Registration Form for GEOQUANT2019

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IMPORTANT: Upon submitting this Form, an email will be sent to the email address provided by you below. The email contains a link with which you can come back to update your registration information. The email is a confirmation of receiving your registration only. If you are not already an invited speaker, you are not officially accepted to the event until you receive a confirmation from the GEOQUANT Committee.

Email *

Family Name *

First and (Optional) Middle Names *

Affiliation (Institution, City) *

Academic Rank *

Professor

Associate Proferssor

Assistant Professor

Postdoc

PhD Student

Other:

Date of Arrival in Taiwan

YYYY

Arrival Time, Flight Number

Date of Departure from Taiwan

YYYY

Departure Time, Flight Number

Accommodation needed for the School in Hsinchu (No guarantee for requests made on or after 13 August)

Yes

Clear selection

If yes, specify the Check-in, Check-out Dates

Accommodation needed for the Conference in Jinshan (No guarantee for requests made on or after 26 August)

Yes

Clear selection

If yes, specify the Check-in, Check-out Dates

Dietary Restrictions

None

Vegetarian

Other:

Clear selection

Are you requesting financial support on travel and/or local expenses? (Please reconfirm even if you have already communicated with the organisers.)

Yes

Clear selection

If yes, specify the type and amount of the financial support you need:

If you are requesting financial support from us, you must answer the following. Are you visiting other institution(s) in Taiwan on this trip and receive financial support there?

Yes

Clear selection

If yes, please provide some details.

Are you interested in presenting a poster in one of the poster sessions?

Yes, in the School

Yes, in the Conference

Clear selection

If yes, please provide a title of your proposed poster contribution.

There are a limited number of slots for contributed talks in the School and the Conference. Are you interested in giving a contributed talk?

Yes, at the School

Yes, at the Conference

Clear selection

If yes, please provide a title of your proposed contributed talk.

A copy of your responses will be emailed to the address you provided.

Submit

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