AOA Seminar 2023 Registration Form
26-27 September 2023, Sydney Australia
(AOA members only)
(Free to register)
Participant's Personal Details
First Name
First Name
Required field
Middle Name
Middle Name
Last Name
Last Name
Required field
Prefix
Prefix
選択してください
Mr.
Ms.
Dr.
Other
Organization
Organization
Required field
Job Title
Job Title
Required field
Country
Country
選択してください
AFGHANISTAN
ALBANIA
ALGERIA
ANDORRA
ANGOLA
ANTIGUA & BARBUDA
ARGENTINA
ARMENIA
AUSTRALIA
AUSTRIA
AZERBAIDJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BRAZIL
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CENTRAL AFRICAN REP.
CHAD
CHILE
CHINA
COLOMBIA
COMMOMWEALTH OF DOMINICA
COMOROS
CONGO
COSTA RICA
COTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH
DEM. REP. OF CONGO
DENMARK
DJIBOUTI
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FIJI
FINLAND
FORMER YUGOSLAV REPUBLIC OF MACEDONIA
FRANCE
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GREECE
GRENADA
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDEPENDENT STATE OF SAMOA
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (REP. OF KOREA)
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MAURITANIA
MAURITIUS
MEXICO
MICRONESIA
MOLDOVA
MONACO
MONGOLIA
MONTENEGRO
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINE LIBERATION ORGANIZATION
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
QATAR
REP. OF THE MARSHALL IS.
ROMANIA
RUSSIA FEDERATION
RWANDA
SAN MARINO
SAO TOME & PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH SUDAN
SPAIN
SRI LANKA
ST. CHRISTOPHER & NEVIS
ST. LUCIA
ST. VINCENT & THE GRENADINES
SUDAN
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TADZHIKISTAN
TAIWAN
TANZANIA
THAILAND
TIMOR-LESTE
TOGO
TONGA
TRINIDAD & TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TUVALU
U.S.A.
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
URUGUAY
UZBEKISTAN
VANUATU
VATICAN
VENEZUELA
VIET NAM
YEMEN
ZAMBIA
ZIMBABWE
Required field
Phone
Phone
Email Address
Email Address
Email Addressの確認用
Required field
Please enter your email address again to confirm
Other Email Address (if any)
Other Email Address (if any)
Young leader
Yes
No
Required field
Visa Letter Required?
Yes
No
If the participant needs a visa letter, please click "Yes".
Contact Details
If the person filling out the form is defferent from the participant.
Contact Person
Contact Person
Job Title
Job Title
Phone
Phone
Email Address
Email Address
Events
Selection (Check if you want to join)
Drinks for Young Leaders(Only YL) - Mon, 25/Sep(19:00 onward)
Welcome Dinner - Tue, 26/Sep(19:00 onward)
Dietary Requirement (if any)
Dietary Requirement (if any)
Participant's Hotel Information
(Note)
This is
not a hotel's reservation form
. Please fill in the booking information for our reference.
Hotel Name
Hotel Name
Check-in Date
Check-in Date
Check-out Date
Check-out Date
Participant's Travel information
Arrival Airport
Arrival Airport
Arrival Flight No.
Arrival Flight No.
Arrival Date
Arrival Date
Arrival Time
Arrival Time
Departure Airport
Departure Airport
Departure Flight No.
Departure Flight No.
Departure Date
Departure Date
Departure Time
Departure Time
Others
Accompanying persons
Yes
No
If you have any accompanying persons, please click "Yes"
Special remarks
Special remarks
If you have any special remarks, please write here.
Sharing the registration information with ICMIF
Consent
Not consent
If you consent to share the registration information with ICMIF, please click "consent"
Click the button below to cofirm (Sorry to display in Japanese).
お客様の端末に保存されている
前回中断された入力内容を復元しました
メッセージを閉じる