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Request Form of ISMAR2015 Necessary Items For Visa Application
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* Indicates required question
Presentation information
Are you an author of any presentation in ISMAR 2015?
*
Yes
No
If yes, please fill out the following items.
Paper title
Your answer
Authors of the presentation
Your answer
Paper number
Your answer
Presentation category
Oral/Poster/Demo of S&T ISMAR2015
Oral/Poster/Demo of MASH'D ISMAR2015
Workshops
Tutorials
Tracking Competition
Clear selection
................................................
If you are not a author, please fill out the following item.
Registration Number
If you are a participant of ISMAR2015 without any presentation, please fill out this item.
Your answer
Note: You need to be an author of any presentation in ISMAR2015
or
you need to have completed the registration of ISMAR2015 with
the payment of the registration fee for requesting the items for VISA application.
________________________________________________
Applicant Information
Surname (as shown in passport)
*
Your answer
Given and middle names (as shown in passport)
*
Your answer
Surname(Chinese character)
If you have Chinese nationality, this item must be filled.
Your answer
Given name(Chinese character)
If you have Chinese nationality, this item must be filled.
Your answer
Nationality
*
Your answer
Date of birth
*
YYYY/MM/DD
Your answer
Age
*
Your answer
Sex
*
Male
Female
Occupation
*
Your answer
E-mail address
*
Your answer
Method of the Documents Delivery
*
Please select the way of receiving your Visa documents. If you choose "by Post" or "by Email and Post", please fill in your postal address below.
by Email
by Post
by Email and Post
Postal Address
Your answer
Embassy that you are going to submit visa documents
*
Embassy lists:
http://www.mofa.go.jp/about/emb_cons/mofaserv.html
Your answer
________________________________________________
Flight Information
Have you already booked the flight?
*
Yes
No
From your country to Japan
Departure Airport
e.g. Shanghai Pudong International Airport
Your answer
Arrival Airport
e.g. Fukuoka Airport
Your answer
Flight Number
e.g. CA803
Your answer
Arrival Date
YYYY/MM/DD
Your answer
From Japan to your country
Departure Airport
e.g. Fukuoka Airport
Your answer
Arrival Airport
e.g. Shanghai Pudong International Airport
Your answer
Flight Number
e.g. CA804
Your answer
Departure Date
YYYY/MM/DD
Your answer
________________________________________________
Hotel Infomation
Have you already booked the hotel?
*
Yes
No
Hotel Name
Your answer
Address
Your answer
Phone number
Your answer
Check-in date
YYYY/MM/DD
Your answer
Check-out date
YYYY/MM/DD
Your answer
If you are going to stay hotels other than that above, please fill out the following form.
Your answer
________________________________________________
Sending confirm
*
Please check this box if you confirm that your application was filled completely.
Required
We will send you a confirmation e-mail later(auto reply).
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