New Registration(NIG Super)

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Account Application Form

Please read the following document.

* Criteria for issuing user login accounts

User Information

User name(Required)

Fill your user name

User names must be no more than 15 characters long and can contain lowercase letters, numbers, and hyphens only.

Purpose of use(Required)

Fill the purpose of use

Compliance with Ethical Guidelines(Required)

Ethical Guidelines for Human Genome/Gene Analysis Research
I do not use the system for purposes against the Ethical Guidelines.

Please check

Name(Required)

Last

Fill your last name

First

Fill your first name

Affiliation(Required)

Fill your affiliation

Occupation(Required)

Fill your occupation

(example)Student, Post-doc

Email(Required)

Fill your email address

(Re-enter)Email(Required)

Fill your email address

Postal code(Required)

Fill the postal code

Address(Required)

Fill the organization's address

Phone number(Required)

Fill the phone number(no mobile)

Extension

Numbers, hyphens only available

Nationality(Required)

Fill your nationality

Comments

Information of the responsible person

Here the responsible person is a permanent resident in Japan who can be responsible for your account,
as defined in Definition 1 in the "criteria for issuing user login accounts."

Copy the User InformationInvalid Input

Responsible person name(Required)

Last

Fill the last name

First

Fill the first name

Affiliation(Required)

Fill the affiliation

Occupation(Required)

Fill the occupation

(example)Professor, Associate professor

Email(Required)

Fill the email address

Postal code(Required)

Fill the postal code

Address(Required)

Fill the organization's address

Phone number(Required)

Fill the phone number(no mobile)

Extension

Numbers, hyphens only available

Nationality(Required)

Fill the nationality

Word verification

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Data confirmation

User name: .

Purpose of use: .

Compliance with Ethical Guidelines: .

Name: ..

Affiliation: .

Occupation: .

Email: .

Postal code: .

Address: .

Phone number: .

Extension: .

Nationality: .

Comments: .

Responsible person name: ..