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The 6^th International Nursing Conference Polkesta

Participant Data

Identity Number (KTP / Passport)

Title

First/Given Name(s)

Surname/Lastname

Name on The Certificate

Department

Institution/University

Country of Institution

City of Institution

Mobile Number / WhataApp Number

E-mail Address

Participant Type

Participant + Full Paper + Oral Presentation (IDR 500,000)
Participant + Full Paper + Oral Presentation (IDR 500,000)

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