NEURO2024
Symposium Application Form

Please enter the following fields and click on the "Confirm" button at the bottom.
The fields marked with * must be filled in.

Symposium
Category –
1st choice:
2nd choice:
Title –

Aim & Synopsis – *Approx. 400 characters

Grant for Junior / Female Researchersf Symposia & Joint International Symposia
Junior / Female Researchers' Symposia–
For symposia organized by junior researchers who have obtained their doctoral degree no more than ten years before October 10, 2023 or by female researchers. (At least one overseas-based researcher should be included as a speaker.)
«If apply, please click the button to choose and upload a CV of the organizer.


Joint International Symposia –
For symposia that invite non-Japanese overseas-based researchers as co-organizers.
«If apply, please click the button to choose and upload a CV of the co-organizer.


Financial condition
Up to 400 characters. Please explain the financial condition, especially any shortage of resources. We will secure 100,000-300,000 JPY as travel expenses for each selected symposium.
Keyword –





Password – At least 5 characters/numbers.
It is required to log in the system to confirm or modify the registered information.

«Please type again for confirmation.

Organizer
Name –
First & Middle: @Family:
@@@@@@@@@@@@@@@@@@@@
Affiliation –
*Please enter up to faculty, department, lab's name etc.
Position –

E-mail –

«Please type again for confirmation.

TEL –

URL –

Country –

Membership – (Please select all that apply.)
      Membership Number*If you are in the process of memebership application, please type "999999999".



  •  
  •  
Age

Gender
Co-organizer
Name
First & Middle: @Family:
@@@@@@@@@@@@@@@@@@@@
Affiliation
*Please enter up to faculty, department, lab's name etc.
Position

E-mail

TEL

URL

Country

Membership (Please select all that apply.)
Age

Gender
Speaker 1
Name –
First & Middle: @Family:
@@@@@@@@@@@@@@@@@@@@
Affiliation –
*Please enter up to faculty, department, lab's name etc.
Position –

E-mail –

TEL –

URL –

Country –

Membership – (Please select all that apply.)
Age
Gender
Title –

Representative Publications
(1 or 2) –


Speaker 2
Name
First & Middle: @Family:
@@@@@@@@@@@@@@@@@@@@
Affiliation
*Please enter up to faculty, department, lab's name etc.
Position

E-mail

TEL

URL

Country

Membership (Please select all that apply.)
Age
Gender
Title

Representative Publications
(1 or 2)


Speaker 3
Name
First & Middle: @Family:
@@@@@@@@@@@@@@@@@@@@
Affiliation
*Please enter up to faculty, department, lab's name etc.
Position

E-mail

TEL

URL

Country

Membership (Please select all that apply.)
Age
Gender
Title

Representative Publications
(1 or 2)


Speaker 4
Name
First & Middle: @Family:
@@@@@@@@@@@@@@@@@@@@
Affiliation
*Please enter up to faculty, department, lab's name etc.
Position

E-mail

TEL

URL

Country

Membership (Please select all that apply.)
Age
Gender
Title

Representative Publications
(1 or 2)


Speaker 5
Name
First & Middle: @Family:
@@@@@@@@@@@@@@@@@@@@
Affiliation
*Please enter up to faculty, department, lab's name etc.
Position

E-mail

TEL

URL

Country

Membership (Please select all that apply.)
Age
Gender
Title

Representative Publications
(1 or 2)


Speaker 6
Name
First & Middle: @Family:
@@@@@@@@@@@@@@@@@@@@
Affiliation
*Please enter up to faculty, department, lab's name etc.
Position

E-mail

TEL

URL

Country

Membership (Please select all that apply.)
Age
Gender
Title

Representative Publications
(1 or 2)


Request regarding co-hosting with Grant-in-Aid for Transformative Research Areas
Request regarding co-hosting with Grant-in-Aid for Transformative Research Areas –
Name of the area:
Special Notes
Financial resources secured for travel expenses of overseas speakers

Consideration to diversity: age, gender, internationality and others *Approx. 400 characters
Breaking down the content (number of speakers in specific age groups, genders, and geographical areas) will make your proposal more appealing. (However, please do not force personal information out of speakers).
Special Notes *Approx. 400 characters
Please describe your intended contribution to this meeting, or relevance to clinical practices etc.
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