Registration for the 3rd BESETO

We, The Third BESETO Organizing Committee, understand the importance of the privacy of the personal information of our member.
In compliance with the Act on the Protection of Personal Information (Law No. 57, 2003), we guarantee the protection for your personal information.
Meanwhile, please note that your Name and affiliation will be disclosed on our Web Site (Member's Page).


(1) Name ("First Name"+"Family Name")


(2) E-Mail Address

（Confirm）

(3) More Personal Information
Gender
Birth Date
Nationality
Place for Tax Payment

 

(4) Affiliation
 
University
Department
Position

 

(5) Address
(5.1) Business Address
 
Address
City
Province
ZIP
Country
 
(5.2) Residence Address
 
Address
City
Province
ZIP
Country

 

(6) Flight and so on
Departure Date
Flight (Outward)

To
Return Date
Flight (Return)

To
Have you ever been in Japan?

If "Yes", When is your last visit?
To
Passport No.

 

(7) Presentation
Will you give a presentation on the conferance?
 
(8) Message
Please put this button to send above information.


All Clear