REGISTRATION FORM
INTERNATIONAL CONFERENCE
ON ISLAMIC ELEMENTARY SCHOOL STUDIES
“TEACHING CHARACTER IN GLOBALIZATION ERA”
TEACHER EDUCATION OF ELEMENTARY SCHOOL DEPARTMENT TARBIYAH AND TEACHING TRAINING FACULTY
STATE ISLAMIC UNIVERSITY MAULANA MALIK IBRAHIM, MALANG
JlnGajayana 50, Lowokwaru Malang 65144, Indonesia Phone: (0341) 552398 Fax: (0341) 552398
Website: http://fitk.uin-malang.ac.id/ E-mail: iciess2017@gmail.com
Please complete this form and put a tick () as appropriate.
Title ( ) Prof. ( ) Dr. ( ) Mr. () Miss ( ) Mrs. ( ) Other Full Name (for the Certificate):
Nationality Affiliation Phone number Email
Categories ( ) Presenter ( ) Participant Title of Research
(if you are presenter) Short biodata (including academic background and research interests)
1.
2.
Once you’ve finished completing this form, please email it to iciess2017@gmail.com. Thank you.
Information:
1. Committee is not provided accommodation
2. International Conference is free. If the presenter or participant want to order proceeding in print out, committee will inform about it on November 1, 2017
