[SICE]

SICE Annual Conference Award Application Form

DeadLine for submission: May 28, 2004
Please fill out this form and push the send button.
Award information available here.

Step 1 --> Step 2 --> Step 3 --> Finish

Award Type*
Young Author's Award     International Award
Presenter's Name*
Title Sex
Affiliation 
Membership ID 
Society
Date of Birth 
 Month  Day  Year* (must item when Young Author's Award)
Return Address*
University/Company Home
Corresponding Address 
Name,
Dept.,
University/Company,
address,
City/State/Zip/Country
Country*
Phone 
Fax 
E-mail*

Paper ID*
Paper Title*
Originality*
Impact on Practical applications
and/or Theoretical Foundation*
Remarks 
  If you have any question, please write to sice2004_award@sice.or.jp.

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