入力内容保存／読込

Registration Form (B)
*Please enter in English. 英語で入力してください*

DATE & TIME
Monday, August 3, 2026 | 10:00 am – 6:00 pm
Tuesday, August 4, 2026 | 9:30 am – 8:00 pm
VENUE
Lotte Hotel Busan (Busan, South Korea)
Referrer (if any)*
Information of Referee*
First Name/名

Family Name/姓

University etc. 大学名等
Relationship 関係*
Colleague etc. 同僚等
1. Participant Information
Passport Information
(for hotel reservation use only)*
First Name/名

Family Name/姓

Country

Passport No.

Gender
Title*
Title

If you select 'Others', please input here.
Organization
(Univ., Etc)*
Name of your university or institution あなたの大学名または所属機関名
Location of your organization 所属機関の所在国

If you select 'Others', please input here.
Mobile Phone Number*
 -  - 
E-mail*

(Confirmation/確認用)
2. Accommodation
Free Accommodation Period 宿泊無料期間；
Check-in: August 2nd ｜ Check-out: August 5th
No early-check-in and/or extension of stay is available. アーリーチェックインおよび延泊は不可
Hotel Check-in Date*
Estimated Arriving Time at the Hotel 到着予定時刻*
 PM 
Room Preference