Questionnaire for Science Challenge

[Flight Arrangement]

Your flight will be arranged to arrive in Okinawa on 9th Mar (Sat) in order for you to attend the whole workshop. OIST provide you the ticket so please do NOT purchase flight ticket by yourself.

Please note that you will not be able to change your flights once you specify your return date to us. Please consider your departure date carefully before submitting.

We will issue the tickets after your submission. Please note that we will not ask for your confirmation of your flights unless you have special requests below.

Your check-out time from the accommodation will be 9:00 am on Mar 16 (Sat).

Departure Date from Okinawa *

16th Mar (Sat), 2019

17th Mar (Sun), 2019

* All candidates will be required to leave their accommodations at 9am on the 16th, and the private stay accommodation needs to be arranged on their own.

Please let us know if you have any special requests on your flights.

*We will issue the tickets after your submission. Please note that we will not ask for your confirmation of your flights unless you have special requests above. Participants are responsible for fees resulting from any change or cancellation of their flight and accommodation made after our travel agent or OIST has issued the tickets. If you have special requests on your flights, please let us know. (eg. My place is far from the closest airport with limited transportation. My departure time should be after 1pm and arrival time should be before 10pm.)

Family Name: *

Given Name: *

Middle Name:

*All the names must be the same as presented on your passport

Nationality: *

Date of Birth: *

Year

Month

Day

Age: *

Gender: *

Male

Female

Title: *

Mr.

Ms.

Email *

TEL: *

*Please start with the country code.

Nearest Airport: *

Please enter the name of ONE airport that is close to your location.

IATA Airport code *

Please enter the three-letter airport code (IATA) of your nearest airport. *e.g. Los Angeles International Airport: LAX, Narita International Airport: NRT

Country of the nearest airport *

I have read and agreed to the OIST Travel Agreement *

Yes

[Visa Arrangement]

Do you need a visa to enter Japan to attend this workshop? *

Yes *Please fill out following questions for visa documents

Visa Arrangement information

Name of the nearest Japanese Embassy / Consulate:

*Closest Japanese embassy / consulate where you apply for visa

Occupation:

* i.e. Professor/Research Assistant/Student

Name of the University/Organization:

Please enter N/A if this is not applicable to you.

Current Address: Country

Current Address: Zipcode

Please enter N/A if there is no Zipcode assigned to your address.

Current Address: State/Prefecture/Province

Current Address: City

Current Address: Street/Area

Current Address: Room number, name of apartment building

Please enter N/A if this is not applicable to you.

[Dietary Preference]

Meal Options *

Regular meal (No pork, No beef)

Vegetarian meal (No meat, No fish)

Vegan meal (No meat, No fish, No egg, No Dairy products)

Please select your meal preference. Please note that pork and beef won't be included in any meals that OIST provides during the workshop.

If you have any food allergies, please indicate the level of your allergy below.

*e.g. I am allergic to raw egg but I can eat cooked egg.

Disclaimer: OIST makes every attempt to identify ingredients that may cause allergic reactions for those with food allergies. Every effort is made to instruct our food production venders on the severity of food allergies. However, there is always a risk of contamination. There is also a possibility that manufacturers of the commercial foods we provide could change the formulation at any time, without notice. Participants concerned with food allergies need to be aware of this risk.

[Emergency Information]

Information of your emergency contact

Name: *

Relationship to you: *

Address: *

TEL: *

Please let us know if you have any special needs or assistance during the Admissions Workshop.

Leave this field blank