Full Name

Email

Country of Origin -- Choose -- Indonesia Thailand

Whatsapp / Phone / Mobile Number

Institution Name

Job Title / Position

Gender -- Choose -- Male Female Other / Prefer not to say

Choose Your Shirt Size -- Choose -- S M L XL XXL

Which forum will you attend? -- Choose-- Rector Forum Dean Forum Student Forum

Do you have any special needs? (e.g., dietary requirements, accessibility support)

Food Preference (e.g., Vegetarian, Vegan, All Foods) -- Choose-- All Foods Vegetarian Vegan

Do you have any food allergies?

Hotel on 26th August, 2025

Will you bring any guest (non participant)? (If yes, how many?)

Choose departure schedule on 24 August 2025 (departure from Institut Teknologi Kalimantan to the New Capital City) -- Choose-- 13.00 WITA / 12.00 (UTC+8) 16.00 WITA / 15.00 (UTC+8) 18.00 WITA / 17.00 (UTC+8) Traveling on your own

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