AUTHOR’S BIOGRAPHY

Presenter
Photograph

Name of Presenter :
Paper Title :
PIT IAGI Paper No. :

Educational Background :
Professional Affiliations: :

Current Employment & Position :

Previous Employment (if applicable) :

Previous Publications :

Professional Awards & Recognition :

 COPYRIGHT DECLARATION

I certify that I have obtained all customary permission to use any copyright material which appears
in my paper for the 47th Pekan Ilmiah Tahunan (PIT) IAGI Pekanbaru 2018, and also permission from
any appropriate organization for the paper to be pre-printed and published in the proceedings of
this convention. I understand that the copyright of this paper will rest with the PIT IAGI 2018
Technical Program Committee. I understand that if this paper has been published, in part or in
whole, before the convention specific permission from the previous organizer/publisher will be
obtained and submitted to the PIT IAGI 2018 Technical Program Committee.

Signature :
Date :
Name :

Company :
Paper Title :

PIT IAGI Paper No :

 DECLARATION OF ORIGINALITY

I hereby declare that the submitted manuscript:

PIT IAGI 2018 Reference No :

Tittle :
Authors :

Was composed by and originated entirely from me and my co-authors. Information derived from
published and unpublished works of others has been duly cited in the text and full references are
given in the reference list. I am fully aware that the PIT IAGI 2018 may check this manuscript for
evidence of plagiarism using automated plagiarism software packages.

Name :

Signature :

Date :

Note:

Please fill all forms and return to Technical Program Committee of PIT IAGI
<paper.jointconvex@gmail.com>