KDU Technicolour Charity Run 2019
21st DECEMBER 2019
Saturday @ 7:00am - 9:00am
KDU PENANG UNIVERSITY COLLEGE, BATU KAWAN CAMPUS
LEBUHRAYA BANDAR CASSIA, BATU KAWAN
REGISTRATION FORM

Enjoy Early Bird RM10 Discount! Valid until 31st August 2019

Name as in IC or Passport *
Your answer
Address *
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IC No. (Malaysian)
Your answer
Sponsored by Company or Individual *
Sex (M/F) *
Required
Age *
Your answer
Nationality *
Telephone No. (House /Mobile/Office) *
Your answer
Email *
Your answer
Finisher Medal
T-Shirt Size (2XS - 5XL) *
Required
Participant Category (normal price) Please tick one *
** Get RM10 off rebate for early registration**
Required
Emergency Contact
Contact Person *
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Relationship *
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Contact No *
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FOR PARTICIPANTS BELOW 18 YEARS OLD
PLEASE HAVE YOUR PARENT / GUARDIAN TO COMPLETE THIS SECTION
I (Name of parent / Guardian)
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hereby permit (participant) to take part in the above event at his / her own risk.
Your answer
IC No
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Date
MM
/
DD
/
YYYY
TERMS & CONDITIONS
1- Registration fee is strictly non refundable.
2- Registration is non-transferable.
3- Registration is only considered successful after payment has been received by KDU Penang University College.
4- Incomplete entries will be rejected.
5- No refund will be made for wrongful or multiple entries.
6- The organizer reserves the right to change the venue and time of the event or any related activities should any unforeseen circumstances arise.
7- Event organizer is not to be held liable for any changes to schedules and/or unforeseen conditions of an event, or for any other loss and damage to property and/or personal injury whichever might occur during the event or in relation thereto, unless it occurs due to his/her own misconduct or gross negligence.
8- For participants below 5 years old it is not covered by insurance. Hence a letter of undertaking is required to be completed and participants below 5 years old is strongly advised to be accompanied by parents/guardians.
PAYMENT MODE
A- Payment by Cheque: Please make cheque payable to "KDU University College (PG) Sdn Bhd"
B- Payment by Telegraphic Transfer (TT) or Direct Banking
Within Malaysia: CIMB Bank Account No: 8601 0035 06
C- Payment by Cash at KDU Penang University College's Bursary Department

Note: Please fax / email a copy of the payment advice or bank in slip together with the registration form to bursary office at 604-227 6368 or email to syphuah@kdupg.edu.my

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