Proposal Sponsorship ACSA 2023 Intension 0406

SPONSORSHIP PROPOSAL
ACSA 2023
Airlangga Cardiovascular (International) Conference V
Continuing Medical Education XXV
Surabaya Cardiology Update XIV
Airlangga Cardiovascular Expert Meeting VI
SECRET LANGUAGE OF THE HEART

IN CONJUNCTION WITH
3RD IN-TENSION SUMMIT

( INDONESIA HEART ASSOCIATION HYPERTENSION SUMMIT)
SURABAYA 2023
ACSA 2023 SECRETARIAT: HOUSE OF PERKI SURABAYA. MANYAR JAYA II / 10-12
SURABAYA 60118
PROPOSAL REV.1
BACKGROUND
F
rom the earliest time, the human heart has been the subject of fascination, mystery, romance, and more recently, a
tremendous amount of scienti ic research. The development of science, both basic science and medical technology, has
progressed very rapidly, such as revealing many secrets of the heart. The latest basic science research and clinical studies in
the cardiovascular ield are currently moving with new indings. New knowledge and new drug discoveries promise hope for
successful treatment. The development of new imaging modalities facilitates a better understanding of the pathophysiological
background of cardiovascular disease. Major advances in cardiology are based on new technologies enabling the non-invasive
diagnosis and follow-up of various cardiovascular entities. This has shown a prolonged development over the centuries, to reveal
the whole secret of this complex extraordinary machine, the human heart.
HIGHLIGHT
C
ontinuing Medical Education (CME) or has been carried out for more than two decades, now entering its 25th year. CME
event, since it was irst held has been dedicated to increasing knowledge in the ield of cardiovascular among medical
students to general practitioners, from residents to specialist doctors. Meanwhile, the Surabaya Cardiology Update has
been held for more than a decade, providing many scienti ic updates and case discussions for Cardiologist, other specialists and
of course many physicians in the Surabaya area and its surroundings. Indonesian Heart Association Hypertension Summit has
been held twice until now. Due to pandemic condition, the two previous events were held virtually. Now, together with ACEM ,
ACIC combined with In-Tension summit, Cardiovascular Event will be held, and might be said to be one of the biggest events in the
East Java.
Phone / Fax: +62 8223 268 3785

1 Email: acsasurabaya2023@gmail.com
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SURABAYA 60118
PROPOSAL REV.1
AIMS
It is necessary to increase knowledge and share experiences for doctors and other medical personnel to change paradigms
and develop professionalism in carrying out daily clinical practice.
D
epartment of Cardiology and Vascular Medicine, Faculty of Medicine, Airlangga University - Dr. Soetomo Surabaya General
Hospital and the Surabaya Branch of the Indonesian Heart Association collaborate to improve the knowledge, skills and
professionalism of cardiologists - blood vessel specialists, general practitioners and other medical personnel. This event is
one of the implementations of Airlangga University's mission to become a world-class university that will provide the latest
developments in cardiovascular medicine around the world.
In addition, this event will be held fully o line and opens a rare opportunity for doctors, researchers and medical professionals
interested in cardiovascular medicine to publish their scienti ic works with global standard literature reviews, case studies or
original articles/research.
SYMPOSIUM AND WORKSHOP VENUE

Main Date of Symposium : 14-15 October 2023
Workshop : 13 October 2023
Pre-Sympo Workshop : 7-8 October 2023
O line Symposium : Shangri-la Hotel, Mayjend Sungkono , Surabaya, East Java
O line Workshop : Pusat Pelayanan Jantung Terpadu RSUD. Dr. Soetomo Surabaya
House of PERKI Surabaya Branch
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
SPONSORSHIP OFFERS
W
e invite all companies to participate in our event, namely ACSA 2023, so that you can participate in
developing the medical science of cardiology. You can also introduce your featured brand new products that
will ultimately advance cardiovascular health. We o ers the opportunities to join us as our sponsor as
described below :
NO DESCRIPTION QUOTATION (IDR) BENEFITS

1 MORNING SYMPOSIUM (SAT,SUN)
• Logo at Web, Slide at the end of topic
1 TOPIC 55,000,000 • Free 5 GP Sympo
• Logo at Web
2 TOPICS 85,000,000 • Slide about product at the end of each topic
• Free 8 GP Sympo, 2 Specialists
PRE-LUNCH (SAT,SUN),MID-DAY (SUN)

2
AND LUNCH SYMPOSIUM (SAT)
1 TOPIC 65,000,000
• Logo at Web, Slide at the end of topic
• Free 5 GP Sympo
• Logo at Web,
2 TOPICS 110,000,000 • Slide about product at the end of each topic
• Free 8 GP Sympo, 2 Specialists
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
WARM UP (SAT), AFTERNOON

3 SYMPOSIUM (SAT), LUNCH SYMPOSIUM
(SUN)
• Logo at Web, Slide about product at the end of
1 TOPIC 45,000,000 topic
• Free 5 GP Sympo
• Logo at Web,
2 TOPICS 80,000,000 • Slide at the end of each topic
• Free 8 GP Sympo, 2 specialists
• Logo at Web
• 1 Topic by sponsor (Discussed with PIC)
4 HALF DAY WORKSHOP 40,000,000 • Flash movie during co ee break
• Free 2 WS, Free 3 GP Sympo
• Logo at Web
5 FULL DAY WORKSHOP 60,000,000
• 1 -2 Topic by sponsor (Discussed with PIC)
• Flash movie during co ee break and lunch
• Logo at Web
• 1 -2 Topic by sponsor (Discussed with PIC)
6 HANDS ON WORKSHOP 80,000,000 • Short movie during co ee break and lunch
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
• Logo at Web, Slide about product at the end of

topic
7 DINNER SYMPOSIUM 70,000,000 • Flash movie before and after sympo
• Free 8 Symposium GP, 2 Sympo Specialist
Size 2x3 m
8 EXHIBITION BOOTH (2 DAYS) 35,000,000 1 LCD TV, table,chair (others will be discussed with
exhibition committee)
1 topic, each 30 minutes, in one of Workshop session

9 INDUSTRIAL SESSION 30,000,000 to promote your product by your own expertise sta .
1 topic, each 20 minutes, in one of Symposium session

20,000,000 to promote your product by your own expertise sta .
GRANDPRIZES OF BBC,ORAL PRESENTATION,

10 OTHER TO BE DISCUSSED
DOORPRIZES
NOTE :
• Sponsorship values more than 70,000,000 will be granted free exhibition booth for 2 days.
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
CLOSING
W
e do believe that the cooperation and relationship that has been built by us, professionals and the pharmaceutical
industry will continue and the foundation will get stronger. This relationship will continue to increase progression of
advancement cardiovascular ield, scienti ic knowledge and moreover increase the need of research to ind the best
ways of prevention and treatment for cardiovascular health.
Last but not least, other matters that have not been listed in this proposal and need to be discussed further will be regulated in a
deeper discussion and agreement.
THANK YOU,
Best Regards,
Devie Caroline, MD,FIHA Fanny Fauziah Abdullah, MD,FIHA,M.Kes
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
Chairman of ACSA 2023 Chairman of 3rd In-Tension 2023
FORM OF PARTICIPATION
QUANTITY DESCRIPTION PRICE (IDR) SUBTOTAL
TOTAL
COMPANY NAME :…………………………………………………………………………
………………, ……………………….2023
Materai 10K
Signature with Full Name
ALL PAYMENT SHOULD BE TRANSFERRED TO

ACCOUNT NUMBER : 142. 0000. 1012.29
NPWP : 94.858.730.8-619.000
BANK NAME : MANDIRI
BRANCH : SURABAYA
ACCOUNT NAME : KOPERASI JASA KARDIOVASKULAR MANDIRI SEJAHTERA.SCU
Phone / Fax: +62 8223 268 3785

SURABAYA 60118
PROPOSAL REV.1
PLAN RUNDOWN SYMPOSIUM ACSA SURABAYA 2023 - 3RD INTENSION SUMMIT

SATURDAY, 14 OCTOBER 2023
TIME BALLROOM A BALLROOM B BALLROOM C

PLENARY LECTURE
08.00-08.20 Topic :
08.20-08.40 Topic:
08.40-09.00 Topic :
09.00-09.30 Opening Ceremony and Opening Speech
09.30-09.45 Co ee Break
Morning Symposium Morning Symposium Morning Symposium
09.45-10.05 M1Topic: M4Topic: M7Topic:
10.45-11.00 Discussion Discussion Discussion
Pre Lunch Symposium Pre Lunch Symposium Pre Lunch Sympo
11.00-11.20 P1Topic: P4Topic: P7Topic:
12.15-12.45 Prayer/Lunch Break
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
Lunch Symposium Lunch Symposium Lunch Symposium

12.45-13.05 L7Topic : L1Topic: L4Topic:
13.45-14.00 Discussion : Discussion : Discussion :
Afternoon Symposium Afternoon Symposium Afternoon Symposium
14.00-14.20 N1Topic : N4Topic : N7Topic:
15.10 COFFEE BREAK
Cell with gray shades : already occupied
Phone / Fax: +62 8223 268 3785

SURABAYA 60118
PROPOSAL REV.1
DAY-2: SUNDAY, 15 OCTOBER 2023
Time Ballroom A Ballroom B Ballroom C

Morning Symposium Morning Symposium (with IAI) Morning Symposium/INTENSION

09.10-09.20
Co ee break
Mid Day Symposium Mid Day Symposium Mid Day Symposium/INTENSION
09.20-09.40 MD1Topic: MD4Topic: MD7Topic:
Pre Lunch Symposium Pre Lunch Symposium Pre Lunch Symposium/INTENSION
11.30-11.50 P13Topic: P17Topic : P21Topic :
12.00-12.30 Prayer/Lunch Break
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
Lunch Symposium FINAL BIG BEAT CHALLENGE Lunch Symposium

12.30-12.50 L7Topic L10Topic:
12.50-13.10 L8Topic: L11Topic:
13.10-13.30 L9Topic: L12Topic:
13.30-13.40 Discussion : Discussion :
Pengumuman Pemenang Poster, Oral Presentation, BBC

13.45-14.15 Doorprize Day 2
Closing Ceremony
14.15 -14.30 Co ee Break
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
WORKSHOP LIST
1. ACUTE CORONARY SYNDROME

2. ACUTE CARDIAC CARE AND HEART FAILURE
3. ARRHYTHMIA
4. EMERGENCY ECHOCARDIOGRAPHY
5. VASCULAR
6. CONGENITAL
7. INTERVENTION
8. HYPERTENSION
Note : topic is not inal, still in discussion
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
REGISTRATION FEE
DESCRIPSTION REGULAR ONSITE REMARK
SYMPOSIUM
Cardiologist /Specialist 2.000.000 2.500.000
General Practitioner 1.000.000 1.500.000
Nurse, paramedics ,Medical 850.000 1.000.000
Student , Pharmacist
WORKSHOP
HALF DAY WS FULL DAY WS WS CONGENITAL
1.000.000 2.000.000 3.500.000 The price of WS is not

Cardiologist /Specialist
inal
General Practitioner 1.000.000 2.000.000
Med Student/Nurse/Technician 750.000
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
ACSA COMMITTEE LIST
Patron Fund Raiser

Dean of Medical faculty, Airlangga University dr. Jordan Bakhriansyah, SpJP, FIHA
Prof. Dr. Budi Santoso, dr., SpOG(K) dr. Feranti Meuthia, Sp.JP,FIHA
Director of Dr. Soetomo Hospital
Dr. Joni Wahyuhadi, dr., SpBS(K) Scienti ic Committee
Director of Airlangga University Hospital dr. Irma Magh irah, SpJP, FIHA
Prof. Dr. Nasronudin, dr., SpPD, KPTI, FINASIM dr. Mia Puspitasari, Sp.JP,FIHA
dr. Liemena Harold A, SpJP, FIHA
Steering Committee
Prof. Dr. Yudi Her Oktaviono, dr., SpJP(K),FIHA, MM Workshop Committee
Dr. Achmad Le i, dr., SpJP(K), FIHA dr. Christian Pramudita, SpJP, FIHA
Prof .Dr . R. Mohammad Yogiarto, dr., SpJP(K), FIHA, FAsCC dr. Revi Adheriyani, Sp.JP,FIHA
Prof. Dr. Djoko Soemantri, dr., SpJP(K), FIHA dr. Ragil Nur Rosyadi Sp.JP(K),FIHA
Prof. Dr. Budi S. Pikir, dr., SpJP(K), FIHA Dr.dr Hendri Susilo, Sp.JP,FIHA
Prof. Dr. Rochmad Romdoni, dr., SpPD, SpJP(K), FIHA
Big Beat Challenge Team
Chairman dr. Anindita Primiari, Sp.JP,FIHA
dr. Devie Caroline,SpJP,FIHA dr. Maulia Prismadani, SpJP, FIHA
dr. Isnaini, Sp.JP(K),FIHA
Secretary dr. Rafdi Amadis, Sp.JP,FIHA
dr. Angela Bety, SpJP, FIHA
dr. Bunga, Sp.JP,FIHA Protocol and Event Committee
dr. Arisya Agita, SpJP, FIHA dr. Dian Paramita, SpJP, FIHA
dr. Maureen Kawilarang, SpJP, FIHA
Treasurer dr. Ayu Diajeng Sekar Negari, Sp.JP,FIHA
dr. Nadya Luthfah, Sp.JP,FIHA dr. Rahmania, Sp.JP,FIHA
dr. Intan Komalasari, SpJP, FIHA
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
Audiovisual and Multimedia Committee

dr. Ivan Satria Pratama, Sp.JP, FIHA Consumption Committee
dr. Windu Prima Dwi, Sp.JP,FIHA dr. Armyta Galuh, SpJP, FIHA
dr. Achmad Shofwan, Sp.JP,FIHA dr. Ari Rahmawati, Sp.JP,FIHA
dr. Wisda, Sp.JP dr. Irma Kartikasari, Sp.JP,FIHA
dr. Rizal, Sp.JP
dr. Lely Puspita Candra SpJP(K), FIHA Lifetime Achievement Award and Gathering
dr. Bunga Novitalia, Sp.JP,FIHA
Equipment and Logistic Committee dr. Mahbub, Sp.JP,FIHA
dr. Rachmat Ageng Prastowo, Sp.JP,FIHA dr. Rizki Amalia, Sp.JP,FIHA
dr. Iswan Ranuh, Sp.JP,FIHA dr. Nadiar, Sp.JP,FIHA
dr. Muhammad Firdani Ramadhan, Sp.JP, FIHA
Abstract & Oral Presentation Committee
Publication and Documentation Committee dr. Edwin Chandra, SpJP., FIHA
dr. Novia Kusumawardhani, SpJP, FIHA dr. Arman, Sp.JP, FIHA
dr. Izzati Nadhifa, Sp.JP,FIHA dr. Deo Idarto, Sp.JP(K),FIHA
dr. Dimas Rio Balti, Sp.JP, FIHA dr. Lenny Kartika Sari, Sp.JP,FIHA
dr. Tinton Pristianto, SpJP, FIHA dr. Febriyanti, Sp.JP,FIHA
Registration Committee Booth and Exhibition Committee

dr. Eryn Neriswati, SpJP, FIHA dr. Hanang Anugrawan, Sp.JP,FIHA
dr. Lousia Fadjri, SpJP, FIHA dr. Joko Hermawan, Sp.JP
dr. Nisa Kurnia R., SpJP, FIHA dr. Deasy, Sp,JP,FIHA
dr. Christian Pramudita, Sp.JP,FIHA
Transportation and Acommodation
Proceeding Committee team dr. Adityo Baskoro, Sp.JP, FIHA
dr. Ilma Al ia, SpJP, FIHA dr. Harris Kristanto, Sp.JP,FIHA
dr. Erlangga, Sp.JP
dr. Suryo Ardi Hutomo, Sp.JP,FIHA
dr. Anudya Kartika, Sp.JP,FIHA
dr. Rendra, Sp.JP,FIHA
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
IN-TENSION COMMITTE LIST
Advisory Board: Treasurer- Sponsorship

Dr. Radityo Prakoso, Sp.JP (K),FIHA,FAPSIC,FAsCC dr. Bagus Andi Pramono, Sp.JP,FIHA
Dr. dr.Antonia Anna Lukito, Sp.JP (K),FIHA dr. Devie Caroline, Sp.JP, SIHA
dr. Sari Mumpuni, Sp.JP,FIHA
dr. Rossanna Barack, Sp.JP,(K), FIHA Scienti ic Committee
dr. Badai Bathara Tiksnadi, Sp.JP (K), FIHA, MM dr. Badai Bhatara Tiksnadi, Sp.JP (K), FIHA, MM
Dr. dr. Bambang Widyantoro, Sp.JP (K) ,FIHA, PhD dr. Mefri Yanni, Sp.JP (K), FIHA
dr. Bagus Andy Pramono, Sp.JP,FIHA dr. Valerina Tampubolon, Sp.JP (K), FIHA
dr. Mefri Yanni, Sp.JP (K), FIHA dr. Lenny Kartikasari , Sp.JP, FIHA
Dr. dr. Bambang Widyantoro, Sp.JP (K) ,FIHA, PhD
Chairman :
dr. Fanny Fauziah Abdullah, M.Kes, Sp.JP, FIHA
Publication
Secretary dr. Tuko Srimulyo, Sp.JP,M.Kes, FIHA
dr.Tengku Winda Ardini, Sp.JP,FIHA dr. Wella Karolina, Sp.JP, FIHA
dr.Lira Firiana, Sp.JP,FIHA
Phone / Fax: +62 8223 268 3785

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SURABAYA 60118
PROPOSAL REV.1
Phone / Fax: +62 8223 268 3785


Proposal Sponsorship ACSA 2023 Intension 0406

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SPONSORSHIP PROPOSAL

SECRET LANGUAGE OF THE HEART

3RD IN-TENSION SUMMIT

Phone / Fax: +62 8223 268 3785

SYMPOSIUM AND WORKSHOP VENUE

Phone / Fax: +62 8223 268 3785

NO DESCRIPTION QUOTATION (IDR) BENEFITS

PRE-LUNCH (SAT,SUN),MID-DAY (SUN)

Phone / Fax: +62 8223 268 3785

WARM UP (SAT), AFTERNOON

Phone / Fax: +62 8223 268 3785

• Logo at Web, Slide about product at the end of

1 topic, each 30 minutes, in one of Workshop session

1 topic, each 20 minutes, in one of Symposium session

GRANDPRIZES OF BBC,ORAL PRESENTATION,

Phone / Fax: +62 8223 268 3785

Devie Caroline, MD,FIHA Fanny Fauziah Abdullah, MD,FIHA,M.Kes

Phone / Fax: +62 8223 268 3785

Chairman of ACSA 2023 Chairman of 3rd In-Tension 2023

QUANTITY DESCRIPTION PRICE (IDR) SUBTOTAL

COMPANY NAME :…………………………………………………………………………

Signature with Full Name

ALL PAYMENT SHOULD BE TRANSFERRED TO

Phone / Fax: +62 8223 268 3785

PLAN RUNDOWN SYMPOSIUM ACSA SURABAYA 2023 - 3RD INTENSION SUMMIT

TIME BALLROOM A BALLROOM B BALLROOM C

Phone / Fax: +62 8223 268 3785

Lunch Symposium Lunch Symposium Lunch Symposium

Cell with gray shades : already occupied

Phone / Fax: +62 8223 268 3785

DAY-2: SUNDAY, 15 OCTOBER 2023

Time Ballroom A Ballroom B Ballroom C

08.00-08.20 M10Topic: M13Topic: M16Topic:

Phone / Fax: +62 8223 268 3785

Lunch Symposium FINAL BIG BEAT CHALLENGE Lunch Symposium

Pengumuman Pemenang Poster, Oral Presentation, BBC

14.15 -14.30 Co ee Break

Phone / Fax: +62 8223 268 3785

1. ACUTE CORONARY SYNDROME

Note : topic is not inal, still in discussion

Phone / Fax: +62 8223 268 3785

1.000.000 2.000.000 3.500.000 The price of WS is not

Med Student/Nurse/Technician 750.000

Phone / Fax: +62 8223 268 3785

ACSA COMMITTEE LIST

Patron Fund Raiser

Phone / Fax: +62 8223 268 3785

Audiovisual and Multimedia Committee

Registration Committee Booth and Exhibition Committee

Phone / Fax: +62 8223 268 3785

IN-TENSION COMMITTE LIST

Advisory Board: Treasurer- Sponsorship

Phone / Fax: +62 8223 268 3785

Phone / Fax: +62 8223 268 3785

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