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Registration Form of Health Research Colloquium 2019
Makara Journal of Health Research (http://journal.ui.ac.id/health) is a peer-reviewed and scientific journal delighted to invite academic manuscripts in the health research related to Non Communicable Disease (NCD) including epidemiology, public health, diseases prevention, health promotion, nutrition, diagnosis, treatment, prognosis and palliative care of NCDs including experimental and clinical approaches in the Asia Pacific and Mediterranean area.
Email address *
ID Article *
Example: 10367 (to get ID article, please submit your manuscript at http://bit.ly/mjhr-submit)
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Did you get the approval of the other co-authors/supervisors before you submitted the article? *
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Article title *
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*
Full Name *
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Occupation *
Required
Institution, Country/Department (current position) *
Example: Tokyo Medical and Dental University, Japan/Health care economics
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Current address (City, Country) *
Example: Tokyo, Japan
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Nationality *
Example: Indonesian
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Bachelor Degree (University, Country/Major) *
Example: Universitas Indonesia, Indonesia/Dentistry
Your answer
Master Degree (University, Country/Major)
Example: Tokyo Medical and Dental University, Japan/Health care economics
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PhD/Doctoral Degree (University, Country/Major)
Example: Tokyo Medical and Dental University, Japan/Health care economics
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Education Background *
E-mail address of co-author(s) *
Separate with comma. Example: email1@co.id, email3@co.uk
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Phone Number *
Whatsapp number is preferable
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Where did you get the information
A copy of your responses will be emailed to the address you provided.
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