Registration Form
Innside Hotel, Yogyakarta
on 29-31 October, 2018
Email address *
First Name *
Your answer
Surname *
Your answer
Your answer
Company/Institution *
Your answer
City/State *
Your answer
Country *
Your answer
Phone number *
Your answer
Participant *
Registration Should be paid by October 20, 2018
Type of Payment
1. Transfer your net payment to Account name: DEWI SUNARNINGSIH, Bank BCA, KCP Siliwangi–Semarang, Indonesia, Acc/no. 246-532-9732 Swift Code: CENAIDJA.
2. By credit card/paypal for registration payment (
Your payment receipt and registration form can be sent to the Conference Manager’s office
by fax (+62 24-8318908) or by email to: ( or by WA (+62 85740 313146)

1. The reg. fee will cover: 3 days single room hotel, full meal during the course, 1 day fieldtrip transport but do not cover: transportation cost from and to the workshop venue.
2. No refund will be applied for cancelled registrations
3. (*) Please send your MAI/WAS Member Card for further registration process.

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