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    LETTER OF STATEMENT - Phoebe Zhou

    Uploaded by

    nur aini
    This letter summarizes Phoebe Zhou's participation in the Airlangga Webinar Conference Series and authorizes the Airlangga Global Engagement office to receive her honorarium payment. It provides her personal and institutional details, as well as instructions to either transfer the payment to her personal bank account or donate it to PUSPAS, the Universitas Airlangga's social fund management center. The letter is signed and dated by Phoebe Zhou.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    LETTER OF STATEMENT - Phoebe Zhou

    Uploaded by

    nur aini
    25 views2 pages
    This letter summarizes Phoebe Zhou's participation in the Airlangga Webinar Conference Series and authorizes the Airlangga Global Engagement office to receive her honorarium payment. It provides her personal and institutional details, as well as instructions to either transfer the payment to her personal bank account or donate it to PUSPAS, the Universitas Airlangga's social fund management center. The letter is signed and dated by Phoebe Zhou.

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    LETTER OF STATEMENT_phoebe zhou copy

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    This letter summarizes Phoebe Zhou's participation in the Airlangga Webinar Conference Series and authorizes the Airlangga Global Engagement office to receive her honorarium payment. It provides her personal and institutional details, as well as instructions to either transfer the payment to her personal bank account or donate it to PUSPAS, the Universitas Airlangga's social fund management center. The letter is signed and dated by Phoebe Zhou.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    25 views2 pages

    LETTER OF STATEMENT - Phoebe Zhou

    Uploaded by

    nur aini
    This letter summarizes Phoebe Zhou's participation in the Airlangga Webinar Conference Series and authorizes the Airlangga Global Engagement office to receive her honorarium payment. It provides her personal and institutional details, as well as instructions to either transfer the payment to her personal bank account or donate it to PUSPAS, the Universitas Airlangga's social fund management center. The letter is signed and dated by Phoebe Zhou.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    LETTER OF STATEMENT

    By this letter of statement, I, the undersigned,

    Name : Phoebe Zhou

    Passport No. :

    Institution : National Institute of Complementary Medicine /NICM

    Email :

    have participated in the Airlangga Webinar Conference Series (AWCS): Basic Medical Sciences
    and Translational Research: Novel Findings, and is entitled to receive the honorarium based on t
    he service performed. Through this letter, I confer upon the Airlangga Global Engagement, Univ
    ersitas Airlangga to have the act on my behalf and in my stead, as well if I were present, and to e
    xercise or perform the acts or powers I have designated with my initials as set forth below.
    ☐Transferring the honorarium payment to the personal bank account of the grantor.
    Name of Bank :
    Bank Account No. :
    Name of the Account Holder :
    Swift Code :
    IBAN (International Bank Account Number) :
    (*for, Europe, Egypt and Saudi Arabia Countries) :
    Bank Address :
    Personal Address :
    (as registered in the bank account)
    Country of Permanent Residence :
    University Address :

    ☐Transferring the honorarium payment through designated bank account of the grantor.
    Name of Bank :
    Bank Account No. :
    Name of the Account Holder :
    Swift Code :
    Bank Address :
    Rational :

    ☐Others, please specify


    ☐ Donating the honorarium to the Center for Fund and Social Management (PUSPAS)
    of Universitas Airlangga.
    PUSPAS is one of the internal units in Universitas Airlangga that has a role for colle
    cting, managing, and distributing the social fund, especially to support the educationa
    l activities in Universitas Airlangga. For more information, please visit: https://www.
    instagram.com/puspas.unair/?hl=en

    ☐ Others :
    Rational :

    Hereby this Letter of Statement is made with full consideration and awareness.

    __________________, / /______.

    Signature

    (Phoebe Zhou)

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