CLEFT TOKYO 2024

*= Required
After inputting required data, press the confirmation button to proceed.

Registration fees are non-refundable once purchased.
If you need to change "Category", please contact CLEFT TOKYO 2024 Secretariat
by e-mail at icpf16@kwcs.jp.

＊01. NAME

First name　

Last name

＊02. TITLE

Prof　 Dr　 Mr　 Ms

＊03. INSTITUTION/DEPARTMENT

INSTITUTION (Ex: The University of Tokyo )

DEPARTMENT (Ex: Oral-Maxillofacial Surgery and Orthodontics )

Country/Region

＊04. TEL

(Ex: +81-86-250-7681 )

＊05. E-MAIL ADDRESS

↓Verify E-mail Address

＊06. PASSWORD

↓Reenter password

Please create a password for this registration by yourself.
Password length must be 6 - 8 alphanumeric characters.
Please make sure not to forget your password.
For security reasons, your password will not be written in the confirmation email.

＊07. MAILING ADDRESS

OFFICE　 HOME

Address

City/State

Zip/Postal code

Country/Region

＊08. CATEGORY

Physician/Dental professional/Researcher *Including trainee doctors	45,000JPY
Other Healthcare Professional/Student *Includes undergraduate and graduate students	22,000JPY

＊09. ADDITIONAL EVENTS
(cost extra)

Please select one (yes or no ) for additional events that cost extra. Pre-Congress party : 3,000JPY
Yes, I will participate　 No, I do not want to participate

Gala dinner party : 10,000JPY
Yes, I will participate　 No, I do not want to participate

＊10. The registration option

CLEFT TOKYO 2024 participants except resident of Japan can attend 78th Annual Meeting of Japanese Stomatological Society (78th JSS) complimentary.
If you are attending 78th JSS then select "Yes":
Yes　 No

If you need to change this later you can, via the registration MyPage.

＊11. Payment Method

Credit Card

You will be asked to fill in your credit card information right after pressing "Confirm" button,
so please make sure you have your credit card ready.

Accepted card brands

≪Act on specified commercial transactions≫