Registration Form for the MIRAI Sustainability Workshop


Tokyo Tech is pleased to host the MIRAI Sustainability Workshop from March 28 to 29. Those wishing to attend are asked to register using this form. To confirm the contents of your registration, please press the Confirmation button.

Venue: Centennial Hall, Ookayama Campus,
Tokyo Institute of Technology (2-12-1 Ookayama, Meguro-ku, Tokyo)
Date: March 28-29, 2019

Have you confirmed the "Guidelines to protect personal data provided to register for the MIRAI Sustainability Workshop?"
Guidelines to protect personal data provided to register for the MIRAI Sustainability Workshop
Yes, I confirmed them.

A. Personal Data
First Name
Family Name
Title
University/Institution
Job Title
MIRAI Designation
Email Address
Mobile Phone Number
Do you need a visa to enter Japan?

B. Sub-topics
Please indicate the sub-topic(s) in which you are interested.
1st choice
2nd choice
If you choose "Solutions for other sustainability-related issues", please provide details here.

C. Site Visit
Will you attend the site visit on March 29?

D. Accommodation
Will you stay at New Otani Inn Tokyo?(check in March 27- check out March 30)
If you have any special requests regarding your accommodation, please provide details here.

E. Food Restriction
Do you have special meal requirements or restrictions?
If yes, please provide details here: