Registration Form

Dear colleagues,

We invite you to register for ICJS 1 2013 should you be planning to attend. Please fill in the application form below and submit it to icjs12013@gmail.com before November 1, 2013.

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Application Form

The First International Conference on Jambi Studies (ICJS 1) 2013

Deadline: November 1, 2013

Title (Prof/Dr/Mr/Mrs)                                :

First Name                                                      :

Last Name                                                       :

Position                                                            :

University/Organization                           :

Mailing Adress                                               :

Country                                                           :

E-mail Address                                               :

Phone                                                                :

Describe your educational background  :

Explain your expectations for being participate on ICJS 1:

Do you need an official letter of invitation?

Please choose one of the cost below which you refer to:   [A1]     [A2]     [A3]

                                                                                                       [B1]     [B2]     [B3]

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List of Registration Fee in Person

(Registration, seminar kit, proceedings,

accommodation & food catering during the conference, city tour)

Participant	Fee Categories	Hotel Room
Local	(A1) Rp. 3.500.000,00	1 room 1 person
	(A2) Rp. 2.000.000,00	1 room 2 person
	(A3) Rp. 500.000,00	without hotel room
International	(B1) US $ 400.00	1 room 1 person
	(B2) US $ 250.00	1 room 2 person
	(B3) US $ 75.00	without hotel room

* Accommodation of participant from his/her original province or country to the conference is not covered by the committee.

**Registration fee should be transferred after the notification e-mail.