Jakarta, December 30th ,2020

No : 005/Respina 22-Secr/XIl/2020
Appendix : Confirmation Form
Subject : Studium Generale

To :
Dean of Faculty of Medicine
University Indonesia

Dear Colleague,
The Society of Respiratory Care Indonesia (RESPINA) hosts an annual international scientific
event with the mission of bringing the latest and updated information on respiratory care and as
a media of collaborated physicians interested in developing evidence-based scholarship in the
field of respiratory care.
Herewith we would like to inform that Respina Virtual Conference “The 22nd International Meeting
on Respiratory Care Indonesia (Respina) 2021 which will be held on March, 19th – 21st ,2021, virtually
Hosting by Committee at The Ritz Carlton Mega Kuningan,Hotel Jakarta with theme “Now or It’s
Too Late” Focus on : Respiratory Emergency.One of the scientific sessions at the event is
Studium Generale.
Studium Generale session is specifically made for all medical students university in Indonesia
by involving foreign speakers who are experts in their fields and international book writers, aims
of the session is to increase knowledge in the medical field which is very useful for general
practitioners in the future.
We expect the participation of the University Indonesia to send 10 person medical student to
participate on Studium Generale session, as following schedule:
Day, Date : Saturday, March 20th ,2021
Time : 16.45 - 17.45 (60 minutes)
Application : Zoom Meeting
Language : English Language
Speaker : Prof. Richard W. Light, M.D.
Please kindly confirm your willingness to participate February 26th 2021 at the latest.
For further information please contact Respina Secretariat 2021 at
respina.scientific@gmail.com or +6285719335220.
We would be grateful for your kind attention and looking forward for your participation.

Sincerely,

Pompini Agustina, MD
Chairperson of the Organizing Committee of Respina 2021

Cc:
1. President of The Society of Respiratory Care Indonesia (RESPINA)
2. Scientific Board of the Organizing Committee of Respina 2021
3. Archive
 Appendix
No: 005 /Respina 22-Secr./XIl/2020
December 30th ,2020

CONFIRMATION FORM
To :
RESPINA
Apartment Menteng Square 3rd Floor Tower BO 55-56
Jl. Matraman 30E Jakarta Pusat,Indonesia
Ph. : +62-21 2961 4273/ +62-21 2961 4274/ +6285719335220
E mail : respina.scientific@gmail.com
Website : www.respina.org

Name : 1______________________________ 2 _________________________________

3______________________________ 4 ________________________________

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9________________________________10 _______________________________

Institution : __________________________________________________________________

Phone / HP : __________________________________________________________________

Email : ______________________________________________________________