CO-HOST REGISTRATION (PENDAFTARAN CO-HOST)
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Country (Asal Negara) *
Affiliation (Asal Universitas)
*
Name of Rector (Nama beserta gelar Rektor)
*
Name of Director’s Research Centre (Nama beserta gelar Ketua LPPM / LP3M)
*
Affiliation’s Email Address (Alamat Email Lembaga/ Universitas untuk surat menyurat)
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Affiliation’s Mailing Address (Alamat Lembaga/ Universitas untuk surat menyurat)
*
Name of PIC (Nama beserta gelar PIC)
*
PIC’s Mobile phone/ WA (No HP/ WhatsApp PIC)
*
PIC’s Email Address (Alamat Email PIC)
*
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