Computational Materials Design Workshop (CMD) Application Form
＜＜BEGINNER COURSE＞＞
Please fill up the ff. form and submit it, by Fax AND E-mail, to: 
	CMD Secretariat, Graduate School of Engineering, Osaka University
	E-MAIL	: cmd@dyn.ap.eng.osaka-u.ac.jp
	FAX	: +81 6 6879 7859
Submission Deadline: 3 February 2008 (SUNDAY)
1. NAME (Surname, Given Name	
	
2. Gender (Pls. mark with a ○)	 M　・　F          （＊lodging purposes）	
3. Affiliation  Name and Division
　　　　　  Street Address
            City
            State
            Postal Code
            Country
　　　　　  TEL
　　　　　  FAX
　　　　　  E-mail	

(     )         -
(     )         -
           @	
4. Position　※		
5. Research Field/Interest		
6.  Target Material		
7. Contact Address 
(other than affiliation, optional)
　 
　　　　　  TEL
　　　　　  E-mail	

  (       )          -
             @	
８.  Motivation for Participating in the CMD Workshop 	
※In the field [4. Position], please answer: Prof., Assoc. Prof., M.S. Student (year), Ph.D. student (year) , etc.

MEMO (possible question you may want to ask)