Participant Registration

First Name

Last Name

Phone

Email

Fax

Nationality

Passport Number

Name of Company/Association / Organization

The Title for receipt of fees ( US$ 450 )

Title Name

Name of Company/Association / Organization

Position / Designation

Arrival Date

From

Flight No

Flight Time

Departure Date

To

Flight No

Flight Time

Post Conference Program (13th April 2019)

Spouse Program During Conference (11th April 2019)

Optional Program During Conference

Terms and Condition:

Please submit Conference Registration Form to acfif2019@apsyfi.org no later than 10 March 2019.

Conference Fee must be transferred to

  • Account Number 01030209 – 008
  • Asosiasi Produsen Synthetic Fiber
  • Bank Resona Perdania – Head Office
  • Swift Code BPIAIDJA

Fee for Post Conference Program and Spouse Program must be transferred to
Account Number 124 000 630 3771
PT. Cendekia Mulia Komunikasi
Bank Mandiri Branch Jakarta Tebet Supomo
Swift Code BMRIIDJA