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                     Technical/Cultural Tours Pre-regsitration
                          Form 
                    
  
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                | Name *  | 
                
                    
                    
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                | Accompanying person(s) Name if you have
                      (First/Last)  | 
                
                      
                    
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                | 
                    
                     
                        Please let us know the following
                        two codes if you know them. If you don't know your codes, leave them
                        blank. 
                     
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                | Abstract Code  | 
                
                      
                     
                        The abstrct code has been informed to you by abstract
                        acceptance letter. 
                     
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                | Regsitration
                      Code  | 
                
                      
                     
                        The regsitration code has also been sent to you when you
                        completed on-line regsitration. 
                     
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                | 
                     
                         
                     
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                | Please select one considering general
                      information:  | 
                
                     
                         Technical Tour
                             Course 1  
                     
                    
                         Technical Tour Course
                              2  
                     
                    
                         Technical Tour Course
                             3  
                     
                    
                         Cultural
                             Tour  
                     
                    
                    
                        Each Technical Tour Course is 5000 JPY per person and Cultural
                        Tour is 10,000 JPY per person.
                     
                    
                         
                     
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                | Nationality *  | 
                
                      
                    
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                | Birthdate *  | 
                
                    
                        
                            
                                
                                 
                                MM  | 
                                /  | 
                                
                                 
                                DD  | 
                                /  | 
                                
                                 
                                YYYY  | 
                             
                        
                     
                    
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                | Can you pay the tour fee using Credit Card or
                      Bank Transfre in advance?  | 
                
                     
                         Yes  
                     
                    
                         No.   
                     
                    
                    
                        Please note all tour courses have a limited capacity and the
                        prioirity is with participants who could pay the fee in advance. 
                     
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                | Email *  | 
                
                      
                    
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                | Confirm Email *  | 
                
                  | 
            
            
                | Phone Number  | 
                
                      
                     
                        e.g. 0081298796815 
                     
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                | Your special
                      request:  | 
                
                      
                    
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