Neuroscience2020 VISA application form

Neuroscience2020 supports visa application only for those who have completed abstract submission.
* Required field

Applicant's Information
Nationality –

Embassy or Consulate you are going to visit for VISA application –
Please write an official name of embassy or consulate.


First name
Alphabet –

Chinese character (if any)

Family name
Alphabet –

Chinese character (if any)

Presentation number –
ex. 1T01a-01

Sex *
Date of birth (Day/Month/Year) *
Day / Month /Year
@@@@@@
Age *

Affiliation *

Position *

e-mail address *

«Please type again for confirmation.

Flight Information
Flight information
(to Japan)
Please write an official name of the airport which you arrive at.
Date of arrival *

Airport (from - to) *
from:

to:@
Airline & Flight number *

Flight information
(from Japan)
Please write an official name of the airport which you depart from.
Date of departure *

Airport (from - to) *
from:

to:@
Airline & Flight number *

Accommodation
Contact number during your stay in Japan *

Accommodation in Japan
1 Hotel *

Address *

Tel *

2 Hotel

Address

Tel

3 Hotel

Address

Tel

Itinerary in Japan
Neuroscience2020 can support your stay in Japan before and after the meeting (July 29-August 1) as well as during the meeting. However, we can support maximum six days excluding meeting days.
Full Itinerary
in Japan *
e.g.1 Date & Itinerary
Hotel
(You will stay at)
1 2 3 Departure N/A
e.g.2 Date & Itinerary
Hotel
(You will stay at)
1 2 3 Departure N/A
↓All fields are required (Day 1 to 10). Please input "N/A" or choose "N/A" in the fields that are not applicable for you.
Day 1 Date & Itinerary
ͺUp to 6 characters incl. space. Please abbreviate. "ex. Jul.28, 7/28"
Hotel
(You will stay at)
1 2 3 Departure N/A
Day 2 Date & Itinerary
Hotel
(You will stay at)
1 2 3 Departure N/A
Day 3 Date & Itinerary
Hotel
(You will stay at)
1 2 3 Departure N/A
Day 4 Date & Itinerary
Hotel
(You will stay at)
1 2 3 Departure N/A
Day 5 Date & Itinerary
Hotel
(You will stay at)
1 2 3 Departure N/A
Day 6 Date & Itinerary
Hotel
(You will stay at)
1 2 3 Departure N/A
Day 7 Date & Itinerary
Hotel
(You will stay at)
1 2 3 Departure N/A
Day 8 Date & Itinerary
Hotel
(You will stay at)
1 2 3 Departure N/A
Day 9 Date & Itinerary
Hotel
(You will stay at)
1 2 3 Departure N/A
Day 10 Date & Itinerary
Hotel
(You will stay at)
1 2 3 Departure N/A
↓ Please fill in the address of either home or affiliation, where you wish to receive the document.
Contact Address (Home or Affiliation)
Home or Affiliation –
Home Affiliation
Affiliation –(Institution,University etc.)

If you selected "Home", please fill in "none".
Position –

If you selected "Home", please fill in "none".
Address –

ZIP –

Tel –

Fax

Note
Note

 
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