REGISTRATION FORM - IC3INA 2023
Payment gateway: BNI | No. 0213497851 | RAHARJA MULYA
Full Name
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Phone Number
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Email
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Paper ID:
For Speaker only, refer to Paper ID stated in EDAS
Paper Title
For Speaker only, refer to Paper Title accepted in IC3INA 2023
REGISTER For:
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SPEAKER - Student/IEEE Member/PPI Member/BRIN Civitas
2,500,000.00
IDR
Please attach your valid ID Card of Student / IEEE / PPI Membership / BRIN
Quantity
0
1
Item subtotal:
0.00
IDR
SPEAKER - PROFESSIONAL
2,800,000.00
IDR
This is for Speaker NON Student / NON IEEE Member / NON PPI Member / NON BRIN Civitas
Quantity
0
1
Item subtotal:
0.00
IDR
NON-SPEAKER PARTICIPANT
300,000.00
IDR
This is for non-speaker participants coming from outside BRIN institutions.
Quantity
0
1
Item subtotal:
0.00
IDR
Total
0.00
IDR
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Mode of Payment:
Bank Deposit/Online Transfer:
BNI
0213497851
RAHARJA MULYA
DATE OF PAYMENT / REGISTRATION
dd-mm-yyyy
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For Speakers & Non-Speaker Participant (Non BRIN)
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Student ID / IEEE Member / PPI Member / BRIN ID Card
Browse Files
For Speakers - Students/IEEE Member/PPP Member
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