sample_mmmu_participant-information-form

In order to facilitate the logistics of travel, lodging, meals, and transportation, we would like all participants to fill in the form below.

The Conference & Workshop Section (CWS) of OIST will contact you for the travel arrangement.

Mini Symposia "Viscoelasticity and Dissipative Dynamics of Rods and Membranes"
From Mar 6^th to 8^th, 2017

Basic Information

Family Name (as on passport) *

Please type this exactly as it appears on your passport.

Given Name (as on passport) *

Please type your given name exactly as it appears on your passport.

Date of Birth (yyyy/mm/dd) *

Nationality *

Affiliation

Name of your University or Institution.

Job Title

Email address

Webpage URL

Phone Number

International / Domestic

Will you be traveling domestic or international to participate in the workshop?

I am coming to the workshop from within Japan.

I am coming to the workshop from overseas (outside Japan).

Airport *

Please write the name of the airport from which you would like to depart.

Please upload a scan of your passport.

In order for us to book your flight with accurate and current information, a scanned copy of the photo page of your passport is required. Please keep the file size to less than 500KB, in PDF, JPG or PNG format.
Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf.

Visa

Do you need a VISA to enter Japan? *

Yes

Please check (http://www.mofa.go.jp/j_info/visit/visa/short/novisa.html) and mark yes if you need a visa to enter Japan.

Please enter your nearest Japanese Embassy or Consulate. *

Please enter your address in full in the box below. *

Travel Schedule

Basic Travel Schedule for Mini Symposia:
Arrival on Okinawa: March 5^th (Sun.), 2017 / Departure from Okinawa : March 9^th (Thu.)

Would you like to request special schedule? *

Yes

Please write your preferred schedule in Remarks. We will contact you separately for arrangement.

Others

Other Comments/ Information

Leave this field blank