form registration – AOSPR BALI 2024

Registration

Personal Information

Please enter your Full name (same as your official identity record) as your registration details will be used for the issuance Certificate of Attandance after the Meeting.

AOSPR Registration Form

Title

First Name

Last Name

NIK / ID Card (For Indonesian Citizen)

Profession

Organization / Institution

Address

Address Line

Country

Verify Email

Phone/Mobile

Conference Category

File Upload (Proof of payment)

Choose File

Are you willing to be contacted by the sponsor for the latest information?

Yes