Please replace below by your information, maintaining the line-break rules.

SURNAME Givenname
Email address
Email address again
Affiliation
Telephone number
Job category (e.g. student, worker)
Gender (male or female)
Age (in years)
Academic background (medicine, biology, mathematics, veterinary medicine, informatics, physics, data science, public health etc.)
Nationality (japanese, chinese, korean, etc.)
Can attend for 80% of 10-day course? (Yes, No)
Can be responsible for securing accomodation (Yes, No)