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Cyberworlds 2019 Invitation Request Form
This request is only applicable for participants of Cyberworlds 2019 who completed the registration and payment of registration fee and invitation letter issue fee (additional 3,000 Japanese yen PER PARTICIPANT). NEVER apply MULTIPLE participants on a single form. Please estimate THREE WEEKS to receive documents via postal mails after submitting this form.
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* Indicates required question
Email address
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Your answer
Family name in English
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Your answer
Family name in Chinese characters (if applicable)
Your answer
Given name in English
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Your answer
Given name in Chinese characters (if applicable)
Your answer
Nationality
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Your answer
Title
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Prof.
Dr.
Ms.
Mr.
Other:
Gender
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Female
Male
Other:
Date of Birth
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MM
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DD
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YYYY
Age as of scheduled day of visa application
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Your answer
Affiliation (Organization and Department)
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Your answer
Occupation or position
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Your answer
Postal address of affiliation
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Your answer
Submission ID on EasyChair (Paper, Poster)
Your answer
Accompanying person(s) (Name, Affiliation, Gender, Nationality, Birthday, Relationship) ** Fill in as "None" if you have no persons
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Your answer
Arrival (When to arrive in Japan)
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MM
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DD
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YYYY
Flight Number, From Where
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Your answer
Departure (When to leave from Japan)
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MM
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DD
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YYYY
Flight Number, To Where
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Your answer
Complete postal address in home country
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Your answer
Reachable phone number
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Your answer
Hotel(s) in Japan (Name, Address, Phone, Dates of check-in and check-out) ** Note: We cordially request the full list of hotels during your stay in Japan for a prompt process for visa document preparation.
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Your answer
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This form was created inside of お茶の水女子大学理学部情報科学科.
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