PROPOSAL KEGIATAN

INDOMEDICA EXPO2017

‘Dokter Untuk Bangsa,Berdaulat Bersama Rakyat!’

10 - 12 Mei 2017 Hotel Clarion Makassar, Sulawesi Selatan

A P P L I C A T I O N F O R M INDOMEDICA EXPO 2017

Hotel & Convention Grand Clarion, Makassar

To : Organizer Telp : +62.21 58907366-68 Fax : +62.21 58906819 – 20 Email : hospital.expo@gmail.com I. NAME OF EXHIBITOR:

Address: ___________________________________________ Country: ______________________

Tel:______________________________________Fax:____________________________________i____________ Website: ________________________________ Email: ___________________________________ The space will be needed: __________________________ Block/No. Stand : Contact Person: ________________________________ Position: ___________________________ Name of Director: _________________________________________________________________

II. COMPANY NAME (on NPWP): _______________________________________________________ N.P.W.P. (For Indonesian Companies): _________________________________________________ Address: _________________________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included

Name & Title of Personnel: Authorized to Sign: Date:

AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED

STANDARD BOOTH SPACE ONLY Rp. 22.000.000,- Rp. 21.230.000,-

A P P L I C A T I O N F O R M INDOMEDICA EXPO 2017

Hotel & Convention Grand Clarion, Makassar

To : Organizer Telp : +62.21 58907366-68 Fax : +62.21 58906819 – 20 Email : hospital.expo@gmail.com I. NAME OF EXHIBITOR:

Address: ___________________________________________ Country: ______________________

Tel:______________________________________Fax:____________________________________i____________ Website: ________________________________ Email: ___________________________________ The space will be needed: __________________________ Block/No. Stand : Contact Person: ________________________________ Position: ___________________________ Name of Director: _________________________________________________________________

II. COMPANY NAME (on NPWP): _______________________________________________________ N.P.W.P. (For Indonesian Companies): _________________________________________________ Address: _________________________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included

Name & Title of Personnel: Authorized to Sign: Date:

AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED

STANDARD BOOTH SPACE ONLY Rp. 22.000.000,- Rp. 21.230.000,-

Proposal KegiatanIndomedica Expo 2017 - Ikatan Dokter Indonesia

-- 1 --

PROPOSAL KEGIATAN INDOMEDICA EXPO 2017

‘Dokter Untuk Bangsa, Berdaulat Bersama Rakyat!’

PROFIL IKATAN DOKTER INDONESIA

Sesungguhnya cikal bakal organisasi para dokter di Indonesia lahir pada tahun 1911 dengan nama Vereniging Van Indische Artsen yang kemudian dengan alasan munculnya kesadaran nasionalisme dan keinginan untuk mempersamakan status dengan dokter-dokter Belanda,

organisasi ini berganti nama menjadi Vereneging Van Indonesche Geneeskundigen (VIG). Disinilah berkumpul tokoh-tokoh pergerakan kemerdekaan seperti Dr. Wahidin Sudiro Hoesodo, Dr. Soetomo, Dr. Cipto Mangunkusumo dan lain-lain. Pada tahun 1948 lahir pula Perkumpulan Dokter Indonesia (PDI) di daerah pendudukan Belanda yang berfungsi pula sebagai organisasi perjuangan kemerdekaan, disamping itu di Yogyakarta berdiri Perkumpulan Thabib Indonesia (Perthabin) sebagai kelanjutan VIG.

Dengan didasari semangat persatuan dan kesatuan yang tinggi serta kesadaran bahwa tidak mungkin ada lebih dari satu organisasi profesi kedokteran dan kesadaran moral serta tanggung jawab yang tinggi pula, maka keduanya bersepakat meleburkan diri dan membentuk Ikatan Dokter Indonesia (IDI).

Tepat pada tanggal 24 Oktober 1950, Dr. R. Soeharto atas nama Pengurus IDI menghadap notaries R. Kadiman guna mencatatkan pembentukan Ikatan Dokter Indonesia (IDI) yang disepakati berdasarkan Muktamar Dokter Warga Negara Indonesia yang diselenggarakan pada tanggal 23-29 September 1950 di Deca Park, Jakarta.

Selanjutnya setiap tanggal 24 Oktober ditetapkan sebagai hari ulang tahun Ikatan Dokter Indonesia (IDI).

Keanggotaan IDI sampai saat ini berjumlah 137819 (Dr. Umum 113172, Dr. Spesialis 24647) yang tersebar di 32 wilayah dan 434 cabang. Dibawah IDI bernaung pula 37 Perhimpunan Dokter Spesialis (PDSp) dan 48 Perhimpunan Dokter Seminat (PDSm).

Dalam interaksinya dengan dunia internasional, IDI pun merupakan anggota dari World Medical Association (WMA), Confederation Medical Association of Asia Oceania (CMAAO), dan Medical Association of South East Asian Nation (MASEAN).

A P P L I C A T I O N F O R M INDOMEDICA EXPO 2017

Hotel & Convention Grand Clarion, Makassar

To : Organizer Telp : +62.21 58907366-68 Fax : +62.21 58906819 – 20 Email : hospital.expo@gmail.com I. NAME OF EXHIBITOR:

Address: ___________________________________________ Country: ______________________

Tel:______________________________________Fax:____________________________________i____________ Website: ________________________________ Email: ___________________________________ The space will be needed: __________________________ Block/No. Stand : Contact Person: ________________________________ Position: ___________________________ Name of Director: _________________________________________________________________

II. COMPANY NAME (on NPWP): _______________________________________________________ N.P.W.P. (For Indonesian Companies): _________________________________________________ Address: _________________________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included

Name & Title of Personnel: Authorized to Sign: Date:

AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED

STANDARD BOOTH SPACE ONLY Rp. 22.000.000,- Rp. 21.230.000,-

A P P L I C A T I O N F O R M INDOMEDICA EXPO 2017

Hotel & Convention Grand Clarion, Makassar

To : Organizer Telp : +62.21 58907366-68 Fax : +62.21 58906819 – 20 Email : hospital.expo@gmail.com I. NAME OF EXHIBITOR:

Address: ___________________________________________ Country: ______________________

Tel:______________________________________Fax:____________________________________i____________ Website: ________________________________ Email: ___________________________________ The space will be needed: __________________________ Block/No. Stand : Contact Person: ________________________________ Position: ___________________________ Name of Director: _________________________________________________________________

II. COMPANY NAME (on NPWP): _______________________________________________________ N.P.W.P. (For Indonesian Companies): _________________________________________________ Address: _________________________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included

Name & Title of Personnel: Authorized to Sign: Date:

AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED

STANDARD BOOTH SPACE ONLY Rp. 22.000.000,- Rp. 21.230.000,-

Proposal KegiatanIndomedica Expo 2017 - Ikatan Dokter Indonesia

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Indomedica Expo 2017Tema : Reformasi Sistem Pelayanan Kesehatan dan Sistem Pendidikan Kedokteran yang

Komprehensif dan Multisektoral Menuju Indonesia Sehat.

Latar Belakang Dr. Wahidin Sudirohusodo mengingatkan kita bahwa dokter terlahir sebagai profesi mulia dan

menyandang trias peran dokter: agent of change, agent of development dan agent of treatment.

Sehubungan dengan trias peran dokter dan dalam rangka memperingati hari Bakti Dokter Indonesia dan hari Kebangkitan Nasional tanggal 20 Mei 2017 nanti, Ikatan Dokter Indonesia berkeinginan menumbuhkan semangat mencapai dokter untuk bangsa, berdaulat bersama rakyat yang memiliki arti bahwa ditengah cita-cita pimpinan pemerintahan, baik ditingkat pusat maupun daerah, yang menempatkan kesehatan sebagai prioritas dalam pelayanan publik, IDI terpanggil untuk mendukung hal tersebut sebagai bagian dari terwujudnya tujuan negara, yaitu memajukan kesejahteraan umum.

Pada momentum ini IDI berharap dapat melakukan revitalisasi peran dokter dan mengembalikan peran dokter kepada peran trias dokter dan menggugah tanggung jawab sosial profesi para dokter dengan mengetengahkan kembali suatu kegiatan yang mengekspos pencapaian dunia kedokteran Indonesia yang meliputi Pendidikan Kedokteran, Rumah Sakit berikut sarana penunjangnya seperti alat kesehatan, laboratorium dan juga industri farmasi dalam sebuah kegiatan bernama “Sarasehan Nasonal & Indomedica Expo 2017”. Kegiatan ini merupakan salah satu rangkaian kegiatan peringatan kebangkitan Nasional dan diharapkan menjadi semangat baru dokter Indonesia dan seluruh komponen masyarakat untuk semakin mensejahterakan bangsanya.

Hal ini merupakan kesempatan dan peluang yang baik bagi mitra usaha sebagai sarana informasi dan promosi dengan kerjasama yang saling menguntungkan.

Maksud dan Tujuan lSebagai media informasi pencapaian dunia kedokteran Indonesia dalam kurun waktu 1908 –

2017l Sebagai bagian dari rangkaian kegiatan memperingati Kebangkitan Nasional pada tanggal 20

Mei 2017l Sebagai media promosi bagi instansi Pendidikan Fakultas Kedokteran, Badan Usaha, lembaga

dan asosiasi untuk mempromosikan usaha dan kegiatannya melalui Expo tersebut.

Pelaksanaan Kegiatan Tanggal 10-12 Mei 2017

Bertempat di Hotel Clarion Makassar, Sulawesi Selatan

A P P L I C A T I O N F O R M INDOMEDICA EXPO 2017

Hotel & Convention Grand Clarion, Makassar

To : Organizer Telp : +62.21 58907366-68 Fax : +62.21 58906819 – 20 Email : hospital.expo@gmail.com I. NAME OF EXHIBITOR:

Address: ___________________________________________ Country: ______________________

Tel:______________________________________Fax:____________________________________i____________ Website: ________________________________ Email: ___________________________________ The space will be needed: __________________________ Block/No. Stand : Contact Person: ________________________________ Position: ___________________________ Name of Director: _________________________________________________________________

II. COMPANY NAME (on NPWP): _______________________________________________________ N.P.W.P. (For Indonesian Companies): _________________________________________________ Address: _________________________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included

Name & Title of Personnel: Authorized to Sign: Date:

AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED

STANDARD BOOTH SPACE ONLY Rp. 22.000.000,- Rp. 21.230.000,-

Proposal KegiatanIndomedica Expo 2017 - Ikatan Dokter Indonesia

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Target Peserta Pameran l Perhimpunan Dokter Spesialis l Perhimpunan Dokter seminat l Fakultas Kedokteran Seluruh Indonesia l Rumah Sakit Dalam dan Luar Negeri l Industri Farmasi Dalam dan Luar Negeri l Industri Alat Kesehatan dan Laboratorium l Industri Alat Kedokteran Gigi l Industri Alat Olahraga dan Kesehatan l Industri Estetika dan Kesehatan l Industri Nutrisi Kesehatan, Suplemen Kesehatan l Perusahaan Obat Tradisional berbasis Fitofarmaka l Asuransi Kesehatan (untuk Masyarakat dan Profesi Dokter) l Perbankan (kredit Profesi) l Provider CPD (Continuing Professional Depelopment) l Penerbit Buku Kesehatan l Majalah Kesehatan

Target Pengunjung l Para Dokter (Umum-Spesialis) dari seluruh Indonesia l Para Dokter Gigi (Spesialis) l Apoteker l Paramedis dan Bidan l Dinas Kesehatan Seluruh Indonesia l Direktur Rumah Sakit (Pemerintah-Swasta) seluruh Indonesia l Mahasiswa Kedokteran, Kedokteran Gigi, Farmasi, Kesehatan Masyarakat, Akper, Akbid l Praktisi Gizi l Praktisi Dunia Kesehatan Indonesia l Masyarakat Umum

Program AcaraPameran • TanggalPelaksanaan : 10Meis/d12Mei2017• TempatPelaksanaan : HotelClarionMakassar,SulawesiSelatan• Agenda : Pameran

Menampilkan profil dan produk perusahaan sebagai bagian dari perkembangan dan pencapaian dunia kedokteran antara lain: - Perkembangan Industri Farmasi - Perkembangan Tekhnologi Kedokteran - Prestasi dunia kedokteran Indonesia - Pameran buku buku kedokteran - Herbal Medicine - Majalah Kesehatan, dll

A P P L I C A T I O N F O R M INDOMEDICA EXPO 2017

Hotel & Convention Grand Clarion, Makassar

To : Organizer Telp : +62.21 58907366-68 Fax : +62.21 58906819 – 20 Email : hospital.expo@gmail.com I. NAME OF EXHIBITOR:

Address: ___________________________________________ Country: ______________________

Tel:______________________________________Fax:____________________________________i____________ Website: ________________________________ Email: ___________________________________ The space will be needed: __________________________ Block/No. Stand : Contact Person: ________________________________ Position: ___________________________ Name of Director: _________________________________________________________________

II. COMPANY NAME (on NPWP): _______________________________________________________ N.P.W.P. (For Indonesian Companies): _________________________________________________ Address: _________________________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included

Name & Title of Personnel: Authorized to Sign: Date:

AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED

STANDARD BOOTH SPACE ONLY Rp. 22.000.000,- Rp. 21.230.000,-

Proposal KegiatanIndomedica Expo 2017 - Ikatan Dokter Indonesia

-- 4 --

Area Tematik l Rekam Jejak Gerakan Dokter untuk Bangsa, Sejarah Kiprah Dokter Indonesia 1908-2017.

Sarasehan Nasional l Tanggal 10-11 Mei 2017

Symposium Ilmiahl Tanggal 11-12 Mei 2017

Workshop l Untuk Dokter dan Praktisi Rumah Sakit l Tanggal 11-12 mei 2017

Pembiayaan l Stand Pameran

STANDARD BOOTH : Rp. 22.000.000,- Biaya tersebut termasuk :

o Space Stand Pameran 9sqm ( 3m x 3m ) o Karpet Lantai 9sqm o 1 Meja, 2 kursi dan 1 keranjang sampah o Stand/Partisidibangunolehcontractoro Fascia Nama Perusahaan o Nama dan Profil perusahaan kedalam buku katalog pameran o 2 lampu TL o Pemasangan dan Pembongkaran Stand o Listrik2Amp/220volt

SPACE ONLY : Rp. 21.230.000,- Biaya tersebut termasuk :

o Space Stand Pameran 9sqm ( 3m x 3m ) o Nama dan Profil Perusahaan kedalam buku katalog pamerano Listrik2Amp/220volt

Panitia l Panitia : Pengurus Besar Ikatan Dokter Indonesia l Event Organizer : PT. Okta Sejahtera Insani (OSI)

Lampiran lDenah ruang Pameran l Application Form

A P P L I C A T I O N F O R M INDOMEDICA EXPO 2017

Hotel & Convention Grand Clarion, Makassar

To : Organizer Telp : +62.21 58907366-68 Fax : +62.21 58906819 – 20 Email : hospital.expo@gmail.com I. NAME OF EXHIBITOR:

Address: ___________________________________________ Country: ______________________

Tel:______________________________________Fax:____________________________________i____________ Website: ________________________________ Email: ___________________________________ The space will be needed: __________________________ Block/No. Stand : Contact Person: ________________________________ Position: ___________________________ Name of Director: _________________________________________________________________

II. COMPANY NAME (on NPWP): _______________________________________________________ N.P.W.P. (For Indonesian Companies): _________________________________________________ Address: _________________________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included

Name & Title of Personnel: Authorized to Sign: Date:

AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED

STANDARD BOOTH SPACE ONLY Rp. 22.000.000,- Rp. 21.230.000,-

Proposal KegiatanIndomedica Expo 2017 - Ikatan Dokter Indonesia

-- 5 --

Untuk informasi kegiatan dapat menghubungi : Hosted by : Pengurus Besar Ikatan Dokter Indonesia Jl. Samratulangi No.29 Menteng – Jakarta Pusat Telp: (021) 3900277 – 3150679 Fax (021) 3900473 Email : pbidi@idola.net.id

Official Contractor : PT. Samudra Dyan Praga Jl. Alauddin I No.19, Makassar Email : andieva@samudra.co.id Pic : Ms. Andi Eva ( 082345303293)

Organized by : PT. Okta Sejahtera Insani (OSI) Perkantoran Aries Niaga Blok A1 No. 1-P Jl. Taman Aries, Jakarta 11620, Indonesia Telp. 021-58907366-68 Fax. 021-58906879-20

A P P L I C A T I O N F O R M INDOMEDICA EXPO 2017

Hotel & Convention Grand Clarion, Makassar

To : Organizer Telp : +62.21 58907366-68 Fax : +62.21 58906819 – 20 Email : hospital.expo@gmail.com I. NAME OF EXHIBITOR:

Address: ___________________________________________ Country: ______________________

Tel:______________________________________Fax:____________________________________i____________ Website: ________________________________ Email: ___________________________________ The space will be needed: __________________________ Block/No. Stand : Contact Person: ________________________________ Position: ___________________________ Name of Director: _________________________________________________________________

II. COMPANY NAME (on NPWP): _______________________________________________________ N.P.W.P. (For Indonesian Companies): _________________________________________________ Address: _________________________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included

Name & Title of Personnel: Authorized to Sign: Date:

AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED

STANDARD BOOTH SPACE ONLY Rp. 22.000.000,- Rp. 21.230.000,-

Proposal KegiatanIndomedica Expo 2017 - Ikatan Dokter Indonesia

-- 6 --

INDOMEDICA EXPO 2017

Sarasehan & Symposium Ilmiah

A P P L I C A T I O N F O R M INDOMEDICA EXPO 2017

Hotel & Convention Grand Clarion, Makassar

To : Organizer Telp : +62.21 58907366-68 Fax : +62.21 58906819 – 20 Email : hospital.expo@gmail.com I. NAME OF EXHIBITOR:

Address: ___________________________________________ Country: ______________________

Tel:______________________________________Fax:____________________________________i____________ Website: ________________________________ Email: ___________________________________ The space will be needed: __________________________ Block/No. Stand : Contact Person: ________________________________ Position: ___________________________ Name of Director: _________________________________________________________________

II. COMPANY NAME (on NPWP): _______________________________________________________ N.P.W.P. (For Indonesian Companies): _________________________________________________ Address: _________________________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included

Name & Title of Personnel: Authorized to Sign: Date:

AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED

STANDARD BOOTH SPACE ONLY Rp. 22.000.000,- Rp. 21.230.000,-

A P P L I C A T I O N F O R M INDOMEDICA EXPO 2017

Hotel & Convention Grand Clarion, Makassar

To : Organizer Telp : +62.21 58907366-68 Fax : +62.21 58906819 – 20 Email : hospital.expo@gmail.com I. NAME OF EXHIBITOR:

Address: ___________________________________________ Country: ______________________

Tel:______________________________________Fax:____________________________________i____________ Website: ________________________________ Email: ___________________________________ The space will be needed: __________________________ Block/No. Stand : Contact Person: ________________________________ Position: ___________________________ Name of Director: _________________________________________________________________

II. COMPANY NAME (on NPWP): _______________________________________________________ N.P.W.P. (For Indonesian Companies): _________________________________________________ Address: _________________________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included

Name & Title of Personnel: Authorized to Sign: Date:

AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED

STANDARD BOOTH SPACE ONLY Rp. 22.000.000,- Rp. 21.230.000,-

Proposal KegiatanIndomedica Expo 2017 - Ikatan Dokter Indonesia

-- 7 --

A P P L I C A T I O N F O R M INDOMEDICA EXPO 2017

Hotel & Convention Grand Clarion, Makassar

To : Organizer Telp : +62.21 58907366-68 Fax : +62.21 58906819 – 20 Email : hospital.expo@gmail.com I. NAME OF EXHIBITOR:

Address: ___________________________________________ Country: ______________________

Tel:______________________________________Fax:____________________________________i____________ Website: ________________________________ Email: ___________________________________ The space will be needed: __________________________ Block/No. Stand : Contact Person: ________________________________ Position: ___________________________ Name of Director: _________________________________________________________________

II. COMPANY NAME (on NPWP): _______________________________________________________ N.P.W.P. (For Indonesian Companies): _________________________________________________ Address: _________________________________________________________________________ III. EXHIBIT SPACE COST; Two Type of booth setting, choose one! PPN 10% and PPH (act.23) 2% Included

Name & Title of Personnel: Authorized to Sign: Date:

AFTER RECEIVE THIS APPLICATION FORM, ORGANIZER WILL PUBLISH CONTRACT TO BE SIGNED & DIRECTORY LISTING FORM TO BE FILLED

STANDARD BOOTH SPACE ONLY Rp. 22.000.000,- Rp. 21.230.000,-