I. Personal Information
Title
First Name
Middle Initial
Last Name
Institution/University
Department
Address
Country
E-mail
Telephone ---ext
(CountryCode-AreaCode-Number-Ext / ex. 886-2-26539885)
Arrival date & time / ; : (mm/dd; hr:min / ex. 10/03; 14:30)
Airline/Flight Number 
Departure date & time / ; : (mm/dd; hr:min / ex. 10/03; 14:30)
Airline/Flight Number 
Dietary requirement Non-vegetarian Vegetarian Others
Hotel choice Guest room in Academia Sinica: 
  • single room;
  • double room: Name of family/partner 


  • Other Hotel: Booking by yourself