The 19th APAGE Annual Congress 2018 in

conjunction with The 7th IGES National Congress

MAXIMIZING GYNECOLOGY ENDOSCOPY AND MINIMALLY
INVASIVE THERAPY FOR BETTER MEDICAL SERVICE
Shangri-La Hotel Surabaya, Indonesia, Jl. May. Jend. Sungkono 120,
Surabaya, 60256, Indonesia
November 08, 2018 until November 11, 2018

REGISTRATION CONFIRMATION
Name : Pantas Saroha Siburian,M.Ked.OG, Sp.OG
Address : RSUD Dolok Sanggul Jalan.dr.Ferdinand Lumbantobing no.1. Kompleks perumahan dokter spesialis Dolok sanggul,kabupaten humbang ha
Contact : 081265651101
Email : pantas.s@yahoo.com

PROGRAM(S) PRICE STATUS

Normal Package Registration ( Symposium & Workshop ) IDR 10.000.000 PAID
Workshop 2 : Single Port & Notes IDR 0 PAID
TOTAL IDR 10.000.000

ACCOMODATION TYPE PRICE STATUS

Sangri-La Hotel Surabaya (Local Participant) Deluxe room (1)IDR 5.600.000 PAID
DATE : November 07, 2018 UNTIL November 11, 2018 TOTAL IDR 5.600.000

DEPOSIT BILL REMAIN GRAND TOTAL

IDR 15.600.000 IDR 0 IDR 15.600.000

-- BANK ACCOUNT FOR PAYMENT --

BCA CAB.ASIA AFRIKA BANDUNG (SWIFT CODE: CENAIDJA)

008.4646.888
PT. TRAVELAND CONVEX INDONESIA

-- SPONSORSHIP --

-- TERMS AND CONDITION ON REGISTRATION --

Registration is Valid after Credit Card Successful Transaction or by Getting Payment Proof of Telegraphic Transfer
Latest Normal Registration Payment Should Done on 5th of November Otherwise it will be Considered as ONSITE Rate Registration
Onsite Registration Possible Depends on Seat Availability of Symposium & Workshop
The Registration is NOT Refundable but Only Rename Possible

-- TERMS AND CONDITION ON HOTEL RESERVATION --

-- EVENT ORGANIZED BY --
TRAVELAND CONVEX INDONESIA
JALAN CIHAMPELAS NO 56B BANDUNG JAWA BARAT - INDONESIA
(022) 4264028 / 0812 1414 3928
mice@travelandconvex.com