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MENKUMHAM, AHU-00111.60.10-2014
REGISTRATION FORM
Name:
Research Title
Institution
Address
Telephone
Email
Registration Fees
Category
Indonesia Rupiah
USD
800,000 IDR
70 USD
1,000,000 IDR
100 USD
Student
450,000 IDR
30 USD
900,000 IDR
90 USD
200,000 IDR
20 USD
Member of ISOMAse
Non Member of ISOMAse
Methods of Payment
Bank
Transfer:
HENDRA SAPUTRA
_____
__
______
___IDR/USD
Obs:
For the Bank transfer please indicate
the reference (OMAse 2015)
Submit the registration form and scanned copy of the payment proof to
omase@polibatam.ac.id and cc to isomase.org@gmail.com