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Registration, ICMDA EA 2024 Ishigaki
http://exch.japan-cma.net/index.html
Date 1st to 4th Aug 2024, Place Ishigaki island, Okinawa, JAPAN
Contact : imasaki2002@gmail.com
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* Indicates required question
Name (same as written on your passport)
パスポートをお持ちの方はそれと同じ表記で
*
Your answer
Name in Chinese character if you have
名前の漢字表記
Your answer
Nickname
ニックネームがあれば
Your answer
Gender ( use for room assignment )
性(部屋割りに必要です)
*
Your answer
Age 年齢
*
Your answer
Organization(CMF) 所属しているキリスト教医療組織
Your answer
Proffesional Position 職場での立場
Your answer
Fee : tentative value in dollar and will try to less.
Because of rate drift, please pay in Yen cash at arrival.
Please wait for a moment about fixed plan.
会費目安です。到着時に円の現金でいただきます。詳細決定は少々お待ちください。
*
student 学生、大学院生 : $150
less than 5 years after graduation 卒後5年未満 : $150
more than 5 years after graduation 卒後5年以上 : $250
Email(受信制限されていないもの)
*
Your answer
WhatsApp (English)or LINE (日本語運用)account ID
Your answer
Cell Phone 携帯電話番号
Your answer
Passport Number (国内参加者は不要)
Your answer
Arrival date to Ishigaki Airport
石垣空港到着日
MM
/
DD
/
YYYY
Arrival time 到着時刻
Time
:
AM
PM
Flight details 往路航空会社および飛行便番号
Your answer
Departure date from Ishigaki Airport
石垣空港出発日
MM
/
DD
/
YYYY
Departure time 出発時刻
Time
:
AM
PM
Flight details 帰路航空会社、便名
Your answer
Dietary restrictions, Allergy, Medical Condition
食事制限、アレルギー、医学上の注意点などがあれば
Your answer
Request for pre and post conference stay
会期前あるいは会期後の宿泊希望
Your answer
All bed room at venue are large group room and no single or twin room, if you request usual hotel at city area write down your request. Estimate fee is around one hundred dollar per person per night and one way taxi around 10 dollar. 会場の寝室は畳大部屋です。市内の通常ホテル希望の方は以下に記載してください。一泊一人一万五千円程度、移動のタクシー片道千五百円程度かかる見込みです。
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Comment, any request etc,
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