Preliminary Registration Form:
Name:
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Sex: Male Female |
Organization:
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Position:
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Title: |
Phone:
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Mobile: |
E-mail:
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Fax:
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Title of paper to be presented at the workshop:
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Workshop session at which you wish to present the paper:
BIODIVERSITY FIRE POVERTY WATER |
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Abstract of Paper (maximum 100 words):
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Do you want to participate in the workshop excursion on 24 September 2005? yes no
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Note:
Please return the attached registration form by 31st August 2005 to the following contact person:
Suwido H. Limin
CIMTROP
University of Palangka Raya
Jalan Yos Sudarso
Palangka Raya 731112
Central Kalimantan, Indonesia
Phone: +62 536 3236880
Fax: +62 536 3225728
Email: suwido_cimtrop@yahoo.com