New Member of  SAASEd (South East Association of Special Education) Registration Form
Email *
Full Name (with Degree) *
Date of Birth *
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Home Address* *
Phone (add with code of region, Ex: Indonesia +62 8175328977 *
Country *
Profession (Select at least 1 option) *
Required
Fields of Expertise in Special Needs *
Institution *
Institution Address *
Declaration
I hereby agree to become a one year member of SAASEd and am willing to fulfill my membership roles and obligations.

NB :
- Registration fee is IDR 200K or USD 20
- You may transfer the registration fee to
Bank Name: BNI (Bank Negara Indonesia)
Branch : Malang
Country : Indonesia
Account No : 1263405614
Account Holder : Risa Safira Ramdhani
- Confirm the payment to +62 881 0363 18323 and the following link https://forms.gle/SRaYxLdR3XMNuy8Y8

For more Information you can contact:
-Contact Person : +62 881 0363 18323 (Secretary of SAASEd)
                             
- Email : info@saased.net
A copy of your responses will be emailed to the address you provided.
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