Application Form for JSASS Membership

Items with * are necessary ones on application.
Basic Information

(Except for cellular phone's address)

Please select Regular Member, if you have a full-time job or you are a student with a full-time job.
Home Information
Student Member Information
Send a copy of your student ID Card by post, FAX, or e-mail( to JSASS.
The copy of ID Card is disposed properly after it is checked.

If someone is in charge of delivery of the JSASS journals in your organization, the journals are sent to him/her together.
For student members mails are sent to the home address.

If you chose 'Others' in 'Type of Payments Membership Fee', please input how to pay in bellow.