Brunei Aquatics Swimmer Registration

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Registration form to be a member of Brunei Aquatics

Swimmer's Name *

Affiliated Swim Club *

Gender *

Bruneian holding yellow IC, passport? *

Yes

Date of Birth *

Insert by DD-MMM-YYYY

YYYY

Insert Passport / IC / Birth Cert?

Passport

Birth Cert

Clear selection

Passport / IC / Birth Cert Number *

Are you below or above 18 years old? *

Above 18 years old

18 years old and below

Clear form

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