Application form for Presentation


Please send a mail (2001@adthree.com) according to the following instruction to the secretariat.

1. Category of the Presentation :�@

Contents �@(Indicate the appropriate categories in the following lists)�@ �@�@�@�@�@�@�@�@�@�@

�m�T�n

A B C D E F G
Management/
Facilitiees
Techniques/
Alternatives
Behavior Nutrition Anatomy Breeding/
Genetics
Reproduction/
Developmental technology
H I J K L M N
Gene Maniqulqtion/
Function
Physiology/
Biochemistry
Pharmacology/
Safety
Immunology Microbiology Pathology/
Pathophysiology
Models for Human Diseases

�m�U�n�@

a b c d e f g
Mice/
Rats
Rodents other than mice/
Rats
Rabbits Dogs/
Cats
Primates Birds Others

�@

2. Title of the Presentation :�@�@�@�@�@�@�@�@�@�@�@�@�@�@

3. Names�@ ( check �� marku the name of the speaker with �� before
�@�@�@�@�@�@�@�@�@the name, if there are more than two persons. )�@

4. Affiliations ( in abbreviation )�@

5. Abstract : ( less than 120 words)�@

6. Type of the Presentation :

�@�@�@ Oral �@�@�A Poster

8. Your Cover Address :�@

�@�@Mailing Address,�@Name,�@Phone,�@FAX�@


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