16th Asia Pacific Congress of Pediatrics (APCP) 2018
9th Annual Scientific Meeting of Indonesian Pediatric Society (ASMIPS/PIT)
SDGs and Reducing Inequalities: How Far Have We Come?
25-29 August 2018
The 6th Asia Pacific Congress of Pediatric Nursing (APCPN)
Pediatric Nurses - A unified Voice towards Achieving SDGs and Reducing Inequalities
28-29 August 2018
Bali Nusa Dua Convention Center (BNDCC)
Nusa Dua - Bali, Indonesia

Registration Form

Registration Type

Nationality *



Registration Type *



Registration Package *



Personal Information

Prefix *



First Name *



Last Name *



Name on Certificate (Full Name Without Title) *



Institution *



Gender *



Date of Birth *






Email *



Mobile *



Address *



City *



Country *



Postal Code/ZIP Code *



Are You Sponsored?



Social function  Gala Dinner      



Are You Vegetarian?



Accompanying Person Program

Accompanying Person












Accompanying Person are entitled to Gala Dinner, Seminar Kits, 1 (One) Free Tour Program and Access to the Exhibition Area.



Payment Information

Registration PackageIDR0



Additional chargeIDR0



Accompanying PersonIDR0
TotalIDR0



Credit Card Charge 3%IDR0



EDU ChargeIDR0
Grand TotalIDR0



Credit Card Charge: 3% (for Online Payment)



Additional Charge: IDR 5.000 (for Online Payment & Virtual Account)






Payment Method *



(*) Required