INSURANCE IN VOLATILE WORLD: STRENGTHENING RESILIENCE, TRUST & INNOVATION

YOGYAKARTA, 11 - 13 JUNE 2026

REGISTRATION FORM

Please fill in the form on the right to complete your registration.

Registration Fee

Domestic (Indonesia)

Early Bird: Rp 7.000.000

Regular: Rp 7.500.000

Overseas

Early Bird: USD 850.00

Regular: USD 900.00

🎉 Early Bird Registration! Special rates available until June 11, 2026

Informasi Umum General Information

Sapaan* Salutation

Nama Lengkap* Full Name

Jabatan* Job Title

Perusahaan* Company

Alamat Email* Email Address

Nomor Telepon* Phone Number
Gunakan nomor yang terhubung dengan WhatsApp Use a number connected to WhatsApp

Name to appear on conference Badge *

WhatsApp or Line *

Other email (alternative receiver) *

Association

Company Address *

City *

Postal Code *

Country *

Hotel

Risk Management Certification

Visa on Arrival

I need a Letter of Invitation from the Organizer for visa application purpose

Business Line

Insurer

Insured

Rating Agency

Auditor

Insurance Broker

Reinsurer

Consultant

Actuary

Reinsurance Broker

Regulator

Other

Vegetarian

I would like to have vegetarian meals during the Conference.

** All meals served at the Conference will be prepared without pork and lard.

Agreement *

I agree that the personal data that I provide will be used and published in accordance with the applicable privacy policy and terms & conditions.

Pertanyaan Tambahan Additional Questions

Bermalam* Overnight Stay

YA YES

TIDAK NO

Membawa Bagasi* Bring Luggage

TIDAK

Kode voucher / Coupon code