PERAK ROGAINING

CATEGORY
- MEN OPEN (TEAM OF TWO) – 18 YEARS ABOVE
- MIXED OPEN (TEAM OF TWO) – 18 YEARS ABOVE
- MEN IPT OPEN (TEAM OF TWO) – 18 YEARS ABOVE
- MIXED IPT OPEN (TEAM OF TWO) – 18 YEARS ABOVE
ORGANISATIONS NAME
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NAME
First Last
NRIC /PASSPORT NO
ADDRESS
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
PHONE NO
EMAIL
BLOOD TYPE
SHIRT SIZE
2
NAME
First Last
NRIC /PASSPORT NO
ADDRESS
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
PHONE NO
EMAIL
BLOOD TYPE
SHIRT SIZE
DECLARATION / ASSUMPTION RISK*
- We hereby certify that the above matters are true, and we are in good health and fitness to participate PERAK ROGAINING 2021. We also acknowledge that this championship requires high fitness, so we will not claim any loss of personal belonging, injury and death throughout this championship from the organizer, the sponsorships, or from any other agencies that involved directly or indirectly in the championship. We will also abide the rules of the championship which have been set by the organizer. We also promise to show the healthy competition and protect the environment in this championship.
FEES
- RM 320 PER TEAM (MEN OPEN)
- RM 320 PER TEAM (MIXED OPEN)
- RM 320 PER TEAM (MEN IPT OPEN)
- RM 320 PER TEAM (MIXED IPT OPEN)
PAYMENT TRANSFER DETAIL

ACCOUNT : KELAB SUKAN ORIENTEERING MAGNET ERAT
BANK : MAYBANK BERHAD
NO ACCOUNT : 5584-1751-1322
RECEIPT
Upload Your Payment Receipt Here

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