Registration Form (for Paper Presenter) - ICITDA 2019
Eastparc Hotel, Yogyakarta, Indonesia
15 November 2019

Registration is done per paper presented.

Best Regards,
Committee of ICITDA 2019
Department of Informatics, Universitas Islam Indonesia
Web: http://icitda.org
Email: info@icitda.org
Presenter's Full Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Organization/University *
Your answer
Organization/University Address *
Your answer
Organization/University Phone Number
Your answer
---Paper Information---
Paper ID *
only in numbers
Your answer
Paper Title *
Your answer
Paper Author(s) *
Please specify the names of all the authors of the paper
Your answer
---Additional Information---
Special Request(s)
If you require special needs, for example related to: (1) food allergies, (2) illness, (3) you are a person with a disability, (4) the presentation of the paper is done by more than one speaker, or (5) other information, please convey this information to us.
Your answer
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