Pre-registration Form for GeoPCP&CSES 2019 Workshop

October 17–20, 2019, Changsha, China

Please fill in the form below and send it to us.

Registration
Given Name
*
Family Name
*
Organization/Company
*
Address
*
P.O.Box/Street
*
Zip Code
*
City
*
Country
*
Telephone
*
Email
*
Arrival Date
*
Departure Date
*
Hotel Room Demand (Single room)
*
Hotel Room Demand (Double room, 358CNY/day)
*
Invitation Letter for VISA Application
Accompanying Persons Number
*
Other Requirements
*
Verification code
 Change Image
*
Submit
Additional information needed by Visa Application (for International participants)
Family Name
*
First Name
*
Prefessional Title
*
Nationality
*
Date of Birth
*
Passort Number
*
Date of expiry
*
Visa Consular Office
*
Visiting Time
*
Verification code
 Change Image
*
Submit