* To apply for termination, Name, Mail Address, and End date should be filled.

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Category (Required)	new user  period extension  termination
Name (Required)
Title (Required)
Mail Address (Required)
Mail Address (Confirm) (Required)	* Mail addresses do not match.
Affiliation (Required)
Address (Required)
Purpose (Required)	Commercial use Academic research for the commercial use Academic research
Details of use (Required)
End date (Required)

* Please fill in all required fields.