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I, the undersigned,
Name : Laila Nur Alfiah
Study Programme : Pendidikan Biologi
Affiliation : Universitas Negeri Malang
Address : Jalan Terusan Ambarawa No 32B
Phone number : 085258258230
hereby declare that:
- I am committed to attend the Pop Islam Workshop 2018, jointly held by Monash University
and Universitas Negeri Malang, on November 2018 at 7.30 am to 4 pm in Graha Rektorat 9th
floor, UM;
- I am aware that withdrawal from this event is not possible after I submit this form, unless
there is any force majeure;
- Sudden withdrawal or failure to attend the event without any prior notice will affect my
eligibility for participating in the future OIA's events and programmes.
I made this letter voluntarily without any coercion from any parties.