Online registration form of International Conference on "Gratification in Healthcare Services Accross Jurisdictions", 6 November 2017
Description
This is online registration form for participants of International Conference on "Gratification in Healthcare Services Accross Jurisdictions." To register to this event, please kindly do the following steps:
1. Make a payment to the Bank Account bellow based on registration category:
a. Bachelor Degree Student (IDR 250,000.00)
b. Master Degree Student (IDR 350,000.00)
c. Doctorate Degree Student (IDR 500,000.00)
d. Professional Doctors and Healthcare Officials (IDR 500,000.00)
2. Fill out this online registration form and upload your proof of payment.
3. You will get a notification to your email that you have registered in the event and you will be allowed to join in this International Conference at 6 November 2017.
4. Please print or show the notification email as a requirement for entering the conference.

Registration Info
1. Nurul : 0856 4366 5753 (WhatsApp Only)
2. Antari : 0812 2723 677
3. Email: icmedicallaw@gmail.com

Payment Information
Bank Account : BRI (Bank Rakyat Indonesia)
On behalf of LISTIA ANGGARINI
Account Number: 002901130669502

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