Formulir Kesediaan Menjadi Reviewer Scientific Journal (Willingness to Become a Scientific Journal Reviewer)
Pada era teknologi saat ini, penyebarluasan ilmu pengetahuan bukan lagi hal yang menyulitkan, melalui jurnal berbasis daring, pengembangan ilmu pengetahuan dapat kita ikuti. Dalam proses suatu jurnal tentu diperlukan proses editorial, untuk itu kami mengundang Bapak/Ibu menjadi reviewer di SCIENTIFIC JOURNAL.
Apabila Bapak/Ibu bersedia menjadi reviewer pada SCIENTIFIC JOURNAL, kami mohon kepada Bapak/Ibu untuk mengisi pernyataan kesediaan menjadi reviewer.
Atas kerjasama dan perhatiannya kami ucapkan terimakasih.

In the current era of technology, disseminating knowledge is no longer a fun thing, through courage-based journals, we can follow the development of science. In a journal process, of course, an editorial process is needed, so we invite reviewers at the SCIENTIFIC JOURNAL. If you are a reviewer in SCIENTIFIC JOURNAL, we ask you to fill out a statement of willingness to be a reviewer We thank you for your cooperation and attention.
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Username
(Username yang akan digunakan untuk log in ke website  SCIENTIFIC JOURNAL; cth: anie)
(The username that will be used to log in to the SCIENTIFIC JOURNAL website; ex: annie)
 *
First Name
 *
Middle Name
Last Name
(Jika hanya memiliki 1 suku kata silahkan diisi dengan nama yang sama pada first name)
(If it only has 1 syllable of the name, please fill it with the same name in the first name)
*
Gelar
(contoh: Prof. Dr. dr. apt., M.Biomed, M.Si, M.Ked, Sp.PA, PhD)
Title (ex: Prof. Dr. dr. apt., M.Biomed, M.Si, M.Ked, Sp.PA, PhD)
*
Afiliasi
(contoh: Fakultas Kedokteran Universitas Indonesia)
Affiliation (ex: Faculty of Medicine, University of Indonesia)
*
Email
(Email yang valid dan aktif digunakan untuk berkorespondensi antara penulis, editor dan reviewer. hati-hati terhadap kesalahan penulisan huruf besar/kecil)
E-mail (A valid and active email is used for correspondence between authors, editors and reviewers. Be careful of capitalization/lower case errors)
*
Reviewing interest
(Fokus dan ruang lingkup jurnal ini meliputi Bidang Kedokteran dan Kesehatan)
Reviewing interest (The focus and scope of this journal covers the Field of Medicine and Health)
*
ORCHID ID
Scopus ID
URL Google Scholar
 *
No. HP
Mobile Phone Number
*
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