Icmust registration
Event Timing: October 3th-4th, 2016
Event Location: Sunan Ampel State Islamic University Surabaya
Contact us at Abadiyah at +6281232950074 (WhatsApps) or icmust2017@gmail.com
Email address *
First Name *
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Middle Name
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Last Name *
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Initials
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Gender
Confirm Email *
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Salutation *
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Affilitation *
your institute
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Phone *
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Country *
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Presenter
PRESENTER FEE :
1. With accommodation
• Overseas Presenters: USD 250 (Including Thomson registration)
• Local Presenters: IDR 2.500.000 (Including Thomson registration)
2. Without accommodation
• Overseas Presenters: USD 200 (Including Thomson registration)
• Local Presenters: IDR 1.800.000 (Including Thomson registration)


FACILITIES :

1. For presenters with accommodation: room, conference kits, certificate, lunch, dinner, coffee break.
2. For presenters without accommodation: conference kits, certificate, lunch, dinner, coffee break.

Select presenter type *
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Select Accommodation *
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Payment
Bank name : Bank Mandiri
Bank account name : Abadiyah Dwi Mahanani
Bank account number : 142-00-1573054-1
Branch : Surabaya
Types of account : Current account
Swift code : BMRIIDJA

or please contact Abadiyah at +6281232950074 (WhatsApps)
*Payment deadline: 5 September 2017

A copy of your responses will be emailed to the address you provided.
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