Registration
First Name *
Middle Name
Last Name *
Email *
Country (Residence) *
Institution *
Department
Title *
Diet *
Regular    Vegetarian   
Registration Type *
Early-Bird (before March 31, 2019 ):
Regular and Exhibitor NT$20,000 (~$650)
Full-time Student NT$10,000 (~$325)
(include all technical programs, exhibition, coffee breaks, lunches, and dinners)
Valid Certificate for students :
*Please upload valid certificate or professor letter if selected Students
Only allow jpg, png or pdf
Accompanying persons
Number of accompanying persons :
Full name of Accompanying persons * if have accompanying persons
If more than one person, please separate names by ","
10,000 NTD (~$325) per accompanying person
Banquet*
Yes   No
Regular, Number of persons
Vegetarian, Number of persons
* Require if selected "Yes"
(NT$ 450 (~$15) per person)
VAT Number

Transporation*
Got to Hualien by myself
Take the Chartered Train, Number of persons
On May 13, meet at 08:20 at Taipei Main Station (in front of Platform 4 entrance) and take 8:57 train to Hualien. On May 17, meet at 17:00 at Hualien Station for the 17:30 train back to Taipei. Ticket (NT$1000, ~US$32, for roundtrip per person).
*
I agree Institute of Atomic and Molecular Sciences, Academia Sinica using my personal contact information to provide me services within this event, and I can require to edit or remove my personal information.
(We can't provide you any service about this event if you didn't agree with the declaration)