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Registration IndAAC 6.0 DIY 2025

Welcome to registration form for Indonesian Anti Aging Conference 6.0 DIY 2025! "Current Updates on Anti-aging, Wellness, and Aesthetics, as well as Developments in Business and Branding Aspects" Friday-Sunday, 2-4 May 2025 (3 days) Grand Rohan Jogja (Jl. Raya Janti, Banguntapan, Bantul) Information: http://wa.me/628112957269 (dr. Merisa WR, MARS, AIFO-K)

Personal information

Full Name

NIK (Untuk Plataran Sehat)

Phone Number (Whatsapp Active)

Email Address

Sudah memiliki akun LMS/ Plataran Sehat

Kepesertaan

Jika Anda Dokter Internsip, sebutkan nama wahana saat ini bertugas dan periode bertugas

Kehadiran Gala Dinner Ekslusif (Terbatas untuk Post Internship Doctor)

*Mohon maaf untuk Kuota Gala Dinner sudah terpenuhi

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Bank Account:

Bank Mandiri 1370016018059

Bank BCA 0373350581

a.n. Merisa Widowati

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