Register for DNC2019 (Participant)

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Personal Information

Family Name (as on passport) *

Given Name (as on passport) *

Middle Name Initial

Title *

Gender *

Male

Female

Date of Birth (yyyy/mm/dd) *

Nationality *

E-mail Address *

Affiliation *

Address and Phone number of Affiliation *

Lab course preference

Participants can attend one lab course out of four. From the following list, please choose TWO lab courses you are interested in.

Lab courses *

In utero electroporation (Hiroshi Kawasaki)

Live imaging of zebrafish nervous system (Ichiro Masai)

The neuroplasticity of motor circuits and synapses in Drosophila (David Van Vactor and Hiroshi Kohsaka)

Auditory electrophysiology of songbird (Yoko Yazaki-Sugiyama)

Travel Information

Please provide airport name or three-letter airport code near your home or institution (airport code is available in here).

Information entered here will be forwarded to the course travel agency.

Airport near your home or Institution *

VISA

If you need a visa to enter Japan, please provide following information. However, some nationals and citizins are exempted from obtaining visa for a short tearm visit. Please visit the Minstry of Foreign Affairs of Japan website.

Do you require a visa? *

Yes, I need a visa.

No, I do not.

No I do not, but I will need an official invitation letter to carry with me.

I am not sure.

Country your passport is issued

If you need visa or you are not sure, please provide the name of country that issues your passport.

Home Address and Phone Number

If you need visa or you are not sure, please provide your home address and phone number.

Nearest Embassy or Consular of Japan

If you know where nearest the embassy or consular of Japan, please provide the name of city or town.

Dietary Restriction

Please Provide details on your dietary restrictions.

Special Assistance

Please provide your request in "Other Conditions," if you need special assistance (ex. wheel chair access)

Other Conditions

Documents for Course Materials

Please upload following files.

Picture *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

Biography *

Please upload your Biography and Research Interest in one page.
Files must be less than 500 KB.
Allowed file types: txt rtf doc docx xls xlsx.

Rules and Agreement

Please read the OIST Travel Guidelines attached to the Email from the course secretariat carefully and check the box below before submitting the form. If you have question, please contact at the course secretariat.

Acceptance of the OIST Travel Guidelines *

I acknowledge that I have read and accept the OIST travel Guidelines.

By choosing this box, you confirm to have read and accepted the OIST Travel Guidelines

Leave this field blank