Registration

* required field.

Participant’s Details:
Username :
Password :
Prefix / Title :
Full Name* : * Name is required
University/Organization : * University/Organization is required
Faculty :
Departement/Program :
Postal Address : * Mail Address is required
Post Code :
City/Country : * City/Country is required
Mobilephone : * Tel/Fax/Mobilephone is required
Email : * Email is required
Biography :
Count me for:
* select one option .
INDONESIAN :

General / Industry Presenter (IDR 1.000.000)
Postgraduate Presenter (IDR 750.000)
Undergraduate Presenter (IDR 500.000)
General / Industry Participant(IDR 1.000.000)
Student Participant (IDR 400.000)


INTERNATIONAL : Presenter ( USD 150 )
General Participant ( USD 100 )
Student Participant ( USD 75 )