Registration Form : [Sepcial Lecture Series for I-house Members] Today’s Development Cooperation and Japan

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Registration Form

Speaker: Shin'ichi KITAOKA (President, Japan International Cooperation Agency;
Professor Emeritus, University of Tokyo)
Moderator: Tomoko KUBOTA (Independent Journalist)
Date: Thursday, December 12, 2019, 6:30–8:30 pm, with a reception included
Venue: Iwasaki Koyata Memorial Hall, International House of Japan
Language: Japanese (without interpretation)
Admission: 3,000 yen each for members and their spouses (cash only)
- A cancellation fee will be charged for cancellations made after 12:00 pm on Tuesday, December 10, as well as for any "no show."

* mandatory

Your name (First name, Family name)*
- Please show your member's card at the entrance

Title
Mr.Mrs.Ms.Dr.Prof.

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Membership Number*

Affiliation

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Comments / Inquiries
- If your spouse wishes to accompany you, please provide his/her name here.
- If any family member other than a spouse interested in becoming an I-House member wishes to accompany you, please contact the Membership Office.
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