Regional IPA/JPS Meeting
Call for Abstracts: Oral/Poster Presentation

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■ General Information

Name of first Author (*)
First Name: Middle Name: Last Name:
Title (*)
Presenter (*)

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■ Mailing Address

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■ Affiliation

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Affiliation 2

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Affiliation 3

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Affiliation 4

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Affiliation 5

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Affiliation 6

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Affiliation 7

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Affiliation 8

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Affiliation 9

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Affiliation 10

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First author's Affiliation number (*)

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■ Another authors

co-Author 01 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 02 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 03 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 04 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 05 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 06 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 07 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 08 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 09 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 10 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 11 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 12 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 13 Name
First Name: Middle Initial: Family Name:
Affiliation number
co-Author 14 Name
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Affiliation number

■ Abstract

Presentation style (*)
Presentation Award
Abstract Title (*)

Within 20 words.
Abstract Text  (*)

Within 350 words.
Charts cannot be registered.

We recommend that you first type your abstract on your computer then copy and paste the body of the abstract into the following space.
Do the authors have a conflict of interest?（COI）(*)

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