Registration for the Laboratory Visit and Tour
Please fill out this form if you plan to attend the laboratory visit and tour
Personal Information
First Name
*
Last Name
*
Affiliation
*
Country of affiliation
*
Email
*
Phone Number
*
Lab. Visit
We plan to host 3 Lab visit: Siwabessy Nuclear Reactor, Neutron Scattering Laboratory, Advanced Material Lab. and Characterization. Please write your preferences of the lab that you want to visit (in case it exceeds maximum occupancy)
*
Copy of passport or KTP for Indonesian nationality is required to visit Siwabessy Nuclear reactor. If you plan to visit Siwabessy-Nuclear Reactor, you can upload your passport scan (or KTP for Indonesia nationality) here or bring the hard copy before the visit
Send a copy of this response to email address below.
Reset
Submit