入力内容保存／読込

けさないで【国際交流　フォームズ雛形】

チェックボックスを選択してください必須
学校名 name of your school必須


前項目で「上記以外」を選択した場合、学校名をご入力下さい
If you selected 'Other' in the previous section, please enter the name of the school.
学部 faculty必須
 学部 facluty   学科 department  
研究科　graduate school of必須
学年 grade必須
企業名/団体名 company name/group name必須
ご所属（部署）company department必須


役職 position もご記入ください
★お名前 name必須
★フリガナ furigana必須
NAME（英語表記）name in English
★電話番号 phone number
 -  - 
★メールアドレス email adress必須
国籍 nationality必須
上記で日本以外を選んだ方の国籍
For those who selected a country other than Japan above, please specify your nationality必須
性別 gender
住所 home address
〒－ 
都道府県
市区町村
町名番地等
建物名

建物名のあとに部屋番号も入力してください
Please enter your room number after the building name
食べ物について、アレルギーがある、または宗教上の理由で食べられないものがある場合は、食品名を記入してください。
Regarding foods, if you have any allergies or prohibited foods by religioned reasons, please specify them.
集合場所を選んで下さい。
Please select the meeting place.
Handling of Personal Information

When participating in this event organized by the The Consortium of Universities in Hyogo, information provided by participants may be used, and photographs and videos may be taken for the purposes of event management, promoting interaction among participants, and public relations activities.

Regarding participant information, a participant list containing names, affiliations, and other relevant details may be created and shared among participants and related parties to the extent necessary for event operations, such as group assignments and facilitating group activities.

In addition, photographs and videos taken during the event may be used on the Consortium of Universities in Hyogo's website, social media accounts, note articles, project reports, and other promotional materials.

Please review the above information carefully. If you agree to the use of your personal information and to the photographing, recording, and use of photographs and videos as described above, please select "I Agree."
Please read the comment above and answer.必須
その他、連絡事項があれば記入してください
If you have any other remarks, please write them here.