Registration Form (Formulir Pendaftaran)
Please fill this registration form in a valid and active your Mobile Phone/WhatsApp Number or Email (Mohon mengisikan formulir registrasi ini menggunakan Nomor HP/WA atau email yang valid dan aktif digunakan)

For more information please contact us (Apabila memerlukan informasi mohon hubungi):
- Email : Contact@DEFINIT.Asia
- WA/Telp : 0822-9229-8448
Email address *
Full Name (Nama Lengkap) *
You may add educational degree or certification (e.g. Ph.D or MSc); (Beserta gelar, jika ada)
Institution Name (Nama Lembaga) *
Abreviation of Institution Name (Singkatan Nama Lembaga) *
Position (Jabatan) *
Please describe your job in a brief (Mohon deskripsikan secara singkat pekerjaan Anda) *
Office Address (Alamat Kantor)
Office Phone Number (Nomor Telepon Kantor) *
Mobile Phone/WhatsApp Number (Nomor HP/WhatsApp) *
Please tick the workshop you wish to attend (you may choose both or one of the events) / Workshop yang ingin diikuti (Dapat memilih dua event sekaligus) - Total Limited Seat 100 per event *
Required
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