Event Registration Form
AAHCI Southeast Asia Regional Meeting 2019

October 19, 2019
Faculty of Medicine, Universitas Indonesia

Contact us:
Indah Susanti
+62 816718641
indah.susanti@ui.ac.id

Visit: http://www.aahcdc.org/AAHCI-Regional-Offices/AAHCI-Southeast-Asia-Regional-Office
Twitter: @AAHCISea
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Email *
Institution *
Name *
Name (for Certificate Purpose)
Position *
Allergy
Accomodation
We can provide corporate rate in DoubleTree by Hilton Hotel Jakarta for participants who are interested. Please contact Ms. Indah Susanti at indah.susanti@ui.ac.id or +62 816718641. Please note that reservation will be on “First come first served” basis and confirmation is subject to availability

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