Before you continue, for presenter please make sure you have received the acceptance letter (you can find and download it from your author account, for ICOLAE, ICGDM, ICCEE, ICB-Pharma and ICETIA the acceptance letter is acceptance email) and you have paid the registration fees as instructed in the acceptance letter. For listener or participant, you can pay the registration fees and upload your payment proof in this online form. Basic Information Front salutation For example, Prof, Dr. dr., drg. Ir., Mrs., Mr., Ms. that will appear in front of your name Name * Please type your complete name (as in your passport or your ID card). Trailing salutation For example: SH, MA, M.Pd.I, SP.OG that will appear after your name Phone No * Phone no in case we need to contact you. Email * Please enter the correct and active email. The registration confirmation will be sent to this email University / Affiliation * Please type the office you are working with or the funding sponsor for the paper. (for example: Universitas Muhammadiyah Surakarta) Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Registration Status and Payment Conference Name * - Select -MESTICHWBICB-Pharma Select the name of the conference Registration Status Paper/Publication Participant/Listener Bank Name: Bank Mandiri Account Number: 138-00-1892957-5 Account Holder: PT. Sinergi Teknik Berkemajuan Address: Bank Mandiri, KCP Solo Nusukan, Surakarta, Indonesia Swift: BMRIIDJA MEST (Mechanical Engineering, Science and Technology) Participant Category Overseas Indonesian Regular Paper (all authors from Indonesia) - 3,750,000 IDR International Paper (authors from different countries, or single country outside Indonesia) 200 USD - Paper in Bahasa Indonesia (need English translation) - 4,650,000 IDR Bank Name: Bank Mandiri Account Number: 138-00-1892957-5 Account Holder: PT. Sinergi Teknik Berkemajuan Address: Bank Mandiri, KCP Solo Nusukan, Surakarta, Indonesia Swift: BMRIIDJA Participant or listener IDR 100,000. You will receive a certificate as a participant. Bank Name: Bank Jateng Syariah Account Number: 6013113464 Account Holder: ICHWB Swift: PDJGIDJAXXX or use our PayPal account https://www.paypal.com/paypalme/ichwbUMS International Conference on Health and Well-Being (ICHWB) Participant Category Overseas Indonesian General Presenter 40 USD 500,000 IDR Undergraduate Student 10 USD 200,000 IDR Non-Presenters 5 USD 100,000 IDR International Conference on Health and Well-Being (ICHWB) Publication Category Overseas Indonesian Atlantis Press Conference Proceedings 150 USD 2,000,000 IDR ISSN Proceedings Included in Conference Fee Included in Conference Fee Bank Name: Bank Jateng Syariah Account Number: 6013113464 Account Holder: ICHWB Swift: PDJGIDJAXXX or use our PayPal account https://www.paypal.com/paypalme/ichwbUMS Participant or listener IDR 100,000 (5 USD for overseas). You will receive a certificate as a participant. Bank Name: Bank Negara Indonesia Account Number: 3500750033 Account Holder: Fakultas Farmasi UMS Swift: BNINIDJAXXX ICB-Pharma (International Conference Current Breakthrough in Pharmacy) Participant Category Indonesian Publication Atlantis Press 2,000,000 IDR Not available. Paper Data Paper ID * Type the paper ID number ONLY (for example 142963). DO NOT use dash (-) or any prefix, such as P. Paper Title * This paper will be presented at the conference * Yes No Name of Presenter * The name of the presenter will be printed in the certificate (including the titles/degrees) Presentation File Since you are unable to attend, please upload your presentation file (narrated ppt with video), or recorded presentation video, max 10 minutes here so other will have access your valuable presentation.Files must be less than 32 MB.Allowed file types: pdf ppt pptx odp avi mov rar zip mp4. Payment Proof Payment Proof * Files must be less than 10 MB.Allowed file types: gif jpg jpeg png bmp tif pdf. Message to treasurer