JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Intensive Course by Jan Pidanic, PhD. (June 2026)
Registration form
* Indicates required question
Email
*
Record my email address with my response
Full Name
*
Your answer
Citizenship
*
Your answer
Student Number
*
Write NA if no student number
Your answer
University
*
Your answer
Study Program
*
Your answer
Study Level
*
Bachelor
Master
Doctoral
Academic Staff
Other:
Participation Mode
*
Note: Offline participation is only for the first 40 registrants.
Offline at Ged Baru, Fasilkom, Kampus UI Depok (For Room Number, see the poster)
Online/Zoom (Link will be sent later to your email)
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report