Introducer(if any)	
	
Main position of sectional meeting(if any)

	
The membership fee: Initial fee 2000 yen. Annual fee of regular member 8,000 yen, student member 3,000 yen. After your enrollment was approved in the board of directors, the secretariat send you the bill.

[Destination]
Japan Society of Kansei Engineering
2-55-5-1003, Nihonbashi Hamacho, Chuo-ku, Tokyo, 103-0007, Japan 
TEL/FAX +81-03-3666-8000     Email: jske@jske.org (secretariat )
Home Page：http://www.jske.org/