KINGS - Step 1 - Registration Form

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Full Name & Title

Please enter your full name and title.

Format: Title. Full Name, Specialization

NIK (ID Citizen Number)

Please enter a valid 16-digit NIK number.

Phone / WhatsApp Number

Please enter your phone number.

E-mail Address (as registered at SatuSehat Kemenkes Portal)

Please enter a valid email address.

Institution / Affiliation

Please enter your institution name.

Participant Category

Please select a participant category.

City

Please select your city.

Full Name & Title

Format: Title. Full Name, Specialization

Passport Number

Phone Number

Email Address

Institution / Affiliation

To ensure accurate SKP Kemenkes credit point issuance through SATUSEHAT portal, please make sure your FULL NAME, E-MAIL ADDRESS, and NIK NUMBERS match your SATUSEHAT account.
Your confirmation and e-ticket will be sent to your registered e-mail and whatsapp number within 24 hours of sucessful registration.
For registration assistance, please contact our secretariat PIC through WhatsApp at +62 813-8037-1283 (Mrs. Maria).
The registration is unable to be transferred to other eligible participants.
All the materials presented during the event is for education purposes only, and not to be copied and used for other events without any faculty consent.
The organizing committee reserves the right to postpone, reschedule, or cancel the event due to force majeure cause.
Personal data collected during the registration process will be used solely for the administration of the event. Your data will not be disclosed to third parties without your consent, except where required by Indonesian law or for Kemenkes SKP credit point registration.
A certificate of attendance will be issued digitally through SATUSEHAT portal for participants eligible on SKP credit points. The other participants will receive e-certificate of attendance from the event organizing committee and related affiliations.