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Emergency Procedure Update: Symposium & Workshop
Emergency Procedure Update: Symposium & Workshop
EMERGENCY PROCEDURE
UPDATE
36
SKP
Registration Fee
Include:
L
A
IN
ANNOUNCEMENT
- Certificate
- Modules
- Symposium Kit
- Coffee Break
- Lunch
REGISTRATION
REGISTRATION
Please type or print in BLOCK LETTER and tick ( )
where applicable
First Name
Surname
Institution
Address
City/zip Code
Phone
Fax
Email
Registration Fee :
Prof.
Dr.
Mr.
Mrs. Ms.
:______________________________
:______________________________
:______________________________
:______________________________
:______________________________
:______________________________
:______________________________
:______________________________
Workshop *
Before February, 1
After February, 1
Rp. 600.000,-
Rp. 650.000,-
* Limited to 60 participants