Japanese

Registration Form Japan-Indonesia Economic Seminar Okura Hotel, Tokyo, Japan - October 8, 2003 Name : Section/Position : Company/Organization : Address : Telephone/Facsimile : Email : Registration Fee \10,000 (ten thousands yen) per person, incl. Sertificate of Participation, will be: Transfer to: Office Promosi, Ltd. Bank of Tokyo Mitsubishi - Kanamachi Branch, Tokyo (Yen currency only) Acc. No.0005-202-0852344 Send by Registered Mail-Post (genkin kakitome) to: Richard Susilo 1-1-1-1008, Oyada, Adachi-ku, Tokyo 120-0001 Deadline: September 27, 2003