JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
10th Japan-Italy Joint Workshop on Liquid Crystals (JILCW2024) Registration form
September 4(Wed)-6(Fri), 2024
The Seagaia Convention Center, Phoenix Seagaia Resort, Miyazaki, Japan
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Given Name
*
Your answer
Family Name
*
Your answer
Title
Prof.
Dr.
Mr.
Ms.
Clear selection
Affiliation
*
(e.g., Kyushu University)
Your answer
Position
*
(e.g., Professor, Posdoc, D1, M2,...)
Your answer
Country
*
Japan
Italy
Other:
Registration fee (until June 28th 2024)
*
Regular (JLCS member) 30000JPY
Regular (Non-JLCS member) 40000JPY
Student (JLCS member) 15000JPY
Student (Non-JLCS member) 20000JPY
JLCS membership ID (if you have)
Your answer
Banquet (5th September)
Yes (8500JPY) (until June 28th)
No
Clear selection
Excursion (6th September)
Yes (4500JPY)
No
Clear selection
Comments
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of 京都大学.
Report Abuse
Forms
