APASL STC on 2018 HCC in Yokohama
Online Pre-Registration Form

This is the Online Pre-Registration Form of the APASL STC on 2018 HCC in Yokohama. Please fill in this form and send to the Congress Secretariat.

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Personal Information






Postal Address

Postal Code


E-mail Address

Telephone Number

Facsimile Number

Do you have any dietary restrictions?


Remarks (if any)

Registration Fee Category (Early Bird Registration until February 28, 2018)

Payment Method

Please select your payment way by Credit Card or Bank Transfer.

Credit Card

Please fill in your credit card information below.

Card type

Card number

Expiration date

/ (month/year)

Holder's name

Security code

(Please input 3-digit number printed on the back of the card.)

Bank Transfer

Please make payment of the amount of your registration fee to the following bank account.

Bank Account Information in English

Bank Name: Mizuho Bank

Branch Name: Shinjuku Branch (Branch No. 240)

Type of Account: Normal

Account Number: 2498962

Account Name: APASL STC Yokohama

Bank Account Information in Japanese


銀行名:みずほ銀行 支店名: 新宿支店(店番240)

口座の種類:普通預金 口座番号:2498962



*Please fill in the date you have made (or going to make) bank transfer.
Payment completion is required until 2 weeks after online- registration.
The confirmation of registration will be sent after the payment has been confirmed.

Transfer Date

Year Month Day

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