SEMINAR REGISTRATION FORM (IHEX 2018)
1st International Islamic Healthcare Conference and Expo (2018)
April 10th - 12 th 2018
Jakarta Convention Center, Jakarta, Indonesia
ESTABLISH SHARIAH HOSPITAL IN THE REGION THROUGH CONSOLIDATION OF POTENTIALS OF THE UMMAH
Full Name
e.g. Prof. Dr. dr. Syarifuddin Wahid, Ph.D., Sp.PA(K)., Sp.F
Your answer
Institution
Your answer
Address
e.g. Jl. Cempaka Putih Tengah VII No. 12, Central Jakarta, DKI Jakarta Province (Indonesia)
Your answer
Telephone Number with WhatsApp Application
e.g. + 62 813 8081 7939. If you do not have WhatsApp application, please indicate with the minus sign (-)
Your answer
Valid email
Your answer
TERM OF PAYMENT
Free Paper Presenter from Indonesia shall enjoy discounted rate for Seminar Registration:
Early bird (until 28 February 2018) : IDR 1.000.000,-
Regular : IDR 1.500.000,-

Seminar Registration
Early bird (until 28 February 2018) : IDR 3.000.000
Regular : IDR 3.500.000

Registration Fee can be done throgh Bank Transfer:
BNI Syariah (Swift Code: SYNIIDJA)

For Indonesian Participant:
BNI Syariah Account (Bank Code 009)
760221222-0
Atas nama: Majelis Upaya Kesehatan Islam Seluruh Indonesia

For Foreigners Participant (Non-Indonesian):
BNI Syariah (Swift Code: SYNIIDJA)
BNI Syariah Account (Bank Code 009)
760221222-0
On Behalf: Majelis Upaya Kesehatan Islam Seluruh Indonesia

Information on Free Paper Session
Log in and submit for abstract are as follows:

www.mukisi.com/abstract

Scientific Committee can be reached through email: ihex2018@gmail.com

DOWNLOAD IHEX 2018 GUIDELINE BOOK
You can Download, through this link:
http://bit.ly/bukuihex (Indonesia)
http://bit.ly/IHEXBook (English)
FURTHER INFORMATION ABOUT 1st IHEX 2018
Seminar and Workshop:
MUKISI Secretariat (+62 813 8081 7939)
Ade (+62 812 87129149)
Email: mukisipusat@yahoo.co.id

Booth and Expo:
Munawir (+62 856 9796 8585)
Email : munawir.sitiaisyah@gmail.com

Murta Wijaya (+62 812 9044 3438)
Email : murtawijaya19@gmail.com

Thank You for your Participation. We look forward to welcome you to IHEX 2018
Establish Shariah Hospital in The Region!
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