Reprint Grant Request Form

Please return a completed form to IPSJ via FAX (+81-3-3518-8375), email (editj [at] ipsj.or.jp), or snail mail.
When using your own paper, please use Form A instead.

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To : Information Processing Society of Japan

We ask your permission to use the IPSJ copyrighted material as below.
 

(1) Copyrighted Material to be used

Publication Name (e.g., IPSJ Journal Vol.42, No.1) :

Title :

Authors (All the authors must be listed) :

The extent of the use (please be specific):
 

(2) Publication in which the copyrighted material is to be used

Publication name:

Publisher:

Expected date of publication:
  

(3) Other comments

(4) Requester

Date :

Name :

Contact (phone, email, fax, and address) :