Attachment 2

How to join Van Deventer – Maas Indonesia Regional Meeting

1. Confirm to Person in Charge in Your University:

Ibu Wilma Latuny, ST., M.Si. M.Phil, Ph.D
2. Read carefully, sign (tandatangan), scan/take the agreement picture and
send the Agreement to d.larosa@vandeventermaas.or.id cc.
info@vandeventermaas.or.id, as soon as possible after you sign the agreement
(deadline 21 February 2020)
3. Keep contact with VDMI and update your email. Correspondence will be
through VDMI Scholarship Officer and can be directly to above email.

PARTICIPATION AGREEMENT

I would like to register myself to attend the Regional Meeting Ambon on 5th – 7th
March 2020, in Pattimura University, Jalan Ir. M. Putuhena, Poka, Teluk Ambon,
Ambon, Mollucas 97233

If by any chance, I suddenly cancel my statement to join the conference after

this confirmation, as a compensation, Van Deventer-Maas Indonesia will not
pay my scholarship for 1 (one) month, during the period of my current school
year.

Ambon , 20 February 2020

Name : Resti Saradela
Signature :