[Nuclear Physics and Gamma-ray sources for Nuclear Security and Nonproliferation�@Registration Form]

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January 28 -30, 2014
Japan Atomic Energy Agency (JAEA)
Ricotty, Tokai-mura, Japan 
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Registration Deadline:
December 27, 2013
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[Personal Details]
First/Given Name;
Middle Name;
Last/Family Name;
Title (Prof/Dr/Mr/Ms);
Date of birth (mm/dd/yyyy);
Country;
Permanent resident address;
Telephone;
Fax;
E-mail;

Do you submit abstract?              yes,  no
Which do you hope presentation?      Oral,  Poster

[Employment information]
Organisation/Institution;
Department;
Position/Job title;
Address;
Telephone;
Fax;
E-mail;