Sabtu, 15 Maret 2008

REGISTRATION FORM

9th NEW GUINEA BIOLOGY CONFERENCE
UNIVERSITY OF CENDERAWASIH, JAYAPURA, INDONESIA
JULY 24-26, 2008



Name: _______________________________________________________________
(Surname) (First name)

Address: _________________________________________________________________________________________________________________________________________
Phone: ________________ FAX: ____________________ Email:
Name(s) of accompanying person(s): _________________________________________________________________________

I plan to attend this conference 1
I plan to present a paper 1
I plan to present a poster 1

Title of paper/poster: ________________________________________________________________________
________________________________________________________________________

Abstract: (Max. 250 words): send by email to biocon2008@yahoo.com


Presenter is a 1 student
1 non-student
For my presentation, I need: ............ (choice : OHP or LCD).

Signature:


Date:


You can copy this form and send by email to biocon2008@yahoo.com