ICTS 2019 Registration Form for Participant
The 12th International Conference on Information & Communication Technology and Systems (ICTS) Surabaya, Indonesia - July 18th, 2019
Participant Information
This section is for Conference Participant: (includes seminar kit, banquet, and coffee breaks)
Your Name *
Last/Family Name *
Your answer
First Name *
Your answer
Institution *
Your answer
Occupation *
Address *
Your answer
City/State/Province/Zip *
Your answer
Mobile Phone *
Your answer
Email *
Your answer
IEEE Membership Number (if any):
Your answer
Total Payment (example: IDR 500.000 or USD 50)
Your answer
Conference Registration Fee
Banking details for payment (state clearly the participant’s name to identify your payment):
Bank: BNI (Bank Negara Indonesia)
Name: International Conference on Information & Communication Technology and Systems (ICTS)
Virtual Account Number: 8257715080120003
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