Payment Confirmation Please enable JavaScript in your browser to complete this form.Name and titles *Example: Andi Hakim, Ph.DStatus *College studentLecturerScientistNationality *Place of birth *Date of birth *Passport *E-mail *Example: yourdomain@ipb.mailAffiliation *Example: Department of Aquatic Resources Management, Faculty of Fisheries and Marine Sciences, IPB University Student Card * Click or drag a file to this area to upload. Upload file in PNG, JPG, or JPEG format. Make sure the uploaded photo is clear and not blurry.Phone Number / WhatsApp *Payment for *Participant/Student Presenter/Regular PresenterParticipantStudent PresenterRegular Presenter Total Payment *$ 0.00Notes: [10 USD = IDR 100,000] [100 USD = IDR 1,000,000] [150 USD = IDR 1,500,000]Payment Methode *Bank Transfer / Paypal TransferBank TransferPaypal TransferBank Name *Example: BCA, BNI, BRI, Mandiri, etc.Bank Account Under the Name (of) *Example: Sumardi NasutionTransfer Date *Paypal Account Name *Paypal Registered e-mail *Transaction ID *Payment Slip * Click or drag a file to this area to upload. Upload file in PNG, JPG, JPEG, or PDF format.CommentOptionalPhoneSubmit
