REGISTRATION FORM / High School Students Summit on World Tsunami Awareness Day 2018

Note: Please fill the blanks below by July 30 (Mon), 2018.

Fields with a red asterisk (*) are required.

Fields with a blue asterisk (*) are required only for Japanese participants.

LEADER INFORMATION (leader: escorting teacher)

Full Name
(Name of your passport)
(*)
Name (*)
Given name*e.g.Taro Middle name Family name:e.g.Nihon
氏名(日本語)
(*)
School Name(*)
学校名 (*)
Country(*)
School details
Postal Code(*):
Address(*):
Tel(*):
Fax:
E-mail (*)
E-mail
(For confirmation) (*)
Password (*)
Re-enter Password
(For confirmation) (*)
Please choose the type of boxed lunch (Oct.31 and Nov.1) from 3 options (*)

STUDENT INFORMATION

number of students person(s)
Full Name
(Name of your passport)
(*)
Name (*)
Given name*e.g.Taro Middle name Family name:e.g.Nihon
氏名(日本語)(*)
氏名(フリガナ)(*)
セイ メイ
Sex (*)
Please choose the type of boxed lunch (Oct.31 and Nov.1) from 3 options (*)
Full Name
(Name of your passport)
(*)
Name (*)
Given name*e.g.Taro Middle name Family name:e.g.Nihon
氏名(日本語)(*)
氏名(フリガナ)(*)
セイ メイ
Sex (*)
Please choose the type of boxed lunch (Oct.31 and Nov.1) from 3 options (*)
Full Name
(Name of your passport)
(*)
Name (*)
Given name*e.g.Taro Middle name Family name:e.g.Nihon
氏名(日本語)(*)
氏名(フリガナ)(*)
セイ メイ
Sex (*)
Please choose the type of boxed lunch (Oct.31 and Nov.1) from 3 options (*)
Full Name
(Name of your passport)
(*)
Name (*)
Given name*e.g.Taro Middle name Family name:e.g.Nihon
氏名(日本語)(*)
氏名(フリガナ)(*)
セイ メイ
Sex (*)
Please choose the type of boxed lunch (Oct.31 and Nov.1) from 3 options (*)
Full Name
(Name of your passport)
(*)
Name (*)
Given name*e.g.Taro Middle name Family name:e.g.Nihon
氏名(日本語)(*)
氏名(フリガナ)(*)
セイ メイ
Sex (*)
Please choose the type of boxed lunch (Oct.31 and Nov.1) from 3 options (*)