Abstract
Submission 	
Form	
URMPM Special CONFERENCE in Kyoto, Japan organized jointly by Union of Risk Management for Preventive Medicine
http://www.jsrmpm.org/KyotoConf2005/kyotoconf2005.index.htm
(please type)			          to be held in Kyoto, Japan,  2005．

The committee requests your electronic submission by e-mail till February, 2005.
Please make sure that you provide all requested information as on this page.  

  　　                                                                                            
▲ Authors                    
　                                                                                                
▲ Name of the corresponding author
　                                                                                                
▲ Organization
　                                                                                                
▲ Mailing Address
　                                                                                                
▲ Country 
　                                                                                                
▲ Phone (country code, area code, number)
　                                                                                                
▲ Fax (country code, area code, number)
　                                                                                                
▲ E-mail

Select one of the tracks best suiting to your abstract.
If you make a cross-track proposal, please indicate all relevant tracks.
□Communicable Diseases (AIDS/HIV, etc)　　	    	□Mental Health (Stress/Psychology/PNI)
□Lifestyle Diseases (Diabetes, Obesity, Nutrition, Cancer, etc)　	□Reproductive Health and Child Health
□Safety management of Drug and Alcohol Abuse     		□Geriatric Diseases and Aging Population
□Occupational Diseases　					□International Health and Developing Country
□Environment and Ecology　　				□Medical Ethics
□Urban Safety and Health 					□Monitoring and Severance 
□Natural Disaster and Community Accident　　		□Patient Safety
□Biological Evidences (Genetic Science/Nano Science)	        	□Socioeconomic Factors
□Health Risk Behavior analysis            			□Statistics in Risk Management 
□Health Education					□Flame of Risk Management for Preventive Medicine 
□Information Science 					□International Coordination
□Health Policy and Economics  				□Forensic Medicine 
□Acute Medicine						□Others

Please consider the enclosed abstract for the following:
□oral presentation　　             □oral or poster presentation          □poster presentation
Abstracts sent by fax will not be accepted!  	
□panel                          □workshop        

Give maximally five keywords:  
1. 　　　　　                                      2.  　　　　　                                 
3.                                                 4. 　　　　　                                   
5. 　　　　　                                 

Paper submission for Proceedings:   　　YES □  　	 NO　□　    
Title

Author(s)

Affiliation(s)            
        
E-mail address for corresponding author

Please fill the above 2 pages in this Abstract Form, and e-mail them to the Registration office shown in the below by February 28, 2005.  Before this abstract submission, you are requested to fax your Registration Form, and also to fax copies of APPLICATION FOR REMITTANCE and STATEMENT OF REMITTANCE for your bank transfer if you are charged participants.  Remember to provide all information as requested on this Abstract Form.  The fax number appears in the Registration Form.

Please return this ABSTRACT FORM by e-mail to 
the corresponding Registration Office: 
Ms. Shirley V. V. Chaves, International Secretary Office, 
E-MAIL: secr-office@umin.ac.jp (English and Spanish available)

Title         TITLE OF THE ABSTRACT MUST BE WRITTEN IN CAPITAL LETTER            
Sample
Abstract	

Author(s)     Last name, Initial(s) (please an asterix* after the presenting authors)                   

Affiliation(s)  Institution, City and Country
    
        E-mail address:  secr-office@umin.ac.jp
STUDY PURPOSE:

MATERIALS & METHODS:

RESULT:

DISCUSION:

CONCLUSIONS: 

The abstract text should be single-line, and written in English.
Font size is requested to be 10.5.