Register – Membership INASSDA

Choose your registration type

Company/University

IDR 2.500.000

Individual (Non-student)

IDR 500.000

Individual (Student)

IDR 100.000

Company/University Information

Company / University Name *

Please specify the sector in which your company operates *

Company Website

Company Phone Number *

Contact Person

Contact Person Name *

Designation

Individual Information

Full name *

Date Of Birth *

Select Category *

Student

Non-student

Name of Educational Institution/University *

Mobile Phone Number *

Address

Address *

State/Province *

City *

Post Code/Zip Code

Upload Supporting Files

Click The Choose File Button In Each Field To Upload Your File.

Max File Size: 10 MB

Please Upload Your Company NPWP (For Indonesian Company) Or Business License (For Non-Indonesian Company)

Business Card

Please Upload Your Student Card

Please Upload Your Business Card (Applied To Business Individual Person, 1 file, Max 10 MB)

Create your account & finish registration

Email *

Password *

Confirm Password *

I hereby declare that the information furnished above is true, complete and correct to the best of my knowledge and belief. I understand that in the event of my information being found false or incorrect at any stage, my subscription of membership shall be liable to cancellation / termination without notice or any compensation in lieu thereof. If accepted as a member, I agree to pay the prescribed annual subscription and to promote its aims and objects.