Membership Number (leave this blank if you are not Member of APUD)

Nama Individu / Individual Name

Alamat Email / E-mail Address

Nomor WhatsApp / Mobile (WhatsApp) Number (e.g. +6281334441234)

Nama perusahaan, organisasi, atau institusi/name of company, organization, or institution / Company's/organization's/institution's Name

Nama jabatan atau posisi di perusahaan, organisasi, atau institusi/name of your official position in your company, organization, or institution

Buy Anniversary Package, Transfer To Bank Negara Indonesia (BNI) Account Number 0903856160 On Behalf Of Perkumpulan Perancang Perkotaan Asia Pasifik. Swift Code Bninidja. 18 January 2021 The Latest: (Choose One). -Choose Package Offline / Non Member : IDR 8,500,000 Per 1 Person Online, Free of Charge

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