Title: 様式
Author: 環境情報センター
Company: 国立環境研究所

Form 1
Date (DD/MM/YYYY)
_________________________________
　　

Attn: Manager, Public Relations Office, National Institute for Environmental Studies (NIES) 

Name of Application Representative/Title and Affiliation:_______________________________________________________________________________________________________________________________________________　　　　　　　　　　 

Application for Facilities Tour (Group)

I hereby apply for a facilities tour of the National Institute for Environmental Studies (NIES)
　 

1. Desired date and time
	Date: (DD/MM/YYYY-Tues/Thurs):_____________________________________________________
	Time: □Morning (10:00-11:30) □Afternoon (14:00-15:30) 
[Please select one]
　 
2. Name of group: (Please enter affiliation of applicants or nature of business)
________________________________________________________________________________　 

3. Number of persons (age range of participants):
__________________________________________(_____________________________________)

4. Purpose:_______________________________________________________________________

5. Desired tour content / Research field:
________________________________________________________________________________________________________________________________________________________________

6. Means of commutation: (As parking spaces are limited, as far as possible please come by public transport. In the case of large tour coaches, etc., a designated parking space will be made available)

□Hired bus (Coach/Mini bus)   □Public transport   □Other (___________________________)

7. Contact details
(1) Name of contact person:_______________________________________________________________________
(2) Title and affiliation:_____________________________________________________________________
(3) Tel./Fax./email, etc.______________________________________________________________________________

　 
8. Other details※:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________