※注意事項※
1.報名截止日期:2012/06/20(日)
2.住宿、交通費補助:
3. 因經費有限,補助金額視實際參加人數而定。
*First Name:
*Last Name:
Chinese Name:
*Gender: Male Female
*Position: Faculty Postdoctoral Student Other (please specify)
*Affiliation: (Indicate the Department and School name)
*Address:
*Mobile:
* Email :
Vegetarian: Yes
Lunch : 7/4 7/5 7/6 7/7
Accommodation:
Roomtype: No Zenda Suites - Business Single Room(NT$2340) Zenda Suites - Deluxe Single Room(NT$2460) Zenda Suites - Deluxe Twin Room(NT$2925) Zenda Suites - Business Suite(NT$3920) Zenda Suites - Deluxe Suite(NT$4760)
Night of July 3 Night of July 4 Night of July 5 Night of July 6
Roommate (1) (2)
(Please indicate if you would like to have NCTS assigns roommates for you)
For students, please write down the name and e-mail of your advisor:
Advisor:
Telephone:
E-mail: