JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Confirmation Form of Publication ICESE 2019 (Form Konfirmasi Jalur Publikasi ICESE 2019)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name (Nama)
*
Your answer
Paper Code (Kode Paper)
*
Your answer
Email Address (Alamat Email)
*
Your answer
Mobile Phone Number (No. HP)
*
Your answer
Bank Account Name (Nama Pemilik No Rekening)
*
Your answer
Account Number (Nomor Rekening)
*
Your answer
Bank Name (Nama Bank)
Your answer
Hereby declare that the author/s agree/s to (Menyatakan bahwa penulis):
*
Agree for publication (Setuju untuk publikasi)
Not Agree for publication (Tidak setuju untuk publikasi dan bersedia untuk menarik manuskrip)
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UNNES.
Report Abuse
Forms
