Registration
PERSONAL DATA
 
Full Name *)
Institution *)
Address *)
Postal Code *)
City *)
Country *)
Telephone *)
Fax
Email Address *)
Participant Category *) Oral Poster Participant Sponsor
   
*) is Required  
    
   

METHOD OF PAYMENT
 
Bank Transfer
Bank Name : Bank BNI 46 Cabang UI/Depok
Address : Jl. Salemba Raya No. 6 Jakarta Pusat 10430
 
USD Currency
Account Name : SEAMEO TROPMED RCCN
Account Number : 000 669 7979
 
IDR Currency
Account Name : UI RGANG & PH SEAMEO
Swift Code : BNINIDJAUID
Account Number : 000 669 8214