International Forum, the 2nd UMAP Board Meeting 2018 and Excursion in Japan
Dear all,

On behalf of Professor Datuk Dr. Noor Azlan Ghazali, chairperson of UMAP, we cordially invite you to attend the 2nd UMAP Board Meeting 2018 and International Forum scheduled to be held between September 24th (Mon) – 25 (Tue), 2018 at Osaka University of Commerce, Osaka Japan.

Please take 5 minutes to fill out the attendance sheet below. We appreciate your making the time from your busy schedule to attend the meetings. All members should know that all information given would be used only for registration purposes and be kept confidential.

If you have further inquires, please email us at umap-is@umap.org or contact us at +81-3-3945-7190.

Thank you for your attention and have a pleasant day!

Warm regards,

UMAP International Secretariat

1. Given Name (First Name) *as it appears in your passport *
Your answer
2. Surname (Family Name) *as it appears in your passport *
Your answer
3. Title *
4. Current Institution / University / Organization *
Your answer
5. Position *
e.g. Director, International Affairs Office
Your answer
6. Representative of Country / Territory *
7. Do you need a visa to enter Japan? *
8. Member Position *
9. E-mail Address *
Your answer
10. Please check if you intend to participate in the following activities. *
Required
11. Special Needs
If you require specific aids or service at the event location, please indicate type of need(s).
Your answer
12. Dietary Restrictions
Please indicate your dietary restrictions, if any, in the space below:
Your answer
13-1. Additional Questions for Visa Documents (Gender)
If you do not require Visa for your entry to Japan, please skip "Visa Documents".
13-2. Additional Questions for Visa Documents (Your Family name/Surname and Middle name as it appears in your passport)
Your answer
13-3. Additional Question for Visa Documents (Your Given/First name as it appears in your passport)
Your answer
13-4. Additional Questions for Visa Documents (Birthday as it appears in your passport)
Your answer
13-5. Additional Questions for Visa Documents (Nationality)
Your answer
13-6. Additional Questions for Visa Documents (Home address & telephone number)
Your answer
13-7. Additional Questions for Visa Documents (The address to which the documents needed to be sent if it is not to your home)
Your answer
13-8. Hotel information while you attend the UMAP events
Your answer
13-9. If you visit other than UMAP events, please indicate the place and the dates.
Your answer
Terms and Conditions of Registration *
By registering for this event, attendees agree to the collection of contact and demographic information. This includes any information unique to the attendee that’s available in the individual’s UMAP profile. UMAP International Secretariat will share limited information (name, title, organization, city/state/country) in the official attendee list, but will not share contact information without further consent. UMAP will also build a photo and video library of the UMAP Board Meeting. By attending, you grant consent for UMAP to use any photographs and/or video produced that may include you individually or in groups. This includes use in print, online, and all forms of electronic media both for reproduction and promotional use. In the event that we film and record your words, UMAP will seek your express permission.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of 東洋大学. Report Abuse - Terms of Service - Additional Terms