Evidence-Informed for Decision-Making: Bridging Research and Policy Processes

Complete the Following Form to Register for the 19th PGF Pre Conference Events

First Name*

Last Name*

Phone number (including country code)*

Email Address*

Address*

Country*

Position

Affiliation*

Pre-conference Event*

Evidence Based Informed for Sustainable Health Policy Making 4-5 June 2025

Participant Category*

Individual Offline Rp. 3.000.000

Group of 3 Person Offline Rp. 6.500.000

Individual Online Rp. 1.000.000

Group of 3 Person Online Rp. 2.000.000

Payment Information

Account Number: 9888807104110001
Name : S2 IKMM SEMINAR/WORKSHOP/TRAINING DEPARTMENT HPM
Bank : BNI UGM Branch
Swiftcode : BNINIDJAXXX

Proof of Payment