REGISTRATION FORM

Symposium Honoring Prof. Benjamin Lumantarna

1. Personal Information

2. Participant Category

Select all categories that apply to you (multiple selections allowed).

HAKI Membership Details

3. Payment Information

Registration Fee

IDR 250,000 / participant

Single Flat Rate for All Categories
QRIS Code Symposium

Scan QRIS using your Mobile Banking or E-Wallet

BCA, Mandiri, BRI, BNI, GoPay, OVO, ShopeePay, Dana, etc.

Download QR

Or Pay via Direct Bank Transfer:

BNI - 0054536775

a.n. Univ Kristen Petra Yayasan

Please upload your QRIS payment confirmation screenshot or Bank Transfer receipt.

Click to upload or drag and drop

Supports JPG, PNG, or PDF (Max. 5 MB)