Add Hands-on Workshop

JSMID

Enter the Registration Number from your seminar confirmation email.

Registration Number *

Select Hands-on Session

Welcome back,

Only 1 Hands-on session per date. Dates you've already booked are locked automatically.

Hands-on fee to pay:

--

Virtual Account Payment

VA

Payment Proof *

Click or Drop your payment proof here

PDF or Image (up to 10MB)

I confirm the details above are correct and agree to the Terms and Conditions.

Registration Form

JSMID

Nationality *

Select your country of nationality.

Symposium Details

Details of participation

Event Name *

Participation Category *

Please select your registration category based on your professional status.

Select Hands-on Sessions (Max 1 per day)

Participant Details

Personal details of participant

Full Name (without title) *

Degree *

Gender *

Date of Birth *

Email Address (Institution) *

Phone Number *

Institution *

Passport / Student ID Number *

Participation as ? *

Proof of Participation

Upload CV, Pas Photo, and ID Card

CV *

Click or Drop your CV here

PDF only (up to 10MB)

Pas Photo *

Click or Drop your pas photo here

PDF or Image (up to 10MB)

Passport / Student ID Card *

Click or Drop your ID card here

PDF or Image (up to 10MB)

Payment Proof

Upload payment proof

Payment Proof *

Total registration fee to pay:

-- Select Ticket First --

(Seminar: 0 + Hands-on: 0)

Virtual Account Payment

Event Name: VA PUSPAS UNAIR - JSMID 2026

VA Number: 9883030300003856

Account Number: PUSPAS UNAIR - JSMID 2026

SWIFT Code: BNINIDJAXXX

Bank Name: BNI

Need help with the payment process?

Click or Drop your payment here

PDF or Image (up to 10MB)

Almost done

Review your details and sign up

Terms and Conditions

Delegates from Indonesian must possess active accounts on Satu Sehat and Plataran Sehat platforms to comply with national health reporting standards.
Cancellation Policy: Please be advised that all registration fees for the seminar and/or workshop (hands-on) are non-refundable and non-transferable upon successful transaction.

I have read and agree to the Terms and Conditions and the Privacy Policy.

Symposium Details

Details of participation

Event Name *

Participation Category *

Please select your registration category based on your professional status.

Select Hands-on Sessions (Max 1 per day)

Fri, 25 Sep 2026

Sat, 26 Sep 2026

Participant Details

Personal details of participant

Full Name (without title) *

Email Address *

Phone Number *

Institution Name *

NPA PDGI [10 digit NPA PDGI] *

NIK *

Proof of Participation

Upload Payment Proof

Payment Proof *

Total registration fee to pay:

-- Select Ticket First --

(Seminar: 0 + Hands-on: 0)

Virtual Account Payment

Nama Acara: JSMID

Nomor VA: 9887706200001928

Nama Rekening: PUSPAS UNAIR - JSMID 2026

Nama Bank: BNI

Need help with the payment process?

Click or Drop your payment here

PDF or Image (up to 10MB)

Almost done

Review your details and sign up

Terms and Conditions

Delegates must possess active accounts on Satu Sehat and Plataran Sehat platforms to comply with national health reporting standards.
Cancellation Policy: Please be advised that all registration fees for the seminar and/or workshop (hands-on) are non-refundable and non-transferable upon successful transaction.

I have read and agree to the Terms and Conditions and the Privacy Policy.

JSMID

Add Hands-on Workshop

Select Hands-on Session

--

Registration Form

Symposium Details

Participant Details

Proof of Participation

Payment Proof

-- Select Ticket First --

Almost done

Terms and Conditions

Symposium Details

Participant Details

Proof of Participation

-- Select Ticket First --

Almost done

Terms and Conditions

Transfer Guide