2nd IITE 2022 Registration Form
Politeknik Indonusa Surakarta
Category Institution
*
School
University
Co-Host
Exhibition
Name of Institution
*
Institution Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Full Name Of Participant 1
*
Please fill with full name of team Leader (1 person)
Full Name Of Team 1
Please fill with full name of team participant (3 person)
Full Name Of Participant 2
Please fill with full name of team Leader (1 person)
Full Name Of Team 2
Please fill with full name of team participant (3 person)
Full Name Of Participant 3
Please fill with full name of team Leader (1 person)
Full Name Of Team 3
Please fill with full name of team participant (3 person)
Full Name Of Participant 4
Please fill with full name of team Leader (1 person)
Full Name Of Team 4
Please fill with full name of team participant (3 person)
Type Of Event
*
Categories:
All
All
Co-Host Registration
Exhibition
Health Product Innovation
Tourism Product Innovation
Technology Product Innovation
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next
( X )
Co-Host Registration
Benefit Co-Host Team
2,300,000
IDR
Free 2 International Lecturer Research,Free 3 National Lecturer Research,Free 2 International Innovation Competition,Free 3 National Innovation Competition,Free 25 Slot International/National Webinar Innovation.
Quantity
0
1
2
3
4
5
Item subtotal:
0.00
IDR
Exhibition
Indonesian Lecturer Research
100,000
IDR
Quantity
0
1
2
3
4
5
6
7
8
9
10
Item subtotal:
0.00
IDR
International Lecturer Research
100,000
IDR
Quantity
0
1
2
3
4
5
6
7
8
9
10
Item subtotal:
0.00
IDR
Health Product Innovation
Prototype Product
75,000
IDR
Categori
Quantity
Price
High School Student
0
1
2
3
4
5
6
7
8
9
10
75,000.00
IDR
Indonesian College Student
0
1
2
3
4
5
6
7
8
9
10
100,000.00
IDR
International College Student
0
1
2
3
4
5
6
7
8
9
10
150,000.00
IDR
Item subtotal:
0.00
IDR
Potential Product
75,000
IDR
Quantity
Price
High School Student
0
1
2
3
4
5
6
7
8
9
10
75,000.00
IDR
Indonesian College Student
0
1
2
3
4
5
6
7
8
9
10
100,000.00
IDR
International College Student
0
1
2
3
4
5
6
7
8
9
10
150,000.00
IDR
Item subtotal:
0.00
IDR
Ready Made Product
75,000
IDR
Categori
Quantity
Price
High School Student
0
1
2
3
4
5
6
7
8
9
10
75,000.00
IDR
Indonesian College Student
0
1
2
3
4
5
6
7
8
9
10
100,000.00
IDR
International College Student
0
1
2
3
4
5
6
7
8
9
10
150,000.00
IDR
Item subtotal:
0.00
IDR
Tourism Product Innovation
Prototype Product
75,000
IDR
Categori
Quantity
Price
High School Student
0
1
2
3
4
5
6
7
8
9
10
75,000.00
IDR
Indonesian College Student
0
1
2
3
4
5
6
7
8
9
10
100,000.00
IDR
International College Student
0
1
2
3
4
5
6
7
8
9
10
150,000.00
IDR
Item subtotal:
0.00
IDR
Potential Product
75,000
IDR
Categori
Quantity
Price
High School Student
0
1
2
3
4
5
6
7
8
9
10
75,000.00
IDR
Indonesian College Student
0
1
2
3
4
5
6
7
8
9
10
100,000.00
IDR
International College Student
0
1
2
3
4
5
6
7
8
9
10
150,000.00
IDR
Item subtotal:
0.00
IDR
Ready Made Product
75,000
IDR
Categori
Quantity
Price
High School Student
0
1
2
3
4
5
6
7
8
9
10
75,000.00
IDR
Indonesian College Student
0
1
2
3
4
5
6
7
8
9
10
100,000.00
IDR
International College Student
0
1
2
3
4
5
6
7
8
9
10
150,000.00
IDR
Item subtotal:
0.00
IDR
Technology Product Innovation
Prototype Product
75,000
IDR
Categori
Quantity
Price
High School Student
0
1
2
3
4
5
6
7
8
9
10
75,000.00
IDR
Indonesian College Student
0
1
2
3
4
5
6
7
8
9
10
100,000.00
IDR
International College Student
0
1
2
3
4
5
6
7
8
9
10
150,000.00
IDR
Item subtotal:
0.00
IDR
Potential Product
75,000
IDR
categori
Quantity
Price
High School Student
0
1
2
3
4
5
6
7
8
9
10
75,000.00
IDR
Indonesian College Student
0
1
2
3
4
5
6
7
8
9
10
100,000.00
IDR
International College Student
0
1
2
3
4
5
6
7
8
9
10
150,000.00
IDR
Item subtotal:
0.00
IDR
Ready Made Product
75,000
IDR
Categori
Quantity
Price
High School Student
0
1
2
3
4
5
6
7
8
9
10
75,000.00
IDR
Indonesian College Student
0
1
2
3
4
5
6
7
8
9
10
100,000.00
IDR
International College Student
0
1
2
3
4
5
6
7
8
9
10
150,000.00
IDR
Item subtotal:
0.00
IDR
Total
0.00
IDR
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