Registration

International Benchmarking and Master Class on GRCS

Thank you for registering our program. Kindly fill in below the data of participant registering for the mentioned CRMS Indonesia program, including the Contact Person if available. Our Secretariat will proceed the registration soon after you submit this online form.

*) is mandatory field

    Title *

    First Name (as stated on Passport) *

    Last Name (as stated on passport) *

    Passport number *

    Birth date *

    Company / Institution *

    Position *

    Department / Division *

    Email 1 (Primary) *

    Email 2 (Alternative)

    Phone 1 (Primary) *

    Phone 2 (Alternative)

    Mailing Address (Street, City, Province, Country, Postal Code) *

    Contact Person (PIC) Detail (Email, Phone, Address) *

    Additional Request: Room - Single Supplement (1 room for 1 person) *
    *Additional cost: Rp 10.000.000

    Route *

    Package *

    Payment by *

    Additional Note or Request (e.g. vegetarian)

    Participant with the data above is registering for this program.

    Note:

    *) is mandatory field

    **) can be readjusted at any time according to the recent price and flight ticket availability

    Cancellations made approaching the event will be charged administrative costs as follows:

    • After 7 March 2025: 75% charge of full payment

    • After 28 March 2025: 100% charge of full payment