1. Personal Information
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Category
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Fellow in Training
General Practitioners
Interventional Cardiologist
Medical Technicians / Radiographer
Nurse
Other Specialist
Overseas Fellow in Training
Overseas General Practitioners
Overseas Interventional Cardiologist
Overseas Medical Technician/Radiographer
Overseas Nurse
Overseas Other Specialist
Full Name
(Without Any Title)
Full Name as in Passport
(Without Any Title)
NIK / NATIONAL IDENTITY NUMBER
Please fill in the information as registered in your Satu Sehat account
Registration Type
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Sponsored
Non Sponsored
Sponsor Name
Email Address
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OTP Code
30s
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Confirm Password
Mobile Phone Number
Institution
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Participant Category Selection
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