Registration Form: 2nd Japanese-Spanish workshop on Diff. Geom.

Name
Institute
Position	Faculty Member PostDoc Student Other
E-mail	(repeat)

Arrival	February 2014 Flight (e.g. NH210) Time (e.g. 14:00) Airport
Departure	February 2014 Flight (e.g. NH210) Time (e.g. 14:00) Airport
Accommodation	I'll stay Tokyu Stay Gotanda (the official hotel reserved by local organizres). I do not stay the official hotel. (If you have request, please explain it in Message box.)

Attendance of Banquet	Yes No Undecided Tentative inquiry. Final confirmation will be made until December.

Attendance of Excursion	Yes No Undecided Tentative inquiry. Final confirmation will be made until December.

Poster Session	I apply for the poster session on the first half of the conference I apply for the poster session on the second half of the conference I do not apply for the poster session Title:

Travel Support	I'm invited by organizers, and need a support (airfare and accomodation) from Japanese side. I'm invited by organizers, and need a support (only airfare) from Japanese side. I'm invited by organizers, and need a support (only accomodation) from Japanese side. I'm invited by organizers, and I do not need support from Japanese side. I'm not invited by organizers. Since Japanese financial resource is limited, travel support from foreign participants from Japanese side is restricted to the invited participants. For invited participants, the local organizers kindly request to find budgets on their own institute, if possible.

Message