The 5th International Workshop on Digitization and E-Inclusion in Mathematics and Science 2024 (DEIMS2024) Registration Form Please fill out blanks in the items 1, 3 and send this form to Deims2024-office@mail.sciaccess.net by 15 Jan. 2024 (JST). 1. Basic Information: Name: Affiliation: Postal Address: Phone: Fax: E-mail: Participating * in person / * online (please choose one of them) Your Stay in Tokyo: - Feb. 2024 (participant in person only) Special Notes to the DEIMS2024 Office: 2. Accommodation: To foreign participants only, we will be happy to arrange a hotel room(s). For them who stay our specified hotel, we could provide an accommodation subsidy (about a half of hotel charges). If you hope it, please fill out another application form and send it also to the contact e-mail address: Deims2024-office@mail.sciaccess.net by 12 Jan. 2024. The specified hotel for foreign participants is: Tokyo Garden Palace Yushima 1-7-5, Bunkyo-Ku, Tokyo 113-0034, Japan Phone +81-3-3813-6211 URL: http://www.hotelgp-tokyo.com/english/map01_e.html 3. Social Dinner on 16 Feb. 2024: We will have a social gathering for dinner on 16 Feb. (evening). Participation will cost about 5,000JPY. Please choose one of the following and let us know with this form. * I want to participate. Number of participants: * I donft want to participate Thank you very much for your registration. DEIMS2024 Office E-mail: deims2024-office@mail.sciaccess.net Website: http://workshop.sciaccess.net/deims2024/