Lagang, Czarina Ann F.

December 7, 2019
BSHM – 1B Activity: Application Form

Application Form For Registration and Hotel Reservation

ICNP 2000 Return this form by Oct. 13 2000 to
JTB Tours and Convention Division, Kansai District
8th international Conference on Network Protocols Nittochi-Dojima Bldg.
FAX TO JTB at +81-6-6345-0910 1-4-19, Dojihama, Kita-Ku, Osaka 530-0004 Japan
Tel: +81-6-6354-9515
Email:kokusainishi_ec410@kns.jtb.co.jp
Please type or print in BLOCK LETTERS

Name:
Prof. Dr. Mr. Ms. _____________________ ____________________ ___________________
(Family Name) (First Name) (Middle Name)
Affiliation: _________________________________________________________________________
Address: _________________________________________________________________________
_________________________________________________________________________
(Country) (Zip Code)

____________________________________________________________________________________________________
(Telephone) (Facsimile) (Email)

Accompanying Person(s): ___________________________________________________________________________________________

(Family Name) (First Name)

CONFERENCE REGISTRATION
Registration Fee Advanced (On or Before Oct.15) Late/On-site (After Oct. 14)
Members  45,000 Yen  54,000 Yen
Non Members  57,000 Yen  63,000 Yen
Full-time Student  20,000 Yen  25,000 Yen
Total: _________________YEN (A)
TUTORIAL REGISTRATION ( Active Network )
Registration Fee Advanced (On or Before Oct.15) Late/On-site (After Oct. 14)
Members  24,000 Yen  29,000 Yen
Non Members  30,000 Yen  36,000 Yen
Full-time Student  18,000 Yen  18,000 Yen
Total: _________________YEN (B)
TUTORIAL REGISTRATION (MPLS and Traffic Engineering)
Registration Fee Advanced (On or Before Oct.15) Late/On-site (After Oct. 14)
Members  24,000 Yen  29,000 Yen
Non Members  30,000 Yen  36,000 Yen
Full-time Student  18,000 Yen  18,000 Yen
Total: _________________YEN (C)
(EC-B035)