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Borang Penyertaan Kayuhan Basikal Amal 2016
1. Terbuka kepada warganegara Malaysia 15 tahun ke atas
2. Tarikh tutup penyertaan pada 22 Mac 2016 (Selasa)
3. T-Shirt dan Goodies Bag disediakan untuk peserta
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Penyertaan
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Individu
Berkumpulan
Nama Peserta
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Nama Kumpulan (Jika Berkumpulan)
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Nombor Kad Pengenalan
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Nombor Telefon
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Saiz T-Shirt
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Tarikh Mengisi Borang
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