Enter team member information
Team member's
name
Team member's
contact		 + - - -
Nationality ※ Entry of nationality on passport
Email @
Affiliation School / Company

Department(school) / Department(company)

※ If you are a student, please enter your school name and department name.
If you are an office worker or a business, please enter your company name and department name.
※ When there is not affiliation, please fill in "none".
No Name Nationality Affiliation Contact Note
1 Handoko Dyan Aditya Indonesia Bukalapak / UI 08-5671-3282-8 Delete
2 Maria Triana Dewi Indonesia Embassy of the Republic of Korea / None 62-8180-4583-848 Delete
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