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Mataram City International Convention Center, Yogyakarta - Indonesia 4-7 August 2017 th 11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS th 11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS “Global Challenges Interventions (Prevention, Control, Elimination, and Eradication) to Reduce Neglected Tropical Diseases: Improving Quality of New Generation” th 11 ICTP Yogyakarta, 4-7 August 2017 I N D O N E S I A V I S I T O U R W E B S I T E www.ICTP2017.com Sponsorship & Exhibition Proposal International Pediatric Association Every Child Every Age Everywhere . .

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Page 1: Yogyakarta, 4-7 August 2017 11 ICTP thictp2017.com/ck_uploads/files/sponsorship.pdf · 4-7 August 2017 11 INTERNATIONAL CONGRESS OF th TROPICAL PEDIATRICS “Global Challenges Interventions

Mataram City International Convention Center, Yogyakarta - Indonesia

4-7 August 2017

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

“Global Challenges Interventions(Prevention, Control, Elimination, and Eradication)

to Reduce Neglected Tropical Diseases:Improving Quality of New Generation”

t h1 1 I C TPYogyakarta, 4 -7 August 2017

I N D O N E S I A

V I S I T O U R W E B S I T E w w w . I C T P 2 0 1 7 . c o m

Sponsorship & Exhibition Proposal

InternationalPediatricAssociation

Every Child Every Age Everywhere..

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Invitation from the Chairman

Overview

About ICTP

Organizing Committee

Speakers & International Members

Program-at- a-glance

Expected Outcome

Sponsorship Packages

Sponsorship Application Form

Exhibition

Exhibition Application Form

2

3

3

4

5

6

7

9

24

29

31

1Sponsorship & Exhibition Proposal

CONTENTS

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2 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

INVITATION FROM THE CHAIRPERSON

Dear Prospective Sponsors & Exhibitors,

It is with my great pleasure to announce that in 2017 the International Society of Tropical Pediatrics (ISTP), will be thhosting one of the most celebrated events, the 11 International Congress on Tropical Pediatrics (ICTP) which is

scheduled to be held at the Mataram City International Convention Center (MICC), Yogyakarta, Indonesia, from 4 to 7 August 2017. This important event will be organized by The Infectious Disease and Tropical Pediatrics Working Group of The Indonesian Pediatric Society.

Bringing the theme “Global Challenges Interventions (Preventions, Control, Elimination, and Eradication) to Reduce thNeglected Tropical Diseases: Improving Quality of New Generation”, the 11 ICTP will be an event to promote, develop

and advance education, research and care of diseases in the Tropics in all pediatric age groups. This event also offers an exchange of knowledge, skills and information between pediatricians and health professionals in the �eld of Tropical Pediatrics.

On behalf of the Organizing Committee, I am very pleased to invite you to becoming the sponsor and exhibitor of the th11 ICTP, and making this congress a great success with expected attendees of 800 national and international

practitioner and experts from the pediatric societies, pediatrician, other specialist, and General Physician.

A wide range of preventions, control, elimination, and eradication strategy of neglected tropical infectious diseases will be presented and discussed in the meeting. A professional, commercial exhibition will be held concurrently to provide diverse communication channel. The exhibition will highlight up-to-date technological innovations, products and services related to the development of health care of children in the tropical region.

I hope you take this great opportunity to promote your product and services to a highly respected audience in the industry. Kindly �nd enclosed the sponsorship packages and exhibition information to suit your need and requirement. Should you require further information, please feel free to contact our secretariat.

I do appreciate your kind contribution to this remarkable congress and exhibition. I believe with your participation and thvaluable support, the 11 ICTP will be a successful one.

With warmest regards,Prof. Sri Rezeki S. Hadinegoro, MD, PhD

thChairperson of 11 ICTP

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OVERVIEW

ABOUT ICTP

Event’s Name:thThe 11 International Congress on Tropical Pediatrics (ICTP)

Date:4 – 7 Agustus 2017

Venue:Mataram City International Convention Center, Yogyakarta, Indonesia

Scale:Number of Participants: 800 (international & national participant)Exhibition Size: 28 booths

Host:International Society of Tropical Pediatrics (ISTP)Indonesian Pediatric Society (IPS)

Organizer:The Infectious Disease and Tropical Pediatrics Working Group of the Indonesian Pediatric Society

Secretariat:Child Health Department, Cipto Mangunkusumo Hospital,

thIRJT Building, 5 FloorJl. Diponegoro No. 71, Jakarta 10430Phone : +62 21 390 7742Fax : +62 21 390 7743Email : [email protected]

The International Congress of Tropical Pediatrics is regular triennial congress organized by International Society of Tropical Pediatrics and hosted by different member countries. This Congress usually attended by hundreds to thousands of scholars, scientist, practitioner, experts and specialist of pediatrics society and pediatrician from all over the world.

Previous International Congress of Tropical Pediatrics.

st1 ICTP 1987 : Bangkok, Thailandnd2 ICTP 1990 : Kenyard3 ICTP 1993 : Luxor, Egyptth4 ICTP 1996 : Kuala Lumpur, Malaysiath5 ICTP 1999 : Jaipur, Indiath6 ICTP 2002 : Ankara, Turkeyth7 ICTP 2005 : Sharm el-Sheikh, Egyptth8 ICTP 2008 : Manila, Philippinesth9 ICTP 2011 : Bangkok, Thailand

th10 ICTP 2014 : Nairobi, Kenyath11 ICTP 2017 : Yogyakarta, Indonesia

Programs:1. Pre-Congress Workshops2. Welcome Reception3. Opening Ceremony4. Keynote Speeches5. Plenary Symposium6. Parallel Symposium7. Meet the Experts8. Lunch Symposium9. Free Papers10. Poster Presentations11. Business Meeting12. Participant Gathering13. Faculty Dinner14. Exhibition15. Tours

Website:www.ICTP2017.com

Congress Organizer:Pacto ConvexGrand Sahid Jaya Hotel

nd2 Floor, Shopping Arcade S2Jl. Jend. Sudirman No.86, Jakarta 10220CP : Mr. Aryo Wahyu PrabowoMobile : +62 812 2113 1100Phone : +6221 570 5800, 573 5538Fax : +6221 570 5798E-mail : [email protected]

3Sponsorship & Exhibition Proposal

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4 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

ORGANIZING COMMITTEE

PATRONS• Governor of Yogyakarta• President of Indonesian Medical Association• Director General of Disease Control and Environment

Sanitation, Indonesian Ministry of Health

ADVISOR• Aman B Pulungan (President of IPS)• Michael Krawinkle (Advisor of ISTP)• Lulu C Bravo (Executive Director of ISTP)

STEERING COMMITTEE• Usa Thisyakorn (Standing Committee of ISTP)• Antonius H Pudjiadi (Deputy of IPS)• Sumadiono (Chairman of IPS Yogyakarta Branch)• MM DEAH Hapsari (Chairperson of the Infectious Disease

and Tropical Pediatrics Working Group of IPS)• Ismoedijanto M (Member of the Infectious Disease and

Tropical Pediatrics Working Group of IPS)

ORGANIZING COMMITTEE• Chairperson : Sri Rezeki S. Hadinegoro• Vice Chairperson : Syahril Pasaribu• General Secretary : Hindra Irawan Satari• Secretary I : Ida Sa�tri L• Secretary II : Nina Dwi Putri• Treasurer I : Mulya Rahma Karyanti• Treasurer II : Ratni Indrawanti

SECTIONS• Ari Prayitno• Ida Sa�tri L

Organization Meeting• Anggraini Alam (Chair)• Retno Palupi• Amar Widhiani• Debby Latupeirissa• Irene Ratridewi• Leni Kartina• Riyadi

Exhibition• Fedriyansyah (Chair)• Agung Triono• I Wayan Gustawan

Publication & Documentation• Kiki Mediapermana Kustiman Samsi (Chair)• Hendri Wijaya• Risky Kawa

Social Program • Cahya Dewi (Chair)• Pratiwi Andayani• Dyani Kusumowardhani

Scienti�c Program • Sri Rezeki S. Hadinegoro (Chair)• Ismoedijanto M• MM DEAH Hapsari• Alex Chairulfatah• IGN Putu Arhana• Narain H Punjabi• Kiki Mediapermana Kustiman Samsi• Suryadi Tantura• Edy Hartoyo• Yulia Iriani• Dominicus Husada• Ayodhia Pitaloka P• Eggy Arguni• Dwiyanti Puspitasari• Ninik Meutia P• Soemakto

Fund Raiser • Hardjono M Abdurrahman• Azhali MS• Chaeruddin Lubis• Herry Garna• TH Rampengan• Sjahril Pasaribu• Parwati S Basuki• Zarkasih Anwar• Sri Kusumo Amdani• Djatnika Setiabudhi

Logistic • I.M.G Dwi Lingga• Rinang Mariko

Transportation • Ahmad Lubaid

Accommodation • I.M.G Dwi Lingga• Linawati J

Security • Dedi Affandi• Nahwa Arkhaesi

Medical Team • Novie H Rampengan• Aqil Baihaqi

Food & Beverages • Lucia Mawarti• Sri Sulastri• Wina Sa�tri• Dewi Murniati

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5Sponsorship & Exhibition Proposal

International MembeRS LIST OF SPEAKERS

Fredrick N Were (Kenya)Mortada El-Shabrawi (Egypt)Lulu C Bravo (Philippines)Pornthep Chantavanich (Thailand) Michael Krawinkle (Germany)Mohd Sham Kasim (Malaysia)Sally Gatchalian (Philippines)Krisana Pengsaa (Thailand)Iqbal Memon (Pakistan)Rajeshwar Dayal (India)Hindra Irawan Satari (Indonesia)Philip Fischer (USA)Carden Johnson (USA)Sergio Cabral (Brazil)Angela Okolo (Nigeria) Tom W.J. Schulpen (Netherlands)Manuel Vega (Mexico)Kadriye Yurdakok (Turkey)

Fredrick N Were (Kenya)Pratap Singhasivanon (Thailand)Mortada El-Shabrawi (Egypt)Lulu C Bravo (Philippines)Tikki Elka Pangestu (Singapore)Usa Thisyakorn (Thailand)Pornthep Chantavanich (Thailand) Ron Dagan (Israel)H A Van Verburgh (Netherlands)Timo Vesikari (Finland)Iqbal Memon (Pakistan)Ben Marais (Australia)Rajeshwar Dayal (India)Tawee Chotpitayasunondh (Thailand)Leo YeeSin (Singapore)Nobuhiko Okabe (Japan)Jeffry Hanna (Australa)Rose Capeding (Philippines)HT Wickramasinghe (Sri Lanka)J Kevin Baird (United Kingdom-Indonesia)Weerasak Lawtongkum (Thailand)Daniel Goh (Singapore)Philippe Buchy (Singapore)Vicente Belizario (Philippines)Korelege Hashita Tissera (Sri Lanka)Indra Vythilingam (Malaysia)Zulki�i Ismail (Malaysia)

Nyoman Kandun (Indonesia)Amin Soebandrio (Indonesia)Ismoedijanto Moedjito (Indonesia)Syahril Pasaribu (Indonesia)Laksono Trisnantoro (Indonesia)Sri Rezeki Hadinegoro (Indonesia)Jane Supardi (Indonesia)Aryono Hendarto (Indonesia)Vinod Bura (WHO, Indonesia)Mohamad Sudomo (WHO, Indonesia)Mardiati Najib (Indonesia)Novilia Bachtiar (Indonesia)Suryadi Tantura (Indonesia)Dominicus Husada (Indonesia)Hindra I Satari (Indonesia)Mulya Rahma Karyanti (Indonesia)Eggi Arguni (Indonesia)Nina Dwi Putri (Indonesia)

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07.00 - 17.00

07.30 - 08.00

08.00 - 08.30

08.30 - 09.00

09.00 - 09.30

09.30 - 10.00

10.00 - 10.30

10.30 - 11.00

11.00 - 11.30

11.30 - 12.00

12.00 - 12.30

12.30 - 13.00

13.00 - 13.30

13.30 - 14.00

14.00 - 14.30

14.30 - 15.00

15.00 - 15.30

15.30 - 16.00

16.00 - 16.30

16.30 - 17.00

17.00 - 17.30

17.30 - 18.00

18.00 - 21.00

Opening & Workshop Pre-test

Tea Break

Lunch Break & Friday Praying

Poster SessionPoster

SessionBusiness Meeting

Coffee Break + Exhibition Visit

Coffee Break

Coffee Break + Exhibition Visit

Exhibition Visit

Coffee Break + Exhibition Visit

Welcome Speech

Welcome Cocktail

Gala DinnerFacultyDinner

Opening Ceremony & Opening Exhibition

Lunch Symposium (1-4)

Plenary Session (1 -3) Symposium (1-16)Pre-congress Workshop (1-3)

Free Paper FPLS

PS

Meet the Expert (1-8)ME

SSPW

PS-1

LS-1

LS-3

LS-2

LS-4

PS-3

ME-1

PW 1

PC 1

PW 1

SS 1

SS 5

SS 9

PW 2

PW 2

PW 2

SS 2

SS 6

SS 10

PW 3

PW 3

PW 3

SS 3

SS 7

SS 11

SS 4

SS 8

SS 12

PS-2

ME-2 ME-3 ME-4

Sunday, 06 August 2017Saturday, 05 August 2017Friday, 04 August 2017

PRE-CONGRESS WORKSHOPTIME

CONGRESS DAY 1 CONGRESS DAY 2

Monday, 07 August 2017

CONGRESS DAY 3

KONIKA

Coffee Break + Exhibition Visit

Closing Ceremony

PS-4

SS 13

SS14

SS15

SS16

ME-5 ME-6 ME-7 ME-8

FP

Re-registration

PROGRAM AT A GLANCE

6 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

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PARTNERSHIP OPPORTUNITIES SUMMARY TABLEthStand out from the crowd, enhancing your visibility at 11 ICTP 2017 gives you the advantage and can play a key part in helping you

achieve your congress objectives. Ensure your company bene�ts from the highest level of exposure hundreds of specialist groups: nurses, pediatricians, pharmacists, physicians and general practitioners. Sponsorship items are limited and are available on a �rst come �rst served basis.

* All Prices including 10% VAT* Sponsorship payment can be settled in Indonesian Rupiah based on current rate on the issuance of the invoice

Make the most of this triennial international congress by ensuring your company perfectly exposed to the stakeholders by signing up to these hand made to perfection corporate sponsorship packages.

PLATINUM IDR 1.000.000.000

GOLD IDR 750.000.000

SILVER IDR 375.000.000

Congress does not mean it needs to go all formal, right? Grab your opportunities to create a wider thnetwork with the delegates through 11 ICTP 2017 tailor made social event.

WELCOME COCKTAIL IDR 170.000.000

GALA DINNER at PRAMBANAN IDR 975.000.000

FACULTY DINNER IDR 100.000.000

LUNCH SYMPOSIUM IDR 200.000.000

PRE-CONGRESS WORKSHOP IDR 55.000.000

PARALLEL SYMPOSIUM IDR 50.000.000

MEET THE EXPERTS IDR 25.000.000

FREE PAPER AWARD IDR 40.000.000

These opportunities will allow you to catch the delegate's attention upon arrival at the event

DELEGATE BAG IDR 150.000.000

PROGRAM BOOK IDR 100.000.000

ADVERTISEMENT on PROGRAM BOOK

- INSIDE PAGE IDR 75.000.000

- RUN OF PAGE IDR 55.000.000

- HALF PAGE IDR 30.000.000

USB FLASH DISK 8GB IDR 90.000.000

BLOCKNOTE & PENS IDR 75.000.000

Scienti�c Program Sponsorship

3

Create the perfect �rst impression

4

SocialProgram Sponsorship

2

CorporateSupportSponsorship

1

7Sponsorship & Exhibition Proposal

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thInterested in the 11 ICTP 2017? Please contact us immediately:

Aryo Wahyu Prabowo (Mr.)thThe 11 ICTP Secretariat

Congress & Exhibition Organizer:PT Pactoconvex Niagatama

ndGrand Sahid Jaya Hotel, 2 Floor Arcade S2Jl. Jend Sudirman No. 86, Jakarta 10220, Indonesia

M: +62 812 2113 1100P: +6221 570 5800, 573 5538

[email protected]

+6221 570 5798

8 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

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CORPORATE SPONSOR

PLATINUM SPONSORValue @ IDR 1.000.000.000 (Incl. 10% VAT)

Open for 2 (two) Sponsors

Privileged Bene�t:• Complimentary 1 (one) session of Lunch Symposium on day 1, 5 August 2017. Topics and Speakers at the selected lunch

thsymposium session subject to be discussed and approved by Scienti�c Committee of 11 ICTP 2017. Symposium content, accommodation, transportation and fee for speakers and moderator to be provided by sponsor.

th th• An engraved Platinum Sponsor Plague of 11 ICTP 2017 will be given to company/ organization from the Host of 11 ICTP 2017 as a token of appreciation.

• Stage Announcement at Opening and Closing Ceremony

Complementary Invitation:• Complimentary 8 (eight) persons to attend the Opening Ceremony & Congress Programs.

Printed Materials:• Complimentary 1 (one) full page color advertisement inside front cover OR inside back cover of Program Book. Artwork to be

provided by sponsor.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.• Company/organization's logo on 10 (ten) Pennants placed at the entrance of Mataram City International Convention Center.• Company/organization's logo on 1 (one) Welcome Banner placed at the entrance of Mataram City International Convention Center.• Company/organization's logo on 1 (one) Welcome Banner strategically placed around the Mataram City International Convention

Center. Share logo with other sponsors.

Publicity:• Company/organization's logo on the Of�cial Congress Website with a link to company/organization's website

(www.ictp2017.com).

Business Opportunities:• Complimentary exhibition space of 18 sqm (3 booths) at the Exhibition area.• Insertion of promotion brochures and gifts from sponsor in the Delegate Bag. Promotional materials to be provided by sponsor.

Product sampling is not allowed

Compensations Offered:

9Sponsorship & Exhibition Proposal

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GOLD SPONSORValue @ IDR 750.000.000 (Incl. 10% VAT)

Open for 2 (two) Sponsors

Privileged Bene�t:• Complimentary 1 (one) session of Lunch Symposium on day 2, 6 August 2017. Topics and Speakers at the selected lunch

thsymposium session subject to be discussed and approved by Scienti�c Committee of 11 ICTP 2017. Symposium content, accommodation, transportation and fee for speakers and moderator to be provided by sponsor.

th th• An engraved Gold Sponsor Plague of 11 ICTP 2017 will be given to company/ organization from the Host of 11 ICTP 2017 as a token of appreciation.

• Stage Announcement at Opening and Closing Ceremony

Complementary Invitation:• Complimentary 5 (�ve) persons to attend the Opening Ceremony & Congress Programs.

Printed Materials:• Complimentary Inside Page (two-page spread) color advertisement at Program Book. Artwork to be provided by sponsor.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.• Company/organization's logo on 7 (seven) Pennants placed around the Mataram City International Convention Center.• Company/organization's logo on 1 (one) Welcome Banner strategically placed around the Mataram City International Convention

Center. Share logo with other sponsors.

Publicity:• Company/organization's logo on the Of�cial Congress Website with a link to company/organization's website

(www.ictp2017.com).

Business Opportunities:• Complimentary exhibition space of 12 sqm (2 booths) at the Exhibition area.• Insertion of promotion brochures and gifts from sponsor in the Delegate Bag. Promotional materials to be provided by sponsor.

Product sampling is not allowed

Compensations Offered:

10 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

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SILVER SPONSORValue @ IDR 375.000.000 (Incl. 10% VAT)

Privileged Bene�t:th th• An engraved Silver Sponsor Plague of 11 ICTP 2017 will be given to company/ organization from the Host of 11 ICTP 2017 as a

token of appreciation.• Stage Announcement at Opening and Closing Ceremony

Complementary Invitation:• Complimentary 5 (�ve) persons to attend the Opening Ceremony & Congress Programs.

Printed Materials:• Complimentary 1 (one) full page color advertisement at the run of page of Program Book. Artwork to be provided by sponsor.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.• Company/organization's logo on 3 (three) Pennants placed around the Mataram City International Convention Center.• Company/organization's logo on 1 (one) Welcome Banner strategically placed around the Mataram City International Convention

Center. Share logo with other sponsors.

Publicity:• Company/organization's logo on the Of�cial Congress Website with a link to company/organization's website

(www.ictp2017.com).

Business Opportunities:• Complimentary exhibition space of 6 sqm (1 booth) at the Exhibition area.• Insertion of promotion brochures and gifts from sponsor in the Delegate Bag. Promotional materials to be provided by sponsor.

Product sampling is not allowed

Compensations Offered:

11Sponsorship & Exhibition Proposal

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12 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

SOCIAL PROGRAM SPONSOR

WELCOME COCKTAIL (4 August 2017) Value IDR 170.000.000 (Incl. VAT 10%)

GALA DINNER at PRAMBANAN TEMPLE (5 August 2017) Value IDR 975.000.000 (Incl. VAT 10%)

Open for 2 (two) Sponsors @ IDR 85.000.000Inclusive of 1 (One) session of presentation for each sponsorFor 300 pax – Venue, food, beverages, and live performance included in the sponsorship

Open for 2 (two) Sponsors @ IDR 487.500.000For 500 pax – Venue, food, beverages, and cultural performances included in the sponsorship (Date: 5 August 2017)Inclusive of 1 (one) session of presentation for each sponsor

• Company/organization's logo on the backdrop of Welcome Cocktail.• Opportunity for 1 (one) senior representative of the company/organization to make a short address at the Welcome Cocktail on

behalf of the company/ organization. (max. 5 minutes)• Complimentary 15 (�fteen) minutes of Presentation during the Welcome Cocktail. Topics and Speakers subject to be discussed and

thapproved by Scienti�c Committee of 11 ICTP 2017. Presentation content, accommodation, transportation and fee for speakers and moderator to be provided by sponsor• Complimentary 2 (two) persons to attend the Welcome Cocktail.• Formal invitation card of Welcome Cocktail provided by the organizer with company/ organization's name and logo.

th• Stage Announcement by the Host of 11 ICTP 2017.• 2 (two) representatives of the sponsoring company/ organization to be seated in the VIP table during the Welcome Cocktail.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.• Distribution of promotional brochures and gifts from sponsor at the Welcome Cocktail. Promotional materials to be provided by

sponsor. Product sampling is not allowed

• Company/organization's logo on the backdrop of Gala Dinner.• Opportunity for 1 (one) senior representative of the company/organization to make a short address at the Gala Dinner on behalf of

the company/ organization. (max. 5 minutes)• Complimentary 15 (�fteen) minutes of Presentation during the Gala Dinner. Topics and Speakers subject to be discussed and

thapproved by Scienti�c Committee of 11 ICTP 2017. Presentation content, accommodation, transportation and fee for speakers and moderator to be provided by sponsor• Complimentary 2 (two) persons to attend the Gala Dinner.• Complimentary 1 (one) full page color advertisement at the running page of Program Book.• Formal invitation card of Gala Dinner provided by the organizer with company/ organization's name and logo.

th• Stage Announcement by the Host of 11 ICTP 2017.• 2 (two) representatives of the sponsoring company/ organization to be seated in the VIP table during the Gala Dinner.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.• Distribution of promotional brochures and gifts from sponsor at the Gala Dinner. Promotional materials to be provided by sponsor.

Product sampling is not allowed

Compensations Offered:

Compensations Offered:

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13Sponsorship & Exhibition Proposal

FACULTY DINNER (6 August 2017)Value IDR 100.000.000 (Incl. VAT 10%)

Open for 2 (two) Sponsors @ IDR 50.000.000For 150 pax – Venue, food, beverages, & live music included in the sponsorshipInclusive of 1 (one) session of presentation for each sponsor

• Company/organization's logo on the backdrop of Faculty Dinner.• Opportunity for 1 (one) senior representative of the company/ organization to make a short address at the Faculty Dinner on behalf

of the company/ organization. (max. 5 minutes)• Complimentary 15 (�fteen) minutes of Presentation during the Faculty Dinner. Topics and Speakers subject to be discussed and

thapproved by Scienti�c Committee of 11 ICTP 2017. Presentation content, accommodation, transportation and fee for speakers and moderator to be provided by sponsor• Complimentary 2 (two) persons to attend the Faculty Dinner.• Complimentary 1 (one) full page color advertisement at the running page of Program Book.• Formal invitation card of Faculty Dinner provided by the organizer with company/ organization's name and logo.

th• Stage Announcement by the Host of 11 ICTP 2017.• 2 (two) representatives of the sponsoring company/ organization to be seated in the VIP table during the Faculty Dinner.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.• Distribution of promotional brochures and gifts from sponsor at the Faculty Dinner. Promotional materials to be provided by

sponsor. Product sampling is not allowed

Compensations Offered:

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14 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

SCIENTIFIC PROGRAM SPONSOR

Privileged Bene�t:• Complimentary 1 (one) session of Lunch Symposium on preferred date. Topics and Speakers at the selected lunch symposium

th session subject to be discussed and approved by Scienti�c Committee of 11 ICTP 2017. Symposium content, accommodation, transportation and fee for speakers and moderator to be provided by sponsor.

Complementary Invitation:• Complimentary 2 (two) persons to attend the Opening Ceremony & Congress Programs.

Printed Materials:• Opportunity to display 2 (two) standing banners at the meeting room during selected lunch symposium. Banner to be provided by

sponsor.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.

Publicity:• Company/organization's logo on the screen before the selected lunch symposium started.

Business Opportunities:• Distribution of promotional brochures and gifts from sponsor during the selected lunch symposium. Promotional materials to be

provided by sponsor. Product sampling is not allowed

Compensations Offered:

LUNCH SYMPOSIUM Value @ IDR 200.000.000 (Incl. VAT 10%)

Open for 4 (four) Sponsors 400 pax/session2 (two) sessions per day (Date: 5 and 6 August 2017)

LUNCH SYMPOSIUM TITLE DATE TIME

Saturday, 5 August 2017

Saturday, 5 August 2017

Sunday, 6 August 2017

Sunday, 6 August 2017

13.00 - 14.00

13.00 - 14.00

12.30 - 13.30

12.30 - 13.30

LS – 1

LS – 2

LS – 3

LS – 4

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15Sponsorship & Exhibition Proposal

Privileged Bene�t:• 1 (one) Full Day Workshop on the preferred date. Workshop content, air ticket, accommodation, and fee for speakers excluded.

Complementary Invitation:• Complimentary 1 (one) person to attend the selected workshop session.

Printed Materials:• Opportunity to display 2 (two) standing banners at the workshop room. Banner to be provided by sponsor.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.

Publicity:• Company/organization's logo looping on the screen before the selected workshop session started.

Business Opportunities:• Distribution of promotional brochures and gifts from sponsor during the selected workshop session. Promotional materials to be

provided by sponsor. Product sampling is not allowed

Compensations Offered:

PRE-CONGRESS WORKSHOP Value @ IDR 55.000.000 (Incl. VAT 10%)

Full Day Meeting Package (2 x Coffee Break, 1 x Lunch)Open for 3 (three) Sponsors 30 pax/workshop

PRE CONGRESS WORKSHOP TITLE DATE TIME

Friday, 4 August 2017

Friday, 4 August 2017

Friday, 4 August 2017

09.00 - 15.00

09.00 - 15.00

09.00 - 15.00

Update on Diagnosis and Management in Dengue Infection

Pediatric Travel Medicine in Tropical Countries

Healthcare Associated Infection: Antimicrobial Stewardship

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16 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

Privileged Bene�t:• 1 (one) Parallel Symposium on the preferred date. Symposium content, accommodation, transportation and fee for speakers and moderator to be provided by sponsor.

Complementary Invitation:• Complimentary 1 (one) person to attend the Congress.

Printed Materials:• Opportunity to display 2 (two) standing banners at the meeting room. Banner to be provided by sponsor.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.

Publicity:• Company/organization's logo looping on the screen before the selected symposium session started.

Business Opportunities:• Distribution of promotional brochures and gifts from sponsor during the selected symposium. Promotional materials to be provided

by sponsor. Product sampling is not allowed

Compensations Offered:

PARALLEL SYMPOSIUM Value @ IDR 50.000.000 (Incl. VAT 10%)

Open for 16 Sponsors (Date: 5, 6 and, 7 August 2017)200 pax/session

PARALLEL SYMPOSIUM TITLE DATE TIME

Saturday, 5 August 2017

Saturday, 5 August 2017

Saturday, 5 August 2017

Saturday, 5 August 2017

Sunday, 6 August 2017

Sunday, 6 August 2017

Sunday, 6 August 2017

Sunday, 6 August 2017

Sunday, 6 August 2017

Sunday, 6 August 2017

Sunday, 6 August 2017

Sunday, 6 August 2017

Monday, 7 August 2017

Monday, 7 August 2017

Monday, 7 August 2017

Monday, 7 August 2017

11.30 - 13.00

11.30 - 13.00

11.30 - 13.00

11.30 - 13.00

11.00 - 12.30

11.00 - 12.30

11.00 - 12.30

11.00 - 12.30

14.00 - 15.30

14.00 - 15.30

14.00 - 15.30

14.00 - 15.30

10.30 - 11.30

10.30 - 11.30

10.30 - 11.30

10.30 - 11.30

PS-1

PS-2

PS-3

PS-4

PS-5

PS-6

PS-7

PS-8

PS-9

PS-10

PS-11

PS-12

PS-13

PS-14

PS-15

PS-16

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17Sponsorship & Exhibition Proposal

Privileged Bene�t:• 1 (one) Meet the Experts Session on the preferred date. Symposium content, accommodation, transportation and fee for speakers and moderator to be provided by sponsor.

Complementary Invitation:• Complimentary 1 (one) person to attend the Congress.

Printed Materials:• Opportunity to display 2 (two) standing banners at the meeting room. Banner to be provided by sponsor.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.

Publicity:• Company/organization's logo looping on the screen before the selected session started.

Business Opportunities:• Distribution of promotional brochures and gifts from sponsor during the selected session. Promotional materials to be provided by

sponsor. Product sampling is not allowed

Compensations Offered:

MEET THE EXPERTS Value @ IDR 25.000.000 (Incl. VAT 10%)

Open for 8 Sponsors (Date: 6 and, 7 August 2017)30 pax/session

MEET THE EXPERTS TITLE DATE TIME

Sunday, 6 August 2017

Sunday, 6 August 2017

Sunday, 6 August 2017

Sunday, 6 August 2017

Monday, 7 August 2017

Monday, 7 August 2017

Monday, 7 August 2017

Monday, 7 August 2017

07.30 - 08.30

07.30 - 08.30

07.30 - 08.30

07.30 - 08.30

07.30 - 08.30

07.30 - 08.30

07.30 - 08.30

07.30 - 08.30

ME – 1

ME – 2

ME – 3

ME – 4

ME – 5

ME – 6

ME – 7

ME – 8

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18 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

• Prize money awards for 5 (�ve) winners. (@ IDR 3.000.000).• Certi�cate for Judges & Winners.

Printed Materials:• Company/ Organization's logo on Certi�cate Folder.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.

Business Opportunities:• Distribution of promotional brochures and gifts from sponsor during the Free Paper Award. Promotional materials to be provided by

sponsor. Product sampling is not allowed

Value includes:

Compensations Offered:

FREE PAPER AWARD Value IDR 40.000.000 (Incl. VAT 10%)

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19Sponsorship & Exhibition Proposal

RETAIL SPONSOR

PRINTING ARRANGEMENT

COFFEE BREAKIDR 75.000.000 (Incl. VAT 10%)

PROGRAM BOOK IDR 100.000.000 (Incl. VAT 10%)

ADVERTISEMENT ON PROGRAM BOOK

Number of attendees: 800 participantsOpen for 5 (�ve) sponsors @ IDR 75.000.000 for each Coffee Break.Venue, food and beverages included. Date: 5, 6, 7 August 2017

Number of copies: 800 pcs. Open for 1 (one) sponsor. Booking Deadline: 1 June 2017

Booking Deadline: 1 July 2017

Inside Page (two-page spread) Run of Page (one page) Half Page

• Complimentary placement card with company/organization logo above the coffee table at the selected date of Coffee Break.• Opportunity to display 2 (two) standing banners at the coffee break area. Banner to be supplied by sponsor. • Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.• Distribution of promotional brochures and gifts from sponsor during the selected Coffee Break. Product sampling is not allowed

• Complimentary full page color advertisement at the inside back cover of Program Book.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress

• Complimentary full page color advertisement at chosen one.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress

Compensations Offered:

Compensations Offered:

Compensations Offered:

IDR 75.000.000 (Incl. 10%) IDR 55.000.000 (Incl. 10%) IDR 30.000.000 (Incl. 10%)

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20 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

DELEGATE KITS

DELEGATE BAG IDR 150.000.000 (Incl. VAT 10%)

DELEGATE SOUVENIR (8 GB FLASH DISK)IDR 90.000.000 (Incl. VAT 10%)

CERTIFICATE IDR 75.000.000 (Incl. VAT 10%)

800 pcs. Open for 1 (one) sponsor

800 pcs. Open for 1 (one) sponsor

800 pcs. Open for 1 (one) sponsor

• Company/organization's logo on the inside part of the of�cial Congress Delegate Bag.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.

• Company/organization's logo on Flash Disk.• One page of Sponsor's Company Pro�le included inside the Flash Disk.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.

• Company/organization's logo on the inside part of the Certi�cate Folder.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.

Compensations Offered:

Compensations Offered:

Compensations Offered:

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21Sponsorship & Exhibition Proposal

BLOCK NOTE & PENIDR 75.000.000 (Incl. VAT 10%)

800 pcs. Open for 1 (one) sponsor

• Company/organization's logo on the Block Note & Pen.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.

Compensations Offered:

OTHERS

REGISTRATION COUNTER IDR 100.000.000 (Incl. VAT 10%)

Open for 1 (one) sponsor

• Company/organization's logo on the all of laptop at registration counter.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.• Distribution of promotional brochures and gifts from sponsor during Registration. Promotional materials to be provided by sponsor.

Product sampling is not allowed

Compensations Offered:

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22 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

HOSPITALITY DESK AT AIRPORT IDR 75.000.000 (Incl. VAT 10%)

WELCOME BANNER IDR 75.000.000 (Incl. VAT 10%)

Open for 1 (one) sponsor

Open for 1 (one) sponsor

• Company/organization's Logo displayed at the hospitality desk. Material to be provided by sponsor.• Opportunity to display 1 (one) standing banner at Hospitality Desk. Banner to be provided by sponsor.• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress.• Distribution of promotional brochures and gifts from sponsor during Registration. Promotional materials to be provided by sponsor.

Product sampling is not allowed

• Company/organization's logo on the Welcome Banner that will be displayed at the entrance area of Mataram City Convention Center.

• Acknowledgement in the Program Book.• Acknowledgement on the Panel List of Sponsors during the Congress

Compensations Offered:

Compensations Offered:

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SPONSORSHIP APPLICATION

• Please complete the Sponsorship Application Form and Contract and return to the Secretariat by email to [email protected] at your earliest convenience.

• In order to avoid problems, please send a copy of the bank's transaction to the Secretariat• Payment should be made in Telegraphic Transfer.• Payment should be made in INDONESIAN RUPIAH in FULL AMOUNT by bank transfer.

th• Any cancellation or changes of your participation must be noti�ed in writing to the 11 ICTP 2017• Congress Secretariat [email protected] and [email protected].• Refunds will be processed after the congress.• Cancellations and refunds are subject to the following conditions: - 50% of sponsorship value will be refunded for cancellation before 5 June 2017 - No refunds will be given started on 5 July 2017.

## Cancellation must be always con�rmed in writing: do not forget to include all your bank information.## All refunds are subject to an administrative fee IDR 1.000.000

• Sponsorship booking will be based on '�rst come �rst serve basis'. Acceptance of sponsorship will be con�rmed by the Organizer.• Printed material for advertisement must be received in time and in the proper format. Late submissions will not be included. The

Organizer will not accept responsibility for late deliveries, and cannot guarantee for the inclusion.

thIf The 11 International Congress of Tropical Pediatrics is cancelled to typhoon, earthquake, �ood, �re, social unrest or other causes beyond the control of the Organizing Committee of the Congress (force majeure), the Organizing Committee of the Congress reserve the right to cancel the Congress within 14 (fourteen) days before the Summit. If this should happen, the Organizing Committee will return the sponsorship item after deducting the expenditures occurred. The deduction should not exceed 20% of the original sponsorship.

Terms & Conditions

Cancellation

Others

Disclaimer

23Sponsorship & Exhibition Proposal

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SPONSORSHIP APPLICATION FORM & CONTRACT

Company

Address

City

Postal Code

Country

Phone

E-mail

Mobile

Person in Charge

Job Title

:

:

:

:

:

:

:

:

:

:

Company Profile

(Please describe your organization – max. 30 words)

Note: All acknowledgements of your company/organization and listing of company/organization name and address will be generated from above

REGISTERING COMPANY/ORGANIZATION INFORMATION

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th1 1 ICT PYo gya k a r ta, 4 - 7 A ug u st 2 0 1 7

I N D O N E S I A Mataram City International Convention Center, Yogyakarta - Indonesia

4-7 August 2017

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CORPORATE SPONSOR

Lunch Symposium 1 (5 August 2017)

Lunch Symposium 2 (5 August 2017)

Lunch Symposium 3 (6 August 2017)

Lunch Symposium 4 (6 August 2017)

Platinum

Gold

Silver

Pre-Congress Workshop 1 (4 August 2017)

Pre-Congress Workshop 2 (4 August 2017)

Pre-Congress Workshop 3 (4 August 2017)

200.000.000

200.000.000

200.000.000

200.000.000

55.000.000

55.000.000

55.000.000

SOCIAL PROGRAM SPONSOR

SCIENTIFIC PROGRAM SPONSOR

Welcome Cocktail 1(4 August 2017)

Welcome Cocktail 2(4 August 2017)

Gala Dinner at Prambanan 1 (5 August 2017)

Gala Dinner at Prambanan 2 (5 August 2017)

Faculty Dinner 1 (6 August 2017)

Faculty Dinner 2 (6 August 2017)

85.000.000

85.000.000

487.500.000

487.500.000

50.000.000

50.000.000

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

1.000.000.000

750.000.000

375.000.000

IDR

IDR

IDR

IDR

IDR

IDR

Lunch Symposium

Pre Congress Workshop

SPONSORSHIP APPLICATION FORM & CONTRACT

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th1 1 ICT PYo gya k a r ta, 4 - 7 A ug u st 2 0 1 7

I N D O N E S I A Mataram City International Convention Center, Yogyakarta - Indonesia

4-7 August 2017

SPONSORSHIP TYPE

SPONSORSHIP TYPE

SPONSORSHIP TYPE

SPONSORSHIP TYPE

PRICES

PRICES

PRICES

PRICES

ü

ü

ü

ü

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Parallel Symposium 1 (5 August 2017)

Parallel Symposium 2 (5 August 2017)

Parallel Symposium 3 (5 August 2017)

Parallel Symposium 4 (5 August 2017)

Parallel Symposium 5 (6 August 2017)

Parallel Symposium 6 (6 August 2017)

Parallel Symposium 7 (6 August 2017)

Parallel Symposium 8 (6 August 2017)

Parallel Symposium 9 (6 August 2017)

Parallel Symposium 10 (6 August 2017)

Parallel Symposium 11(6 August 2017)

Parallel Symposium 12 (6 August 2017)

Parallel Symposium 13 (7 August 2017)

Parallel Symposium 14 (7 August 2017)

Parallel Symposium 15 (7 August 2017)

Parallel Symposium 16 (7 August 2017)

Meet the Experts 1 (6 August 2017)

Meet the Experts 2 (6 August 2017)

Meet the Experts 3 (6 August 2017)

Meet the Experts 4 (6 August 2017)

Meet the Experts 5 (7 August 2017)

Meet the Experts 6 (7 August 2017)

Meet the Experts 7 (7 August 2017)

Meet the Experts 8 (7 August 2017)

25.000.000

25.000.000

25.000.000

25.000.000

25.000.000

25.000.000

25.000.000

25.000.000

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

Parallel Symposium

Meet The Experts

SPONSORSHIP TYPE

SPONSORSHIP TYPE

PRICES

PRICES

ü

ü

SPONSORSHIP APPLICATION FORM & CONTRACT

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th1 1 ICT PYo gya k a r ta, 4 - 7 A ug u st 2 0 1 7

I N D O N E S I A Mataram City International Convention Center, Yogyakarta - Indonesia

4-7 August 2017

Free Paper Award 40.000.000IDR

Free Paper Award

SPONSORSHIP TYPE PRICESü

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

50.000.000

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

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SPONSORSHIP APPLICATION FORM & CONTRACT

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th1 1 ICT PYo gya k a r ta, 4 - 7 A ug u st 2 0 1 7

I N D O N E S I A Mataram City International Convention Center, Yogyakarta - Indonesia

4-7 August 2017

Morning Coffee Break (5 August 2017)

Afternoon Coffee Break (5 August 2017)

Morning Coffee Break (6 August 2017)

Afternoon Coffee Break (6 August 2017)

Morning Coffee Break (7 August 2017)

Delegate Bag

Delegate Souvenir (8 GB Flash Disk)

Certificate

Block Note & Pen

Inside Page (Two-page spread)

Run of Page (One full page)

Half Page

Registration Counter

Hospitality Desk

Welcome Banner

150.000.000

90.000.000

75.000.000

75.000.000

75.000.000

55.000.000

30.000.000

100.000.000

75.000.000

75.000.000

RETAIL SPONSOR

IDR

IDR

IDR

IDR

IDR

IDR

IDR

USD

USD

USD

Coffee Break

Delegate Kits

Advertisement On Program Book

Others

SPONSORSHIP TYPE

SPONSORSHIP TYPE

SPONSORSHIP TYPE

SPONSORSHIP TYPE

PRICES

PRICES

PRICES

PRICES

ü

ü

ü

ü

Program Book 100.000.000IDR

Printing Arrangement

SPONSORSHIP TYPE PRICESü

75.000.000

75.000.000

75.000.000

75.000.000

75.000.000

IDR

IDR

IDR

IDR

IDR

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Signature

Full Name

Position

Date

:

:

:

:

We hereby agree to sponsor The 11th International Congress of Tropical PEDIATRICS to be held at the Mataram City International Convention Center, Yogyakarta on 4 – 7 August 2017.

SPONSORSHIP APPLICATION FORM & CONTRACT

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th1 1 ICT PYo gya k a r ta, 4 - 7 A ug u st 2 0 1 7

I N D O N E S I A Mataram City International Convention Center, Yogyakarta - Indonesia

4-7 August 2017

Please return the completed Form to:THSPONSORSHIP – THE 11 ICTP 2017

Aryo Wahyu Prabowo (Mr.)thThe 11 ICTP Secretariat

Congress & Exhibition Organizer:PT Pactoconvex Niagatama

ndGrand Sahid Jaya Hotel, 2 Floor Arcade S2Jl. Jend Sudirman No. 86, Jakarta 10220, Indonesia

M: +62 812 2113 1100P: +6221 570 5800, 573 5538

[email protected]

+6221 570 5798

Sponsors & Exhibitors Payment should be transferred to:

Name : Pengurus Pusat IDAI

Bank : BNI Cabang UI Depok

Account Number : 024 5453 893

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29Sponsorship & Exhibition Proposal

INVESTMENT COSTIDR 45.000.000 (Incl. VAT 10%) / 6 sqm (3m x 2m)

thAs part of 11 ICTP 2017, the exhibition space will provide a unique opportunity for exhibitors to showcase their products, services and educational programs to an estimated 800 participants, all with interests in all areas of pediatrics. The layout of the exhibition is expertly designed to ensure comfort to the delegates, optimized visitor �ow and therefore maximum exposure for the exhibitor. Coffee breaks will all take place on the exhibition �oor promoting frequent and repeated opportunities for the delegates to visit the exhibits and engage with you.

Venue : Pre-Function Ground FloorBooth Space : 28 boothsBooth Allocation : Booth spaces will be allocated according to the level of sponsorship and the order of the payment. However, the Organizer Committee may make necessary adjustmentBooth Operation Time : Set Up : 3 – 4 August 2017 Exhibition : 5 – 7 August 2017 Dismantling : 7 August 2017

THEXHIBIT AT 11 ICTP 2017Individualize your Presence and Showcase your Company

Directly!

• Speci�cation of standard booth:• Booth size 3m (H) x 2m (D) x 2.5m (H)• White laminated partition of shell scheme (R8) structure• Fascia of company name (lettering of PVC cut out)• 1 (one) reception desk• 2 (two) folding chair• Fluorescent light @40 watt• MCB 2 amp, single phase (440 watt)• Waste paper basket• Carpet

• Gain direct access to senior decision making• Raise Brand Awareness• Exchange Ideas, Educate• Present your Product and Service in an interactive environment• Collect Attendee Data

Bene�ts of Exhibiting

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30 th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

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EXHIBITION APPLICATION FORM & CONTRACT

Company's Name

Address

We wish to order the following space – Booth (s) No:

BOOTH (S) size (3m x 2m) IDR

Name

Position

Dept.

Mobile

Phone

Fax

E-mail

:

:

:

:

:

:

:

:

:

A. COMPANY INFORMATION

B. SPACE PREFERENCE

C. TYPE OF SPACE REGISTRATION

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th1 1 ICT PYo gya k a r ta, 4 - 7 A ug u st 2 0 1 7

I N D O N E S I A Mataram City International Convention Center, Yogyakarta - Indonesia

4-7 August 2017

Person in Charge

= IDR

= IDRTOTAL

Signature: Date:

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EXHIBITION APPLICATION FORM & CONTRACT

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th11 INTERNATIONAL CONGRESS OF TROPICAL PEDIATRICS

th1 1 ICT PYo gya k a r ta, 4 - 7 A ug u st 2 0 1 7

I N D O N E S I A Mataram City International Convention Center, Yogyakarta - Indonesia

4-7 August 2017

Company Profile

(Please describe your organization – max. 30 words)

Note: All acknowledgements of your company/organization and listing of company/organization name and address will be generated from above

Please return the completed Form to:THEXHIBITION – THE 11 ICTP 2017

Aryo Wahyu Prabowo (Mr.)thThe 11 ICTP Secretariat

Congress & Exhibition Organizer:PT Pactoconvex Niagatama

ndGrand Sahid Jaya Hotel, 2 Floor Arcade S2Jl. Jend Sudirman No. 86, Jakarta 10220, Indonesia

M: +62 812 2113 1100P: +6221 570 5800, 573 5538

[email protected]

+6221 570 5798

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Secretariat

Child Health Department, Cipto Mangunkusumo Hospital, IRJT BuildingJl. Diponegoro No.71, Jakarta 10430Telp. +61 21 390 7742 | Fax: +62 21 390 7743E-mail: [email protected]

Congress Organizer: Pacto ConvexTelp. + 62 21 570 5800 | 573 5538 | Fax: + 62 21 570 5798E-mail: [email protected]