第90回日本循環器学会学術集会 JCS2026 Travel Grant

【 Travel Grant Application Form 】

Name of Applicant/E-mail

e.g., John Smith
Please use capital letters only for the first letters of your first and last names.

Name on Passport

We will check your name according to your passport when providing the travel grant.
Please give us your name below as written on your passport if your registration name is different from your passport. Otherwise, we will not be able to process the travel grant.

Abstract Registration Number(s)

Kindly write down all the abstracts’ number if you have submitted multiple abstracts.
If you have registered multiple abstracts, separate the registration numbers with commas.

Affiliation Information

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