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INTERNATIONAL COUNCIL OF CHEMICAL ASSOCIATIONS

2013 ICCA-RCLG GLOBAL PRODUCT STRATEGY (GPS) IMPLEMENTATION TRAINING AND WORKSHOP It T!"# t$ I"%&#"#'t GPS t$ A()!#*# WSSD G$+& 2020,
-#'.# / D+t#0 H$t#& S+'t!1+ B$2$34 I'5$'# !+4 21-22 M+6 2013 Hosted by K$"!t# N+ !$'+& R# %$' !7&# C+3#8 I'5$'# !+
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Please fill out this form and return to Mr. Riri Sugiri at secretariat@ responsiblecare-indonesia.or.id and cc to setyabudhi@responsiblecare-indonesia.or.id

This event is <REE only for representative of K -R!" member companies. #e provide one night accommodation $t%in share& for attendees represented member companies $one participant from one company& at Hotel Santi'a (ogor %%%.santi'a.com)santi'a-bogor) *ou may chec'-in on +, May afternoon and chec'-out on ++ May +-,. /unch and dinner on +, 0 ++ May %ill be served. ote1 The second attendees from member companies %ill be consider
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to participate at this event2 ho%ever K -R!" cannot provide hotel accommodation

INTERNATIONAL COUNCIL OF CHEMICAL ASSOCIATIONS

" hereby %ish to participate in The +-,. "!!3-R!/4 Product Ste%ardship ) 4lobal Product Strategy "mplementation Training and #or'shop %hich %ill be held in Hotel Santi'a (ogor2 5l. Raya Pa6a6aran2 (ogor ,7,+8 on May +,-++2 +-,.. PARTICIPANTS IN<ORMATION

* Mr.
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Ms.

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Prof .

(Please use block letters)

/ast name Telephone e-mail address !ompany 3ddress

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" %ould li'e to re;uest free hotel accommodation one night $+,-++ May +-,.& *es o v

REGISTRATION <EE0 <3## $9 ()+32#


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Please

fill out this form and return to K -R!" secretariat at secretariat@responsiblecare-indonesia.or.id attn. Mr. Riri Sugiri Registration %ill be (&$ #5 $' M+6 3 or #+3&!#3 if the numbers of participant have met the target. "f cancelled or no sho% on +, st May +-,.2 full duration of stay %ill be charged $%e %ill send the invoice&. Participants are re;uested to bring laptop ) computer <ach computer is re;uired to have 3dobe Reader2 MS <=cel and "nternet <=plorer $>< ? or later&. "n section 7 %ill be internet connection for each computer to search information. "n Session ? needs computer for each participant to operate <!<T>! TR3 by participants themselves. <ach computer needs installed MS <=cel and <!<T>! TR3 ver...

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