Technical/Cultural Tours Pre-regsitration Form

Name * 

First 

Last 
Accompanying person(s) Name if you have (First/Last)   

Please let us know the following two codes if you know them. If you don't know your codes, leave them blank. 
Abstract Code   
The abstrct code has been informed to you by abstract acceptance letter. 
Regsitration Code   
The regsitration code has also been sent to you when you completed on-line regsitration. 
 
Please select one considering general information: 
 Technical Tour Course  
 Technical Tour Course 2  
 Technical Tour Course 3  
 Cultural Tour  
Each Technical Tour Course is 5000 JPY per person and Cultural Tour is 10,000 JPY per person.
 
Nationality *   
Birthdate * 

MM 
/ 
DD 
/ 
YYYY 
Can you pay the tour fee using Credit Card or Bank Transfre in advance? 
 Yes  
 No.   
Please note all tour courses have a limited capacity and the prioirity is with participants who could pay the fee in advance. 

Email *   
Confirm Email *   
Phone Number   
e.g. 0081298796815 
Your special request: