2015 VLSI Symposia

2015 VLSI Symposia

Press Registration Form

Please send this form to 2015 VLSI Symposia Secretariat

E-mail: Fax: +81-3-5283-7256

Your personal information will be handled based on the Privacy Policy of 2015 VLSI Symposia.

Your application by filling out this form will be considered as you have agreed with our privacy policy.

One form per participant. Please fill in block letters and check appropriate boxes.

<Participant>

Title (Please check) Prof. Dr. Mr. Ms.

Name

(Family Name) (Given Name) (Middle Initial)

Affiliation

Mailing Address (Check) Office Home

Address Country

Tel: + - - Fax:+ - -

(Country code) (Area Code) (Country code) (Area Code)

Questionnaire

MediaTypeJournalistPhotographerTVRadioFreelancePublicistOther( )

DistributionDomesticInternationalStateRegional Other( )

Publication or broadcast schedule

Where published or broadcasted? City Country

<Reporting activity >

Please check the category you are planning reporting activity

1. Technology Short Course

4. Circuits Symposium

2. Technology Symposium

5. Symposia Luncheon Talk

3. Circuits Short Courses

6. Silicon Nanoelectronics Workshop

Will you attend the Joint Banquet (Free for PRESS) on June 17? Yes No

Symposium Materials

Please select symposium materials which you would like to have.

*Press will be provided following materials for free.

Please note if you would like to additional materials, please buy it on-site.

Category

Technology Digest

Circuits Digest

Technology/CircuitsDVD*

*DVD includes all Tech. and Circ. digest data from the first year of Symposia to 2015 in commemoration of Technology 35th anniversary.

<Cancellation>

Please send written notice of cancellation to the Japanese Secretariat when cancellation.

2015 VLSI Symposia Secretariat

c/o ICS Convention Design, Inc.

Chiyoda Bldg., 1-5-18, Sarugakucho,

Chiyoda-ku, Tokyo 101-8449 Japan

Tel: +81-3-3219-3600 Fax: +81-3-5283-7256

E-mail:

2015 VLSI Symposia: Privacy Policy

We, JSAP Executive Committee of 2015 VLSI Symposia (hereinafter the "Symposia"), are committed to protect the personal information of the applicants based on the Act on the Protection of Personal Information (personal information protection law in Japan), and shall handle the personal information collected through this registration form as mentioned below.
The personal information that you submit through this form will be used in such cases as the following:
- To operate and manage the Symposia
- To contact you to carry forward your registration procedure
- To provide the information of this Symposia and other related events
- When we may need to contact you by some other reasons
For smooth operation of the Symposia, we are entrusting the operation of collecting, storing, managing and handling personal information regarding the Symposia to the following company, who will act as the Secretariat under a confidentiality agreement.
In case there is an error in your personal information collected for the Symposia, please inform the Secretariat to have it corrected or deleted.
Offering personal information is voluntary, but please note without offering the necessary information, you are unable to attend the Symposia.
We do not use cookies and/or web beacons to acquire any personal information.

Contact information of the Secretariat managing personal information

ICS Convention Design, Inc.
Sales Department 4
Attn: Atsushi Seki (General Manager)
Chiyoda Bldg. 1-5-18 Sarugakucho,
Chiyoda-ku, Tokyo 101-8449 Japan
Tel: +81-3-3219-3541
Fax: +81-3-3219-3577

Administrator of personal information collected for the 2015 Symposium on VLSI Technology

Toshiro Hiramoto
2015 Symposium Chair on VLSI Technology

Administrator of personal information collected for the 2015 Symposium on VLSI Circuits

Hideyuki Kabuo
2015 Symposium Chair on VLSI Circuits