G20大阪市民サミット参加申込書, Registration for G20 Osaka Citizens' Summit
開催日, Date: 2019年6月25日(火)~26 日(水), Tue 25 and Wed 26 June 2019
開催地, Place: PLP会館, PLP Kaikan, Osaka, Japan (大阪府大阪市北区天神橋3丁目9−27)
http://plp-kaikan.net/access/a_index.html
お問い合わせ, Contact: g20osaka.cs@gmail.com

申込締切, Application deadline: 2019年6月17日(月)正午, 12:00 (JST) Mon 17 June 2019

Email address *
氏 / Family Name *
Your answer
名 / First and Middle Name *
Your answer
ふりがな(※日本語話者の方のみ)
Your answer
ご所属 / Organisation
Your answer
【6/25 (火 / Tue 25 June) 10:00~12:00】25日全体会に参加されますか?, Would you like to participate the plenary session on 25th? *
【6/25 (火 / Tue 25 June) 13:00~15:00】第1分科会の参加希望をお選びください。, Which session would you like to attend at the 1st Breakout Sessions? *
Required
【6/25 (火 / Tue 25 June) 15:30~17:30】第2分科会の参加希望をお選びください。, Which session would you like to attend at the 2nd Breakout Sessions? *
Required
【6/25 (火 / Tue 25 June) 18:00〜20:00予定】懇親会に出席されますか?※実費3,000円程度申し受けます。, Would you like to attend a reception party (maybe from 6 to 8 PM) on 25th? ※The fee will be 3,000 yen. *
懇親会での飲食物について、配慮が必要な事項があればお書きください。, If you have the specific requests and restrictions for meal at the reception party, please let us know.
Your answer
【6/26 (水 / Wed 26 June) 10:00~12:00】第3分科会の参加希望をお選びください。, Which session would you like to attend at the 3rd Breakout Sessions? *
Required
【6/26 (水 / Wed 26 June) 13:30~15:30】26日全体会に参加されますか?, Would you like to participate the plenary session on 26th? *
保育、親子の居場所などのプログラムをご希望されますか?, Would you like to use a place for childcare and play for children and parents? ※後日こちらからご連絡させていただきます。, We are going to send e-mail for asking more detail.
その他、ご要望等があればお書きください。, Anything other requests.
Your answer
A copy of your responses will be emailed to the address you provided.
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