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registration form for COCONSEA 2013 extended

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COCONSEA 2013

International Conference on Constructing Southeast Asia www.pssat.ugm.ac.id

Registration Form

1. Name : _____________________________________

2. Institution : ______________________________________

3. Curent Position : ______________________________________

4. Register as : Paper Presenter

International: Student Regular

Indonesian : Student Regular

Non Presenter /Participant

International: Student Regular

Indonesian: Student Regular

*Paper presenter may transfer the registration fee after the announcement on

September 7, 2013. For Non Presenter/ Participant, please attach one copy transfer

receipt together with this registration form.

5. Tittle of the Paper : ______________________________________

______________________________________

6. Do you need invitation letter for visa application in your country?

Yes No

*Should you need assistance to arrange accomodation please contact us.

Referensi

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