Registration Form

Please fill in the required information in each field and click the “Submit” button at the end.
For inquiries concerning registration, please contact us at ( info@miwj2024.com ).
●Please note that no cancellations or refunds will be made after registration.

(* denotes a required field)

Personal Information

First name :*

Middle Initial :

Last name :*

Affiliation :*

Nationality :*

Contact Information

Email Address*

Phone Number(e.g. +81-3-1234-5678)：

Please select program you will participate. ：*

Mobility Innovation Workshop ・Participation Fee: 25,000 JPY

Note
Meals (Lunch and Reception) will be included in the registration fee.

Privacy Policy
The contact details I have provided may be used to send information regarding Mobility Innovation Week Japan 2024, follow-up events, or related news via email/newsletter. My registration information may be passed on to third parties only for these purposes.*

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