[Attachment 2]

How to join Van Deventer-Maas Indonesia Regional Meeting

1. Confirm to Person in Charge in your University:

Ibu Sara Hikmayanti, S.Skep., M.Pd

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 7 July 2023)

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 Medan on 25th – 27th July
2023, in Aula FISIP USU (Jl. Dr. A. Sofian no. 1A, Padang Bulan, Medan Baru, Medan),
North Sumatera

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 schoolyear.

Medan, 14
… July, 2023
Name : Dinda Pratiwi
Signature :