Registration Form KPPIK 2012


Registration FEE

Symposium:

General Practitioner , Before Jan 31st: IDR 700.000, After Jan 31st:  IDR 800.0000, On Site: IDR 900.0000,-

Specialist,  Before Jan 31st: IDR 800.000, After Jan 31st:  IDR 1.000.0000, On site: IDR 1.200.000,-

KPPIK 2012 Form

Please enter your details for registration
    Pembayaran dapat ditransfer ke rekening panitia di: Bank BNI Cabang UI Depok, No.Rek: 0225954600, a/n. Tony Loho,dr. Kirimkan bukti pembayaran melalui fax ke 021-3106443, atau email ke kppik2012.cmefkui@gmail.com