The International Crisis Management Symposium on CBRN and Emerging Infectious Diseases <<<< Presentation Application Form >>>>> < Contact Information > ( * Fields are required ) * Applicant Department * Institution / Company * Street Address Street Address 2 * City * State / Province * Zip Code * Country * Phone Extension Fax * E-mail < Students must complete fields below > Dept Head or Professor University Name Dept Head or Professor Email Address < Authors Information > * Author (1) Department (1) * Institution / Company (1) Co-Author (2) Department (2) Institution / Company (2) Co-Author (3) Department (3) Institution / Company (3) Co-Author (4) Department (4) Institution / Company (4) Co-Author (5+) Department (5+) Institution / Company (5+) < Title Information > Preferred Presentation Type: Poster ( ), Oral ( ), Any ( ) Title Short Abstract (about 50 words) Preferred Region ( ) 1. High-Risk Infectious Diseases ( ) 2. Food Safety ( ) 3. Environmental Pollution ( ) 4. Medical Malpractice ( ) 5. Fire and Explosion ( ) 6. Hospital Infections ( ) 7. Radiation Emerging Disasters ( ) 8. Bio-Material & Chemical Emerging Disasters For questions, please contact Lijing GAO, sympo@cis.ac.jp