The 2nd International Conference on Accounting,

Management Economics and Social Sciences

Date: May 20, 2017 (Saturday)
Venue: Savoy Homann Bidakara Hotel, Bandung, Indonesia

Conference Registration Form

All participants are required to complete this registration form and return in MS Word format to Mrs.
Herni Kurniawati (email to herni.kurniawati@gmail.com and cc to secretariat@icamess2.org).

SECTION 1: CONTACT INFORMATION

TITLE: Mr Mrs Ms Dr Prof. Other, specify:

FIRST NAME: HARIES LAST NAME: HAUZAMSAH

ADDRESS: PERUM GRAND TARUMA B19/N3 MAIN TELEPHONE: 081384727272

WORK TELEPHONE
SUKAMAKMUR -
(if different)
TELUKJAMBE TIMUR HOME TELEPHONE -

TOWN/CITY: KARAWANG MOBILE PHONE: 081384727272

POST CODE; - PRIMARY EMAIL: Hauzamsahries99@gmail.co

m
SECONDARY
COUNTRY; INDONESIA -
EMAIL:
FACULTY/DEPARTMENT/SCHOOL: ECONOMIC AND BUSINESS
AFFILIATION (NAME OF
UNSIKA
UNIVERSITY/INSTITUTE):
FIELD OF RESEARCH
HUMAN RESOURCES MANAGEMENT
(eg. Marketing, Education, etc):
Are you willing to serve as a session chair: Yes No
How did you hear about this Direct Email Websites (Please Specify) :
conference? Other (Please Specify) :

SECTION 2: PAPER PRESENTATION

If you are presenting a

Are you presenting a paper or Presenting Paper
paper, how many are you 1 2
participating as an observer? Observer
presenting?

SECTION 3: PAYMENT INFORMATION

I’ll send my registration fee USD/IDR______ via bank transfer

Please note that transfer fees charged by the bank must be covered by the participants themselves.

SIGNED:
DATE:
(or write name here)
PLEASE NOTE:
Student Registration:  Please, email your student ID card to Mrs. Herni Kurniawati

The Registration Form should be accompanied by the appropriate payment for the registration fee,
which must be in US dollars, and made payable by the following method:

TRANSFER

Beneficiary Name: Herni Kurniawati

Beneficiary Address: Jl. Pondasi No.31, Rawamangun, Jakarta Timur, Indonesia.
Account No.: 0948294462
Bank Name: Bank Central Asia (BCA)
Bank Address: Jl. Paus 81, Rawamangun, Jakarta Timur, Indonesia
Swift Code: CENAIDJA
Message: (Please indicate the name of the participant)
Please email the transfer slip to;
herni.kurniawati@gmail.com and cc to:
secretariat@icamess2.org
 
Please note that transfer fees charged by the bank must be covered by the participants themselves.

 
Conference Fees

Early bird Normal

(until March 25) (March 26 – May 1)
International academics USD 400 USD 500
International students USD 300 USD 400
Local academics IDR 2,250,000 IDR 2,500,000
Local students IDR 2,000,000 IDR 2,250,000

Registration fee includes participation in the program, coffee breaks, luncheon, proceedings, and
certificate. Registration fee excludes the publication fee for selected papers and accommodation.

There is a USD 200 (IDR 1,750,000 for local) for each additional paper.

Can not attend the conference

If authors can not attend the conference, we will send OR email the proceedings and the certificate of
presenter.