ࡱ> ad`Y t bjbj[[ >*9 \9 \d,,  8 $!\ [Jp!:!!!!""":[<[<[<[<[<[<[$_a`[ """""`[ !!u[_%_%_%" ! !:[_%":[_%_%2RW!P,)=#pxT.&[[0[TnIb#Ib\WWfIb zX""_%"""""`[`[A$"""[""""Ib""""""""",> j: ANNEX REGISTRATION FORM Indonesia Stakeholders Workshop for Coastal Inundation Forecasting Demonstration Project (CIFDP-ISW) Jakarta, Indonesia, 3 -6 December 2013 Country: Service or Organization: Title (Dr/Mr/Ms/): Last Name: First name: Telephone: E-mail: Arrival: Flight Number: Date: Time: Departure: Flight Number: Date: Time: Type of room: (Single/Double)  Date: Signature: To be returned not later than 30 November 2013 to the Local Organizing Committee: Email:  HYPERLINK "mailto:marjuki_mj@yahoo.com" marjuki_mj@yahoo.com, or  HYPERLINK "mailto:nelly.florida@bmkg.go.id" nelly.florida@bmkg.go.id or  HYPERLINK "mailto:nelly_frm@yahoo.com" nelly_frm@yahoo.com _________________     , t 駘nT:T:n3h@h!6OJPJQJ^JaJmH nHsH tH3h@hX6OJPJQJ^JaJmH nHsH tH,h@h!OJQJ^JaJmH nHsH tH$h@h!OJQJ^JaJnHtHh@h!OJQJ^JaJ$h@h!OJQJ^JaJmH sH /h@h!5OJQJ^JaJmH!nHsH!tH,h@hkVOJQJ^JaJmH!nHsH!tH,h@h!OJQJ^JaJmH!nHsH!tHxTkd$$Ifl70 P% %44 layt $G$Ifgd$(dxG$](a$gd!m$$(dxG$](a$gd!m$ ITkd$$Ifl70 P% %44 laytWkd^$$Ifl40 P% %44 laf4yt $G$Ifgd   ATkd$$Ifl70 P% %44 laytTkd.$$Ifl70 P% %44 layt $G$Ifgd $G$Ifgd!         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