INAGA IIGCE 2013 WRITING COMPETITION

With theme:
Solutions to Advance Indonesia's Geothermal Energy Development to
Support
the Government's 10,000 MW Crash Program Phase II

WRITING COMPETITION ENTRY FORM

PERSONAL
INFORMATION
Name

:______________________________________________________

Designation

:______________________________________________________

Institution/Company

:______________________________________________________

Address

:______________________________________________________
______________________________________________________

Phone / Mobile Phone

No.

:______________________________________________________

E-mail Address

:______________________________________________________

Title of Essay

:______________________________________________________

CATEGORY ENTERED

Journalist

Public

Media ID Card
No.
ID Card
No.

Student

Student Card No.

: _______________
: _______________
: _______________

Name and Signature

By signing below, I affirm this writing entry is my original, and I agree to follow the
competition's rules and regulations.

__________, ______________ 2013

The competition's Rule and Regulation is available at www.inaga-iigce.com

______________________________
Please read the Rule and Regulation before submitting your entry.
Please submit this registration form together with the essay to:
writing.competition@inaga-iigce.com before midnight (WIB
TIME), Friday 31 May 2013.