Registration Form


Title

Family Name

First Name

Organisation/Institution/Company

Position

Address

Zip Code

Town

Country

Phone

Fax

Email

Foods

Registration Category

Registration Fee (per person) :



The registration fee includes certificate, workshop material, coffee breaks, lunch and dinner.

Registration will be closed on 27 July 2018


Payment Method

Payment is made by bank transfer, either in rupiah (IDR) or in dollar (USD). Note that the bank account is in Rupiah.


Full payment is required to confirm registration. Please carefully check which registration fee that applies for you.


Registration confirmation will be mailed upon completion.


Bank Details

Account Number : 591-01-000198-56-7
Account Name : UNDIKNAS APQN GLOBAL SUMMIT
Switfcode : BRINIDJA
Bank Name : Bank Rakyat Indonesia (BRI)
Branch : BRI KCP Undiknas

Purpose of bank transfer: APQN_GS_2018.


Please indicate your full name and institution in your transfer message/reference and inform us that you have already transferred the registration fee to international_affairs@banpt.or.id.


Please note that the registration fee does not include bank transfer fee.


Bank transfer costs should be covered by the participant.