Application Form for SNP School 2013 (Feb/14-20)

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Please choose a radio button or fill the following fields. Note that you must answer for the item with *.

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Organizer will send you acknowledgment as soon as possible (not automated).

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Subscription to School

Title *

Prof.

Dr.

Mr.

Ms.

FAMILY NAME

(If you have NO family name, please leave as empty)

First Name *

Affiliation *

Your Institute/University

e-mail address *

Phone number *

Please include cuntry/area code. For example, +81 for Japan.

Nationality *

Do you need VISA to enter Japan? *

Yes

If you need VISA, have you already contacted to the organizer?

Yes

Clear selection

For Student or Postdoc

You should fill this section.

Name of Supervisor and his/her affiliation

(If you are student or postdoc, please send a one-page recommendation letter of your supervisor by e-mail)

Supervisor's email address

Research Interest

(about 100 words)

Title of abstract

Short abstract (1 page) of your presentation should be sent separately to this application form.

Have you already sent the abstract?

Please send the abstract to snpsc13@lambda.phys.tohoku.ac.jp as a text, word, or PDF.

Yes

Clear selection

Accomondation

Do you need to arrange hotel? *

Yes

If Yes. Will you be accompanied by anoyone? Please let us know a name of the person.

If you want to share a room with your colleagues, please fill this field (name and also affiliation) and check "Yes with accompanied person" in the fields of "Room for night of YYYY/MM/DD at xxxxx"

Room Preference *

(We will try to honor your reservation preferences, but it is depended on the room availability)

NON-Smoking

Smoking

Room Type *

Single bed room

Single use of Twin/Double bed room

Twin bed room

Double bed room

Room for night of 2013/Feb/13 (Wed) at Tokai *

Yes

Yes with accompanied person

Room for night of 2013/Feb/14 (Thu) at Tokai *

Yes

Yes with accompanied person

Room for night of 2013/Feb/15 (Fri) at Tokai *

Yes

Yes with accompanied person

Room for night of 2013/Feb/16 (Sat) at Tokai *

Yes

Yes with accompanied person

Room for night of 2013/Feb/17 (Sun) at Sendai *

(On Feb/17, the organizer will arrange bus transportation from Tokai to Sendai with the inclusion a lunch.)

Yes

Yes with accompanied person

Room for night of 2013/Feb/18 (Mon) at Sendai *

Yes

Yes with accompanied person

Room for night of 2013/Feb/19 (Tue) at Sendai *

Yes

Yes with accompanied person

Room for night of 2013/Feb/20 (Wed) at Sakunami Hotspring *

(The night session of the school will be held at the Sakunami hot spring on 17th.)

Yes

Yes with accompanied person

To assign room at Sakunami Hotspring, we need your gender

At the hot spring, you will enjoy a Japanese style dinner, the splendor of a natural hot spring, and accommodation sharing a room with other participants at Ryokan (Japanese traditional style hotel).

Female

Male

Clear selection

Lunch box

There are a few restaurants and shops located within the nearby vicinity of the IQBRC (Tokai).
We can arrange your lunch on 13th -15th (included in the registration fee).

2013/Feb/14: Do you need lunch at Tokai facility? *

Yes

2013/Feb/15: Do you need lunch at Tokai facility? *

Yes

2013/Feb/16: Do you need lunch at Tokai facility? *

Yes

Request to organizer

Do you need request for financial support? Please describe it.

We will evaluate the support based on a recommendation letter and your abstract.

Message to Organizer

(Special request, for example, meal)

Submit

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