RCNN SumSch2017 Form reg

SUMMER SCHOOL 2017
RESEARCH CENTER FOR NANOSCIENCES AND NANOTECHNOLOGY
BANDUNG INSTITUTE OF TECHNOLOGY - INDONESIA

Fundamental and Applications Emphasizing in
Nanomedicine
REGISTRATION FORM
One Registration Form per Person

Full Name
(Underline Last Name)

:

Name on Name Tag

:

Salutation

:

University

:

Faculty/School

:

Department

:

Field of Study

:

Name of Faculty/School
Dean
Name of Head of

Department
Campus Address

 Mr.

 Ms.

Under Graduate/Master*
student

:
:
:

Tel: (+……)

Fax: (+……)

City/State:
Home/Mailing Address

Country:
:

Tel: (+……)

Cellphone: (+……)

City/State:
Country:
E-mail (s)

:


I Agree to fully participate in “Fundamental and Applications Emphasizing in
Nanomedicine” Summer Program from July 24 to August 5, 2017 and follow the rule that
will be applied.
Signature: __________________________ Date: ____________________
Please send this registration form by e-mail to nrcn@cphys.fi.itb.ac.id before 7 July 2017,

completed with a rar/zip file containing following documents:
1. A scanned or digital image of recent photograph.
2. A scanned of Student ID Card.
3. A scanned of Passport (valid at least 6 months)

INSTITUT TEKNOLOGI BANDUNG – INDONESIA
Jln. Ganesha No.10, Bandung, West Java - Indonesia

4. Student Recommendation Form signed by lecturer/faculty member of current
department.
5. Student Motivation Letter
Please wait for an official confirmation e-mail from the organizing committee within 2 days.

SUMMER SCHOOL 2017
RESEARCH CENTER FOR NANOSCIENCES AND NANOTECHNOLOGY
BANDUNG INSTITUTE OF TECHNOLOGY - INDONESIA

Fundamental and Applications Emphasizing in
Nanomedicine
STUDENT RECOMMENDATION FORM

I recommend my student below to participate in “Fundamental and
Applications Emphasizing in Nanomedicine” Summer Program that is
held by Research Center For Nanosciences And Nanotechnology - Institute of
Technology Bandung – Indonesia, between July 24 to August 5, 2017 in ITB
Campus – Bandung, Indonesia.
Student Name

:

University
Faculty/School

:
:

Department

:

Field of Study

:

Recommended by,
Faculty member
name

Under
Graduate/Master*
student

:

Signature: __________________________ Date: ____________________

INSTITUT TEKNOLOGI BANDUNG – INDONESIA
Jln. Ganesha No.10, Bandung, West Java - Indonesia

INSTITUT TEKNOLOGI BANDUNG – INDONESIA
Jln. Ganesha No.10, Bandung, West Java - Indonesia

SUMMER PROGRAM 2017
RESEARCH CENTER FOR NANOSCIENCES AND NANOTECHNOLOGY
BANDUNG INSTITUTE OF TECHNOLOGY - INDONESIA

Fundamental and Applications Emphasizing in
Nanomedicine
STUDENT MOTIVATION LETTER
Student Name

:

University

:

Faculty/School

:

Department

:

Field of Study

:

Under Graduate/Master*
student

(fill your motivation for joining this Summer Program)

INSTITUT TEKNOLOGI BANDUNG – INDONESIA
Jln. Ganesha No.10, Bandung, West Java - Indonesia

Signature: ___________________________ Date: ________________________

SUMMER SCHOOL NANOSCIENCES
Fundamental and Applications Emphasizing in Nanomedicine

4th Session
15.00-16.30

LAB TOUR 1 (ITB)

LAB TOUR 1 (ITB)

Company
presentation

Prof. Dr. Datuk
Halimaton
Recent Trends in
Nanotechnology
Prof. Dr. Wilson
Dino
Surface as a
foundation towards
realizing designer
materials

Dr. Sabina Quader
Nanocarrier system
for cancer theraphy

Cofee Break 14.30-15.00

3rd Session
13.00-14.30

Company
presentation

Prof. Dr. Datuk
Halimaton
Recent Trends in
Nanotechnology
Prof. Dr. Wilson
Dino
Surface as a
foundation towards

realizing designer
materials
Dr. Sabina Quader
Nanocarrier system
for drug delivery

Practical course and
group presentation

Practical course and
group presentation

- Lab Tour
- Company
presentation

- Lab Tour
- Company
presentation

Prof. Dr. Giorgia
Pastorin
Challenges in
nanomedicine
PT.East West Seed
(Panah Merah)

Cofee Break 14.30-

Cofee Break 10.00-

Cofee Break 10.00-10.15

1st week – Nanomaterial in General
TGL
1st Session
2nd Session
08.30-10.00
10.15-11.45
23ARRIVAL
Jul
24Prof. Hermawan
Prof. Bambang
Jul
K.D
Sunendar
Nano world: myth &
Nanomaterial in
real
general
Modelling and
simulation in atomic
scale
25Dr. Rino Rakhmata
Dr. Brian Yuliarto
Jul
Mukti
Recent Trend on
Recent advances in
Development of
the synthesis of
Nano Materials for
nanostructured
Sensors and Solar
material
Cells
26Prof. Dr. Datuk
Prof. Dr. Datuk
Jul
Halimaton
Halimaton
Recent Trends in
Recent Trends in
Nanotechnology
Nanotechnology
27Prof. Dr. Wilson
Prof. Dr. Wilson
Jul
Dino
Dino
Surface as a
Surface as a
foundation towards
foundation towards
realizing designer
realizing designer
materials
materials
28Dr. Sabina Quader
Dr. Sabina
Jul
Nanocarrier system
Quader
for cancer theraphy
Nanocarrier system
for cancer theraphy
29Practical course and
Practical course
Jul
group presentation
and group
presentation
30Free Activities
Jul
2nd week - Nanomedicine
31Dr. Damar Rastri
Dr. Heni
Jul
Adhika
Rachmawati
Characterization in
Introduction to
Nanosciences
Nanomedicine
1Prof. Dr. Giorgia
Prof. Dr. Giorgia
Aug
Pastorin
Pastorin
Challenges in
Challenges in
nanomedicine
nanomedicine
2Cultural exchange
Maribaya Lodge
Aug
and Bandung sight
seeing

Prof. Dr. Giorgia
Pastorin
Challenges in
nanomedicine
PT.East West Seed
(Panah Merah)

INSTITUT TEKNOLOGI BANDUNG – INDONESIA
Jln. Ganesha No.10, Bandung, West Java - Indonesia

4Aug

5Aug

Group presentation

15.00

Dr. Veinardi
Dr. Ernawati Giri
Suendo
Rachman
Spectroscopy
The expression
techniques to
systems for
understand
generating virus
nanomaterial design
like particles
and function
- Preparation
Dexa Medica
excursion
- Visitation to
pharmaceutical
companies
Closing and certificate awarding
10.15

3Aug

Group presentation

Free Activities

INSTITUT TEKNOLOGI BANDUNG – INDONESIA
Jln. Ganesha No.10, Bandung, West Java - Indonesia