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ILASS-Asia+Japan Registration form

ILASS-Asia and Japan Registration

All fields are required. Please fill in or check all fields.
Position (e.g., Professor, Student, Engineer)
First Name ※必須
Last Name ※必須
Title ※必須
Nationality ※必須
Affiliation ※必須
E-mail address ※必須
Telephone ※必須
Invitation Letters for Visa Application ※必須
If you require an invitation letter for a visa application, please select "Yes" in the
checkbox above. Please note that an invitation letter will only be issued after your
registration and payment have been completed.
Participation fee
Early-bird (on or before November 27)                Regular (from November 28 onward)
[Conference]                                                        [Conference]
General (15,000 JPY)                                            General (20,000 JPY)
Student (5,000 JPY)                                              Student (10,000 JPY)
[Banquet]                                                             [Banquet]
  10,000JPY                                                              12,000JPY
Status ※必須
Banquet ※必須
Accompanying person
If you will be attending the banquet and have an accompanying person (who will attend only banquet), please check "Yes" below. If accompanying persons are two or more, please indicate this in the "Comments" section.
Banquet accompanying person ※必須
(If yes) First name
(If yes) Last name
Payment Methods
Payment Methods ※必須
 If you choose bank transfer, please select the bank to transfer from below.
Bank to transfer
Comments
Comments if any
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