The 2nd International Symposium on Castleman Disease (ISCD2025) Registration Form

Please make sure that you will fill in the sections marked ＊.

If you have any questions, please contact the following.

Congress Secretariat of
The 2nd International Symposium on Castleman Disease (ISCD2025)
c/o Congrès Inc.
E-mail: iscd2025@congre.co.jp

Contact information
Name  *
Affliation  *
Name to be printed on Name badge  *
Affiliation to be printed on Name badge  *
Abstract Submission Number

*Must be filled in if you submit abstract.

Title  *
              
Title Other  *
Gender  *
        
Postal Code  *
Street/Town  *
City  *
Pref/State  *
Country  *
Tel  *
+ -
E-mail Address  *

*E-mail address will be your log in ID.
You can not use the same address for multiple registrations.

Re-enter E-mail Address  
Visa Application  *
     
Password  *

Password must be 4 characters or more
Re-enter Password  *
Registration（JPY=Japanese Yen）
Category Registration Fee
Early
October 20 - December 23, 2024 		Late
December 24, 2024 – February 9,2025
Doctor / Researcher JPY20,000 JPY30,000
Student / Medical Staff JPY4,000 JPY7,000
Company JPY4,000
Patient Complimentary
Select Registration Category  *




Upload your Student ID card / Membership Proof  *
  

* Please be sure to upload your student ID card if you choose to be a student.
* Please be sure to upload your Membership proof if you choose to be a Medical Staff.
* Please select a file with a 「pdf」 file format.

Name on the receipt  

* Max. 6 lines
* If blank, your name will be appeared on the receipt.

Payment Method  *
Welcome Reception will be held on February 7. Will you join?  *
Dietary Restriction if any  
（This is an inquiry only and it does not guarantee that your request is met. ）

Please review and agree to the Personal Information Protection Policy.

The organizers recognize the importance of our responsibility to protect the personal information provided to us by the applicants during the application process. The organizers comply with the laws, regulations and guidelines of Japan pertaining to the handling of personal information.

・Purpose of Use of Personal Information

The personal information provided will be used for the following purposes: provide services/information on this meeting, post-meeting services and marketing activities via email, as well as customer trend analysis.

・Disclosure/Provision of Personal Information to Third Parties

The organizers and Congrès Inc. will disclose or provide information to third parties in case one of the following criteria is applicable:

1. In case disclosure/provision is required by law.
2. In case the information is required in order to protect a person's life, physical safety or assets, in a situation where it is impractical to obtain the consent of the registered applicant.
3. In case statistical data, etc. can be disclosed/provided in a format, with which specific individuals cannot be identified.