EmailMe Form - COPHA 2023 Event Registration

COPHA

Section I: Registration Form

Event *

Title *

Name *

First Last

Capitalize the First Letter Only of Each Name (i.e. Kim Wang).

Citizenship *

Academic Degree *

Section II: Email Policy and Contact Details

My Email Address (University) *

The email address your university issued to you for your own use.

大学が発行した自分専用のメールアドレス。

Personal Email Address *

University / Company *

Capitalize the first letter only of each word (i.e. Center University)

Department *

City *

Country *

Position *

Section III: Registration Information

Event Role *

My acceptance serial number is:

Only for oral, poster and virtual registrants.

Registration Payment *

Events I will attend *

Opening Remarks and Virtual Session on Saturday, 2 December

Welcome Reception in Hiroshima on Saturday, 2 December

Poster Session at the Hiroshima Kokusai Hotel on Sunday, 3 December

Section IV: Presenter Biography

Please provide a 100 word biography about yourself (i.e. your position, research interest, associations, etc). Do not include personal information (family, hobbies, etc.)

ご自身の略歴（役職、研究テーマ、所属団体など）を100字程度でご記入ください。個人的な内容（家族、趣味など）は記載しないでください。

About me *

How did you learn about this event? *

Section V: Important Reminders and Policies

INTESDA is not responsible for any loss or damage as a result of substitution, alteration, postponement, or cancellation of COPHA 2023 due any cause beyond its reasonable control. *

I accept and understand.

INTESDA は、合理的な制御を超えた理由による COPHA 2023 の代替、変更、延期、または中止の結果として生じる損失または損害について責任を負いません。

Section VI: Warning

Suspicious Registration Applications will be Rejected & Deleted. *