Application for participation in the COMMUNITY OF PMI JAPAN CHAPTER
Name of Committee/Study Group you would like to participate：
Full name
Membership No. of PMI Japan Chapter
PMP®
Qualification
Non-holder ・ Holder （Registration No.：
）
Others
Organization
Department
Job title
Present position
Address
TEL
E-mail address
Contact, if different
TEL
from the above
E-mail address
Knowledge of PM and/or
PMBOK® Guide
Knowledge relating to PMIJ
COMMUNITY you would like
to participate
Other language proficiency
Field of knowledge
Experiences in other PMIJ
& experiences
COMMUNITY, if any
Project experiences
（Project/assignment/period
etc.）
Working Group （WG） you
would like to participate, if any
Request
Subject for discussion, if any
Participation by Skype
None
・ Possible （Location：
）
Motive/purpose for participation
Remarks/comments etc., if any
※ Only a person who is currently a member of PMI Japan Chapter is eligible to submit the application.
PMI Japan Chapter （as of 2013/12/01）