ICIC registration form
This is the registration form for ICIC meeting in Tokyo, Nov. 2023

Sign in to Google to save your progress. Learn more
Email *
Confirmation of your e-mail address
Prefix
Clear selection
Fimily name
Given name
Middle name
Affiliation   (this is necessary for site visit)
Job title (this is necessary for site visit)
Job address   (Legal address is required for site visit.)
Nationality of passport issurance (this is necessary for site visit)
Address of legal residency (City, Country) (This is necessary for site visit)
Registration fee
Please visit the following web site  to pay your registration fee.

https://buy.stripe.com/eVacQP98c6iN3Oo289

The registration fee is 40,000 yen. 


Did you pay the registration fee?
Clear selection
Site visit on 16th Nov. 2023

We are planning to visit 1) UTokyo Nuclear Professional School (location), 2) JAEA facilities. For this visit, copy of passport is required. Please send the encrypted passport copy PDF to mrympp@gmail.com.

Site visit locations:
Nuclear Professional School, The University of Tokyo. (Accelerators
Facilities, etc.)
2-22 Shirakata-Shirane, Tokai-mura, Naka-gun, Ibaraki 319-1188

Japan Materials Testing Reactor, Japan Atomic Energy Agency
4002 Narita-cho, O-arai-machi, Higashi-ibaraki-gun, Ibaraki 311-1393, Japan


Did you send the encrypted PDF file of the copy of your passport to  mrympp@gmail.com?
Clear selection
If "Yes" above, please show us your password for your encrypted PDF.
Shoe size (cm) 
Clear selection
Outer wear size
Clear selection
Presentations
If you want to make a presentation, please let us know your presentation title and the related technical area (TA).
In case of mutiple number of presentations, please also discuss it with executive committee members (EC members).
It should be noted that sending e-mail to the technical area cordinater is required.

• Structural Performance of Irradiation on Concrete (SPIC): Prof. Kyoungsoo Park, Yonsei University, Korea (k-park@yonsei.ac.kr)

• Accelerated Irradiation Research (AIR): Dr. Yuliia Khmurovska, CTU in Prague, Czechia (yuliia.khmurovska@fsv.cvut.cz)

• Characterization of Harvested Concrete (HC): Dr. Elena Tajuelo Rodriguez, ORNL, USA (tajuelorodre@ornl.gov)

• Storage & Disposal Issues (SDI): Prof. Michal Glinicki, IPPT PAN, Poland (mglinic@ippt.pan.pl)

Presentation 1 title
Presentation 1 TA
Clear selection
Presentation 2 title (permission by EC is required)
Presentation 2 TA
Clear selection
Presentation 3 title   (permission by EC is required)
Presentation 3 TA
Clear selection
Meal preference
Clear selection
Any information (if you have something to share, please let us know, such as the detail of your meal preference, special schedule, etc..)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of 東京大学ECCSクラウドメール. Report Abuse