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ICOLED Registration Form for participant
The 1st International Conference on Literacy and Education
If you have any question, please reach us at
icon@pbing.org
or WA: +62-81345315164
Note:
ICOLED Registration Form for participant. No need to submit abstract or paper
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Email
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Your email
Name to appear on certificate
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Name to appear on certificate including title, e.g: Dr. John Doe
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Affiliation
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Position
Lecturer
Student
Teacher
Researcher
Librarian
Other:
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Sex
Male
Female
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Telephone / WA Number
*
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Mailing address (including postal code)
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Country
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State / Province
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City
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How did you know about the international conference?
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Social media (including chat applications)
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I understand that I will have to pay registration fee as participant upon successful registration (Check your email inbox for the copy of your response)
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A copy of your responses will be emailed to the address you provided.
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