IEELog

Entry form for membership application About security policy
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Items with an asterisk (*)are required.
Do not use characters described below.
!"#'\,<>
>> Personal information
Name(*)
Example: Taro Denki
Gender(*) Male Female
Date of birth(*) Month     Day     Year
Phone number +
Example: 813-1234-1111
FAX number +
Example: 813-1234-2222
e-mail address(*) @
Example: member@iee.or.jp
>> Membership information
Membership grades(*) General Associate Student
>>e-mail newsletter
e-mail newsletter(*) Needed
Unneeded
All the e-mail newsletters are in Japanese.
>>Occupation
Name of occupation or school
Example: Electronics Co. Ltd.
Affiliation
Example: General Affairs Section
>>Delivery address
Delivery address(*)
Example: General Affairs Section

Example: Electronics Co. Ltd.

Example: 6-2 Goban-cho Chiyoda-ku

Example: Tokyo Japan


>>Academic background
(The expected date of graduation is required if you wish to be a student member.)
Academic background 1
(including expectation)
Name of school:
Degree or diploma:
Year and month of graduation: Month    Year
Academic background 2
(including expectation)
Name of school:
Degree or diploma:
Year and month of graduation: Month    Year
Academic background 3
(including expectation)
Name of school:
Degree or diploma:
Year and month of graduation: Month    Year
>>Transaction
(Transactions of one category are delivered at no fee for membership charge, however,
transactions of other categories are subject to a fee of 6,000 yen per category per year.)
Technical Societies
Society you belong to(*)
Free transaction Needed Unneeded
Paid transaction 1
Paid transaction 2
Paid transaction 3
Paid transaction 4
>>Correspondence column
Correspondence column for the IEEJ
If you are already a member of any institutes described below, please describe the institute you belong to and the membership number in this correspondence column.
The applicable member would have no need to pay the initial fee.
The received initial fee will be carried over for the next year.
(Individual member of IEICE, IEIJ, ITE, IPSJ, or IEEE)

Please click "Transmit" button below after completion of entering items.
If you want to reset all entered items, please click "Reset" button below.

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