REGISTRATION FORM
THE 5TH GADJAH MADA INTERNATIONAL CONFERENCE ON ECONOMICS AND BUSINESS
1. Participant Information
Title *
Full NAME
Your answer
Name on CERTIFICATE *
Your answer
Institution/ Organization *
Your answer
Position on the institution *
Required
E-mail *
Your answer
Mobile Phone/WA *
Your answer
Mailing Address *
Your answer
2. Registration
The conference fee is include seminar kit, coffee break, lunch, seminar kits, gala dinner and certificate. The registration fee IS NOT INCLUDED accommodation and transportation for participants.

The registration is for each person, not each paper. The certificate will follow the registration fee.

I confirm to register for *
Payment
Please make the payment to:
Virtual Account Bank Mandiri (UGM Branch),
Jl. Sosio Yusticia No 2, Bulaksumur UGM, Yogyakarta 55281

MULTIPLE PAYMENT TO VIRTUAL ACCOUNT
Acc. Name: UGM FEB KAF PENERIMAAN HASIL PENJUALAN PRODUK DAN JASA
Acc. #: 88888 020 141 0000 3
a) ATM: Institutional Code: 88888
b) Teller: UGM Code: 10084
SWIFT code: BMRIIDJA (for transfer overseas)

(Please send the proof of payment to pofeb@ugm.ac.id mentioning your name.)

Question?
If you have any question regarding this form, please send email to us at pofeb@ugm.ac.id or send text Whatsapp/sms to 08157905046 (Pak Anton).
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