AOA Seminar 2023 Registration Form

26-27 September 2023, Sydney Australia
(AOA members only)
(Free to register)

Participant's Personal Details

First Name
Required field
Middle Name
Last Name
Required field
Prefix
Organization
Required field
Job Title
Required field
Country
Required field
Phone
Email Address
Required field
Please enter your email address again to confirm
Other Email Address (if any)
Young leader
Required field
Visa Letter Required?
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
Job Title
Phone
Email Address

Events

Selection (Check if you want to join)
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
Check-in Date
Check-out Date

Participant's Travel information

Arrival Airport
Arrival Flight No.
Arrival Date
Arrival Time
Departure Airport
Departure Flight No.
Departure Date
Departure Time

Others

Accompanying persons
If you have any accompanying persons, please click "Yes"
Special remarks
If you have any special remarks, please write here.
Sharing the registration information with ICMIF
If you consent to share the registration information with ICMIF, please click "consent"

Click the button below to cofirm (Sorry to display in Japanese).

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