ICOTIC 4th Telkom University Bandung
Event Timing: March 27th-28th, 2019
Event Address: Jl Telekomunikasi no 1 Bandung
Contact us at (+62 )+62 821-1043-4281 icotic4th@gmail.com
Email address *
Tittle *
First Name *
Your answer
Last Name *
Your answer
Name to Appear on Certificate
Your answer
Gender
Telephone Number *
Your answer
Position *
Organization *
Your answer
Mailing Address *
Your answer
Country *
Your answer
City *
Your answer
State/Province *
Your answer
Postal Code *
Your answer
Research Interest *
Your answer
Recent Publication *
Your answer
Paper Presentation Scope *
Please send the receipt of your payment (jpeg) and your abstract (docx) to our email : icotic4th@gmail.com, with subject: name_abstract
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service