入力内容保存/読込

One Asia Convention Hanoi 2018 Registration Form

This is the Registration Form for participants.
The registration procedure will be complete after receiving an invitation letter with your registration number from the Foundation.
1. Participant Information
Namerequired
First Name

Family Name
Genderrequired
Titlerequired

If you select 'Others', please input here.
Organization
(Univ., Etc)required
Countryrequired
Mobile Phonerequired
×000-000-000 ○0000000000
E-mailrequired

Confirmation/確認用
*Please enter the same add as above./上記と同じアドレスを入力して下さい。
Passport No.required
2.Flight Schedule
Arrival Fight/Bullet Trainrequired
Flight/Bullet Train No.

* Estimate date is accepted/予定でOKです
Arrival Time

 , Aug ,2018(  :  )
*Please arrive at the venue by 13:00 on the 3rd./3日の13時までに会場にご到着下さい。
3. Accommodation Preference
*We provides accommodation and meals only for 2 nights
 2泊分の宿泊とお食事が提供されます。(Check-in:3rd, Check-out:5th)
Room Options
Attendance Recordsrequired
4. Information of Referee(Mediator)/紹介者(保証人)
Name of Refereerequired
First Name

Family Name

University etc./大学名等
Relation/関係required
Wife, Colleague etc./妻、同僚等