Registration (for Poster Presenter)
Contact
ATTENTION: Please don't use letters with diacritical marks (such as í, ã) in this form.
*Mandatory
*E-mail Address
e.g. taro@example.com
Name
*First Name
e.g. Taro
Middle Name
e.g. James
*Last Name
e.g. Yamada
*Job title
e.g. Professor, Assistant professor, Researcher, Student, ...
Organization
*Department, University / Company
e.g. Graduate School of Information Science, Nagoya University
*Country
e.g. Japan
*Student
Student
Not student
Reception Party
*Participation
Yes
No
Printing Information for Name Card
*Salutation
e.g. Prof./Dr./Mr./Mrs./Ms.
*Name
e.g. Taro J. Yamada
*University / Company, Country
e.g. Nagoya University, Japan
Financial support for early career researchers (see details
here
)
*Apply for financial support
Apply
Not apply
*Early career researcher (within 10 years of PhD award)
Yes
No
Requests to the conference desk
Requests
If you participate in the reception party and have any food restriction, please describe here.
*Reply
Yes
Submit
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