APPLICATION FORM FOR THE NTCIR TRAVEL SUPPORT PROGRAM FOR OVERSEAS PARTICIPANTS **Please send this form by email to ntc-support@nii.ac.jp no later than 1 August 2002** DATE OF THE APPLICATION: FIRST NAME: MIDDLE NAME (if any): FAMILY NAME: NATIONALITY: AFFILIATION: JOB TITLE: Please choose: Prof / Dr / Mr / Ms / Other ( ) OFFICE ADDRESS: OFFICE PHONE: OFFICE FAX: E-MAIL: YOUR URL (if you have): GROUP NAME (as a NTCIR Participant) GROUP'S ID: NAME OF THE CHIEF INVESTIGATOR OF YOUR GROUP: TASK (Please choose appropriate one(s)): CLIR, PATENT, QAC, TSC, WEB DAYTIME CONTACT INFORMATION IN AUGUST 2002 (For example, DAYTIME TELEPHONE, EMAIL, etc): * Contact information is critical because when your application is approved, the ticket will be arranged by our contracted travel agency. They need to get in touch with you. Please list every possible contact information during August and provide the priority. NEAREST INTERNATIONAL AIRPORT FROM YOUR OFFICE: OTHER COMMENTS (if any): NOTE: When your application will be approved, our contracted travel agency in your country will contact you and will arrange an air ticket for you. Any airline company is acceptable as far as the route is reasonable. The ticket will be sent to you from the agency and the invoice will be sent to NII. You do not have to pay for the ticket.