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The 84th Annual Scientific Meeting of the Japanese Circulation Society Congress Chairperson:Takeshi Kimura, M.D., Ph.D.(Professor, Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Kyoto) Date:March 13 (Fri.) -15 (Sun.), 2020 Kyoto International Conference Center Grand Prince Hotel The 84th Annual Scientific Meeting of the Japanese Circulation Society

Travel Grant

Instructions (US)

1)Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (US) (Form 17)

Two original forms are required for both the Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (US) (Form 17).

Please refer to the sample below and fill in the blanks for the required forms.

2)US Residency Certification (Form 6166)

Please fill out the Form 8802 and apply for the US Residency Certification (Form 6166) to the IRS. After your application arrival, the IRS will send you a notice.

User Fee:When To Apply:
Please mail your application, including full payment of the user fee, at least 45 days before the date that Form 6166 is needed.

User Fee:
Form 8802 application(s) will not be processed until the non-refundable user fee is paid.
The user fee is $85 per application for a Form 8802 filed after March 31, 2012.
You are kindly asked to pay this fee.

For further information, please visit the following IRS websites:

Instructions (UK)

1)Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (UK) (Form 17)

Two original forms are required for both the Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (UK) (Form 17).

Please refer to the sample below and fill in the blanks for the required forms.

2)Certificate of Residence

Please apply for the Certificate of Residence (UK) which requires the signature and official stamp of the local taxation office in your area. Please note that it may take several months to receive the Certificate of Residence.

Instructions (France)

1)Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (France) (Form 17)

Two original forms are required for both the Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (France) (Form 17).

Please refer to the sample below and fill in the blanks for the required forms.

2)Attestation de Résidence

Please apply for the Attestation de Résidence, which requires the signature and official stamp of local taxation office in your area. Please note that it may take several months to receive the Attestation de Résidence.

Instructions (Australia)

1)Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (Australia) (Form 17)

Two original forms are required for both the Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (Australia) (Form 17).

Please refer to the sample below and fill in the blanks for the required forms.

2)Residency Certification

Please apply for the Residency Certification issued by the Competent Authority in Australia. Please note that it may take several months to receive the Residency Certification.

Instructions (The Netherlands)

1)Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (The Netherlands) (Form 17)

Two original forms are required for both the Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (Netherlands) (Form 17).

Please refer to the sample below and fill in the blanks for the required forms.

2)Residency Certification

Please apply for the Residency Certification issued by the Competent Authority in the Netherlands. Please note that it may take several months to receive the Residency Certification.

Instructions (Switzerland)

1)Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (Switzerland) (Form 17)

Two original forms are required for both the Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (Switzerland) (Form 17).

Please refer to the sample below and fill in the blanks for the required forms.

2)Residency Certification

Please apply for the Residency Certification issued by the Competent Authority in Switzerland. Please note that it may take several months to receive the Residency Certification.

Instructions (New Zealand)

1)Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (New Zealand) (Form 17)

Two original forms are required for both the Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (New Zealand) (Form 17).

Please refer to the sample below and fill in the blanks for the required forms.

2)Residency Certification

Please apply for the Residency Certification issued by the Competent Authority in New Zealand. Please note that it may take several months to receive the Residency Certification.

Instructions (Sweden)

1)Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (Sweden) (Form 17)

Two original forms are required for both the Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (Sweden) (Form 17).

Please refer to the sample below and fill in the blanks for the required forms.

2)Residency Certification

Please apply for the Residency Certification issued by the Competent Authority in Sweden. Please note that it may take several months to receive the Residency Certification.

Instructions (Germany)

1)Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (Germany) (Form 17)

Two original forms are required for both the Application Form for Income Tax Convention (Form 7) and Attachment Form For Limitation On Benefits Article (Germany) (Form 17).

Please refer to the sample below and fill in the blanks for the required forms.

2)Residency Certification

Please apply for the Residency Certification issued by the Competent Authority in Germany. Please note that it may take several months to receive the Residency Certification.

Instructions (Other Countries)

1)Application Form for Income Tax Convention (Form 7)

Two original forms are required for Form 7.

Please refer to the sample below and fill in the blanks for the required forms.

Congress Secretariat :
c/o Congress Corporation
3-6-13 Awajimachi, Chuo-ku, Osaka 541-0047, Japan
Phone : +81-6-6233-9041 Fax : +81-6-6229-2556 E-mail : jcs2020@congre.co.jp