Presentation-Information Submission Form

Japanese

Note: For conference, author must send this form to the editorial office no later than February 14, 2017. If you send this form, all the authors require sending their manuscript to publication office no later than April 1, 2017.

For the manuscript preparation, please follow the instruction.

* Starred fields are required.

1. Author's Info

1-1. Name of corresponding author, example; John H. Smith

1-2. Email

1-3. Affiliation, example; Department of Applied Chemistry, Chiba University

1-4. Mail address, example; 1-33, Yayoi-cho, Inage-ku, Chiba-city, 263-8522, Japan

1-5. TEL and FAX, example; +81-43-290-3366, +81-43-290-3401

1-6. If you submit this for the Conference, are you the presenter?

Yes

No, the name is following;

1-7. Name of Presenter

1-8. Do you permit to use your e-mail address for reminding next conference?

Yes

2. Title of your Paper (and Presentation)

First letter of each word must be capitalized except part of preposition and article. Use following marks for letters XX, superscript; XX, subscript;XX, italic; XX, and Greek characters such as α;　&alpha&.

3. Category

English (A1-P) or Japanese (B1-B4) Symposia　*Check only one code from the list below.

A1. Next Generation Lithography, EB Lithography and Nanotechnology

A2. Nanobiotechnology

A3. Directed Self Assembly (DSA)

A4. Computational / Analytical Approch for Lithography Processes

A5. EUV Lithography

A6. Nanoimprint Lithography

A7. 193 nm Lithography Extension

A8. Photopolymer in 3-D Printing/ Additive Manufacturing

A9. Advanced Materials for Photonic / Electronic Device and Technology

A10. Advanced 3D Packaging, Next Generation MEMS

A11. Chemistry for Advanced Photopolymer Science

A12. Organic Solar Cells - Materials, Device Physics, and Processes

A13. General Scopes of Photopolymer Science and Technology

P. Panel Symposium "EUVL insertion to HVM, and its Extendability"

B1. Polyimides and High Temperature Polymers -Functionalization and Practical Applications-

B2. Plasma Photochemistry and Functionalization of Polymer Surfaces

B3. Photofunctional Materials for Electronic Devices

General Scopes of Photopolymer Science and Technology: B4-1. Basic Photophysical and Photochemical Processes

B4-2. Photofunctional Materials

B4-3. Synthesis, Polymerization, and Patterning by Photon, Laser, and Electron-Beam.

B4-4. Photofubrication

B4-5. Resist Removal Technology

B4-6. Apparatus Related to Phototechnology

4. Name of all authors

Name of all authors (Put number corresponding to the number in affiliation). Example; Takashi Karatsu (1), this number must correspond to the affiliation.

5. Affiliation of all authors

Affiliation of all authors (Indicate number used in author section, then write the corresponding affiliation). Example; (1) Department of Applied Chemistry and Biotechnology, Chiba University.

6. Any questions?

Please enter the code:

Note: Please fill out the fields marked with an asterisk.