Address to submit the application form Ministry of Foreign Affairs, European Affairs Bureau Central and South Eastern Europe Division 2-2-1 Kasumigaseki, Chiyoda-ku, Tokyo 100-8919 att. Ms. KOHAGURA Mikako email: [email protected] foto Junior Expert Exchange Program 2015 – Application Form Az: P1677application form First Name, Family Name (ローマ字) 氏名 (漢字) male / female Date of birth Full postal address incl. phone and fax numbers (ローマ字) 自宅の住所 (漢字) Employer 勤務先・所属 (漢字) Business address incl. phone and fax numbers ローマ字 勤務先住所 (漢字) Email Scope of activity in your current job Special field of interest Do you want to visit a specific research institute or company? Do you want to meet a specific person? Other remarks: Az: P1677application form/2
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