March 11 - 14 2019, Bali, Indonesia,
[Red asterisks (*) denote required information.]
If you prefer to register by e-mail, please refer to the following URL:https://www.iere.jp/events/workshop/2019-bali/register.html
Name (*)
Professor Dr. Mr. Ms. Other
Position & Department
Company/Organization, etc (*)
Address
(*)
Contact Info
I will contribute to a presentation (*)
Yes:Please write title of your Presentation below No Title of Presentation
*There is a possibility we ask you to change from Oral Session to Poster Session by the number of presentation.
Registration Fee (*)(Participants including speakers should pay registration fees)
Welcome Reception Attendance (*)(Not Mandatory) [Mar. 11]
Official Dinner Attendance (*)(Not Mandatory) [Mar. 12]
Social Event (*)(Optional) [Mar. 13]
Technical Visit (*)(Optional) [Mar. 14]
Payment Amount(*)
Total: USD (Registration Fee & Social event & Technical Visit Fee)
Payment Method (*)
Credit Card URL for On-line Credit Card Payment : https://www.iere.jp/Payment/paypal_19WS.html Bank Transfer *IERE Central Office will send you the invoice by e-mail.
Documents for VISA (*)
PLN may be able to issue an invitation letter for participants who need to apply for Visa. Disclaimer: PLN reserves the right to fulfill or decline, at PLN's discretion, requests for letters of invitation for visa application support purposes.
I need invitation letter for Visa application.
*Please submit the `Format 5' of the 1st Announcement to IERE Central Office by e-mail by Feb. 11, 2019.(details: https://www.iere.jp/events/workshop/2019-bali/register.html)
No
Information from IERE (*)
Do you agree with receiving e-mail notices on future activities from IERE Central Office? Yes No
Personal Data
I agree to disclose my personal data for the Participants list of this Workshop.
Participants List
Central Office may enclose `Participants list' in the conference bag to facilitate communication among participants. The list will contain `1. Name', `2. Position, Department', `3. Company/ Organization etc.' and `4. e-mail address' of this format. If you DON'T want to open these information, please check at appropriate boxes shown below.
2. Position, Department 4. e-mail address