The 10th APCTP-BLTP/JINR-RCNP-RIKEN
Joint Workshop on Nuclear and Hadronic Physics
August 17(Wed) - 21(Sun), 2016
RIKEN, Wako, Japan

VISA (deadline: June 3rd)

For those who can not use the google form, please send the following items by e-mail to
    Visa information===============

    1. Nationality:

    2. Occupation (title)/affilication:

    3. Name
    First name:
    Middle name:
    Last Name:

    4. Name used in your passport:

    5. Gender:
    Male/Female

    6. Date of birth:
    Year/Month/Date

    7. Age (on July 1st):

    8. Arrival date in Japan:
    Month/Date

    9. Departure date from Japan:
    Month/Date

    10. The airport in Japan will you arrive at and depart from:

    11. Postal address:

    12. Phone number:

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* Note for the postal address:
Please type correctly because the application documents will be sent to this address.
Please indicate the address where you will able to receive without fail.
The same applies to the phone number.