Long Term Visitor Registration Form

Your First Name (*)

Your Last Name (*)

Your Title (*) —Please choose an option—ProfessorAssistant ProfessorPostdocPh.DPh.D CadidateMasterOther

Visitor Email (*)

Your Passport (if accommodation required)

WeChat

Phone Number

Your Passport Frontpage

Exp Date

Affiliation(*)

Host or Contact Person(*)

Arrival Date(*)

Arrival Flight Number

Departure Date

Departure Flight Number

Inventation Letter Required? —Please choose an option—yesno

Accommodation Required(*) —Please choose an option—yesno

Checkin Date()

Checkout Date()

Research Field

Brief Introduction of Visitor

Title of the Talk

Possible Date for Talk(*)

Abstract of the Talk