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GPD Indonesia Pro, PT

JL. Kebalen V No. 24 A, Kebayoran Baru, Jakarta Selatan 12180


Phone : (62-21) 7229339, 7254424, Fax : (62-21) 7396261
Website: http://www.gpdindonesia.com, Email: erlin@gpdindonesia.com

PAYMENT RECEIPT NOTE


Event : Makassar Surgical Update 2023
Payment Date : 31-Oct-2023
Participant Type : GP
Participant Name : dr. Kevin Giovani Mandua
Institution : Dr. R Hardjanto, RS

Description Sponsor Payment Type Total


Symposium - Registration Personal Transfer IDR 1,000,000
Update of Modern Wound Care - Personal Transfer IDR 1,000,000
Registration
Grand Total IDR 2,000,000
Note : Participants should bring Payment Receipt Note or Bank Transfer when Re-registration. For Accommodation Check In Time
03.00 PM, Check Out Time 12.00 PM

Jakarta, 31 October 2023

_______________________
For further information please contact : (62-21) 7229339, 7254424, Fax : (62-21) 7396261 or email: erlin@gpdindonesia.com
This form is an original payment receipt note and should be carried for Re-Registration

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