International Conference on Design and Concurrent Engineering 2017

International Conference on Design and Concurrent Engineering 2017

& Manufacturing Systems Conference 2017

September 7–8, 2017, I-site Namba, Osaka Prefecture University, Osaka, JAPAN

REGISTRATION FORM

All participants are requested to complete this Registration Form. The early registration ends August 7, 2017. After that date the registration will be possible but at a higher price. Deadline for late registration is August 26, but on-site registration is available. We request that all participants register to assure all conference materials. To register, please (i)complete this registration form, (ii)convert it into the PDF format and then (iii)e-mail it to .

Participant Information

[ ] Prof. [ ] Dr. [ ] Mr. [ ] Ms. (Please select one)

First Name: Middle Name: Last Name:

University / Institution:

Department / Division:

Address:

City: Postal Code: Country:

E-mail Address:

Contact Phone Number:

Paper information

Please tell us the Paper Number(s) if you are one of the authors of submitted paper(s): [ ]

Please tell us the Paper Number (s) if you are going to be the presenter of submitted paper(s): [ ]

Please note that, for each paper, at least one author MUST make the EARLY registration. Otherwise, the paper will not be included in the proceedings.

Registration Payment (Please select one)

Participants / Early Registration
(on or before August 7) / Late Registration
(From August 8 To August 26) / On-site Registration
Member / [ ] JPY 35,000 / [ ] JPY 40,000 / [ ] JPY 40,000
Non-member / [ ] JPY 45,000 / [ ] JPY 50,000 / [ ] JPY 50,000
Student (Member) / [ ] JPY 30,000 / [ ] JPY 35,000 / [ ] JPY 35,000
Student (Non-Member) / [ ] JPY 30,000 / [ ] JPY 35,000 / [ ] JPY 35,000
Additional Paper Fee / [ ] JPY 10,000 / N/A / N/A

Members of the main sponsor, co-sponsor and cooperative organizations for this conference are regarded as “Member” above. If you selected “Member” or “Student (Member)” above, please tell us the organization that you belong to:

[ ] The Japan Society of Mechanical Engineers (Regular member)

[ ] The Japan Society of Mechanical Engineers (Student member)

[ ] TMAC (Tokushima University - Technical University of Malaysia Malacca Academic Center)

[ ] Other organizations ( ) (Please fill in the organization name)

Notes:

  Registration fee for regular participants (member, non-member and students) includes one banquet ticket for September 7.

  An author can submit ONLY ONE additional paper if you will be the PRESENTER of BOTH of the papers. If you want to submit more than two papers, please make multiple registrations.

Banquet attendance

Please let us know whether you are going to attend the banquet held on September 7: Yes[ ] / No[ ]

Additional Banquet Ticket

Please fill in the quantity ONLY IF you need ADDITIONAL banquet tickets.

Early Payment
(on or before August 7) / Late Payment
(From August 8 To August 26) / On-site Payment
Banquet Ticket / [ ] JPY 8,000 / [ ] JPY 10,000 / [ ] JPY 10,000

Halal Meal Request

Please let us know the number of people who prefer halal meals if necessary: [ ] (Please fill in the number)

Cancellation/Refund

50% refund 5 weeks prior to start of conference (i.e. on or before August 3). No refund on or after August4, 2017.

Payment Information

For early or late registration, all fees can be paid by (1) PayPal or (2) bank transfer before August 26. After August 27, we will accept the on-site registration and payment only.

Payment method [ ] (please fill in 1 or 2)

1. I will pay the amount of Japanese Yen by PayPal.

2. I will remit the amount of Japanese Yen by bank transfer to the bank account of the conference.

(1)PayPal

If you pay the fees by PayPal, please fill the following. We will send you an invoice. Please kindly bear the commission fees (4%) by yourself.

<Billing Information>
Name:
Affiliation:
Address:
City:
State/Province:
Zip:
Country:
Phone:
Email:

(2)Bank Transfer

You can also pay the registration fee by bank transfer to the following bank account. Please kindly bear the banking charge by yourself. For bank transfer, please write the SAME full name as the one written in this registration form; otherwise, your payment may not be recognized.

Payment Information>

Payment Date:
Name of Remitter:
Name of Remittance Bank：

Account Name: The Japan Society of Mechanical Engineers
Current Account No. 5284916
The Bank of Tokyo-Mitsubishi UFJ Ltd., Shinjuku-Chuo Branch
1-8-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo 163-0023, Japan
Phone: +81-3-3342-6511

三菱東京UFJ銀行 新宿中央支店

（当座 No.5284916）

口座名 一般社団法人 日本機械学会

Payment Confirmation

I hereby agree that I will pay the amount of * Japanese Yen for registration to iDECON/MS 2017.

(*Please make sure you have filled in the correct sum of the fees you chose in page 1.)

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