*These items are indispensable.
Last Name:
*
First Name:
*
Affiliation:
*
E-mail:
*
Fax Number:
*
Country:
*
Address:
*
Contact Phone Number :
*
Title of your presentation (write '
None
' if not applicable) :
*
Accommodation:
Do you need an accommodation in/near the RIKEN campus? Yes
No
Do you have accompanied persons? Yes
No
A single room, a double room, or a triple room?:
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2
3
4
5
The reservation will be made for you:
check-in date:
March
April
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check-out date:
March
April
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Comments or special wishes. Names of the person(s) you wish to share a room with.:
