Registration Road Runner Gold 2018
🎓🎓🎓Let's run together. Road Runner Gold Fun Run 5KM is conjunction with POLIMAS 32nd Convocation Ceremony.
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✅Regular Fee : RM40
✅Participation runners need to be 13 years old above and healthy (Any risk under its own liability)

💸💳Payment of participation must be made by using the online method to ACCOUNT NO. 02039010086422 (BANK ISLAM) under the name of KOPERASI POLIMAS KEDAH BERHAD) immediately before August 2, 2018.

👕📜All registration fees included with T-Shirt and Certificate.

🥇500 finisher medal receive at the finish line.

The name and photo associated with your Google account will be recorded when you upload files and submit this form. Not roadrunnergold@gmail.com? Switch account

Full Name (As in NRIC / Passport) *
NIRC / Passport Number *
Gender *
Date of Birth *
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Age *
Mobile # (e.g: 0131234567) *
EB: Payment Reference Number /Receipt Number *
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EB: Payment via Bank *
T-Shirt Size *
Captionless Image
Email *
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