Upload form for your certificate of student status

Students who wish to become members should submit a certificate verifying their student status (e.g., a completed student verification form, a copy of their student ID, or any other certificate confirming their student status) via the upload form below.

Please fill in the required information and select your file. 
Fields marked with an asterisk () are required.

The instruction text in the form is displayed in Japanese. We apologize for any inconvenience. The same information is also provided in English for your reference. Plese check them together.

 
Please fill out the necessary information ( required fields) and click "Proceed to Confirmation".
Nameex)Taro Aoba
Membership NumberPlease input your membership number. You may leave this blank if you have not joined or if you are unsure.
Affiliatione.g. Department of Biology, University of XX, Japan
mailaddress例)taro_aoba@example.jp
Upload your certificate of student status
You can upload files with "pdf" and " jpg" file extensions up to 2 MB.
Please select your certificate verifying their student status (e.g., a completed student verification form, a copy of their student ID, or any other certificate confirming their student status)
You can upload files with "pdf" and "jpg" file up to 2 MB.

[Note]
In the input page, after entering the required information and selecting the file, please click '確認画面へ'(Confirm) to proceed to the confirmation page.
On the confirmation page, if the entered information is correct, click '送信' (Send) to submit.
If you need to make corrections, click '入力内容の修正' (Edit) to modify your input.