非在學學生報名表單 Regular Registration (for KIW-11 and public talk by Kajita-san)
NTD$ 3,000 (before March 20th)
NTD$ 4,000 (on-site, cash in NTD only)

Contact info: tcyang@gapp.nthu.edu.tw
Email *
Fullname / 漢字名字 / 中文名字
Name in English / Name in Chinese
 *
1. 外籍人士請留完整姓名 For foreigners, please fill in your full name.(Ex. Ernest Miller Hemingway)
2. 本國籍人士或具中文字或漢字名字者，亦請提供英文名字拼音，名在前，姓在後 
For nationals or those with names in Chinese characters, please also provide the English name, with the first name first and the last name last. 
( Ex. 王佳琪 Chia-Chih Wang) (Ex. 奈良美智 Yoshitomo Nara)

服務單位 Affiliation *
職稱 Position
 *
國籍 Nationality
 *
Phone Number
ex. +886930222666
Contribution *
Please go to Call for Abstract to summit abstracts for oral or poster.
Date of Attendance
 *
Required
Lunch
 *
Banquet on April 16
 *
Fee: $500 per person, pay on-site
People: ~150p
Time: 18:00~21:00
Type: 
是否需要會議場地停車位？Parking Application
Only for our staff and VIP
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