Membership Application/Change of Records Request

For Regular/Student Members

Items marked with an asterisk (*) are required
For member record changes, fill or check only where changes are needed,and be sure to check the corresponding boxes at the left.

※Our fiscal year runs from June 1 through May 31 of the following year.
If you join from next fiscal year (June 1) and pay your membership dues　to be prepaid by May 31,　you will be able to attend the annual meeting 　in August as a member.
You will also receive Japan Journal of Food Engineering published in March and June.

※　If you are applying for a student membership, please be sure to enter the name of your institution (College/University/Graduate School) and Departmentin the appropriate box.

※　The check boxes on the left are meant for "member record change request." Check only where record changes are requested.
　　If you wish to remove any existing record items, check corresponding box at the left and leave the item you wish to remove blank.

※　If you live in Japan (your mailing address is in Japan) please use the form in Japanese as much as possible for convenience in mailing.

Check One * Membership Application Member Record Change Request
Prefix Mr Ms Dr Professor
Other(Specify)
Name * Surname
Given name
*If you wish to change your name, because of marriage, for example,enter your name currently on the record in the boxes above, check the box at the left, and enter the new name in "Other Notes" box.
Previous member, please check. Yes (Member ID )
Wish to Join/Change from * Next Fiscal Year Current Fiscal Year
Specific Day (yy/mm/dd)
* Our fiscal year runs from June 1 of each year through May 31 of the following year. If you wish, you may join us from the year your application is filed on condition that the full membership dues for that fiscal year are paid.
Membership category change will take effect on the first day of the next fiscal year, irrespective of the date specified above.
Membership Category
(For category change, click new category)		 S Regular G Student
Expected Time of Graduation
(Mandatory for Student Member)		 yy/mm
Supervisor's Name
(Mandatory for Student Member)
Supervisor's JSFE Member ID if applicable
Name of Institution
Inclusion in Directory Yes No
Department
Inclusion in Directory Yes No
Title/Position
Inclusion in Directory Yes No
Business Address
Address Street Address
City
State/Province
Zip/Postal Code
Country
Inclusion in Directory Yes No
Business Phone
Inclusion in Directory Yes No
Business Fax
Inclusion in Directory Yes No
Business E-mail
Inclusion in Directory Yes No
E-mail correspondence from JSFEYes No
Home Address
Address Street Address
City
State/Province
Zip/Postal Code
Country
Inclusion in Directory Yes No
Home Phone
Inclusion in Directory Yes No
Home FAX
Inclusion in Directory Yes No
Home E-mail
Inclusion in Directory Yes No
Accept E-mail　correspondence from JSFEYes No
* If you wish to receive E-mail correspondence from JSFE at your Home E-mail address, please click Yes.
Send Journal/Correspondence to Business Home
Other
Last Education (optional)
Key Words for Expertise/Interest
On Dues Payment Invoice　Requested Receipt Requested
Other Notes

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