HUISA EXECUTIVE COMMITTEE 2016/2017
NOMINATION FORM
Dear Sir/Madam,
I would like to nominate myself as the candidate (maximum 2 posts) for the HUISA
Executive Committee 2016/17.
(Fill out the following information) （下のすべてを記入してください）
Name (名前):
Faculty (学部) :
Laboratory (学科) :
Academic year (学年) :
Expected graduation date (卒業予定):
Country of origin (国籍) :
Contact Email (連絡先メールアドレス):
Phone number (電話番号)