SERATAS CHARITY AND FUN RUN
DATE: 7 JULY 2018
VENUE : TAMAN TASIK TAIPING
TIME : 7.00AM
DEADLINE : 18 JUNE 2018
FEE: MAN 5KM : RM50
WOMAN 5KM :RM50
This run is for the Seratas Alumni, their family members, PTA of SM Sains Raja Tun Azlan Shah, Taiping and public.
* Required
Email address
*
Your email
NAME
*
Your answer
IC NO
*
Your answer
CONTACT NUMBER
*
Your answer
EMAIL
*
Your answer
ADDRESS
*
Your answer
EMERGENCY CONTACT
*
FULL NAME AND CONTACT NO
Your answer
CATEGORY SELECTION
*
MAN 5KM : RM50
WOMAN 5KM : RM50
Required
ARE YOU A SERATAS ALUMNI?
*
YES
NO
Required
IF YES, WHAT WAS YOUR SPORT'S HOUSE?
RAJAWALI (BLUE)
HELANG (YELLOW)
GARUDA (RED)
ENGGANG (GREEN)
WHEN WERE YOU IN SERATAS?
Please write your years. Eg (8993)
Your answer
T SHIRT SIZE
*
XS
S
M
L
XL
XXL
XXXL
PAYMENT METHOD
Please transfer the money into the MAYBANK Account stated below and within the same day, write down your name, IC No, and contact number together with the proof of payment to
pgubahasa@gmail.com
Email Title as "Seratas Charity and Run 2018 Registration" or Whatsapp to the following number together with your name, IC No, and proof of payment:
Baharudin 0192359918
Eddie 01433220155
Fendi 0163223412
ACCOUNT NUMBER:
MAYBANK: 566010611286
ACCOUNT HOLDER NAME :EQS GLOBAL SERVICE
TERM AND CONDITIONS
The participants have to complete an appropriate registration fully and truthfully with accurate personal & emergency contact details filled in order to participate in the event.The participants are responsible for their own safety. The organizer will not take any responsibility in the event of an accident,injury or death which may arise before, during or as a result of participation in Seratas Charity and Fun Run 2018.
Declaration on Health Conditions
*
Please Tick if you "have" the followings:
heart related diseases/ conditions
asthma
pregnancy
abnormal blood pressure
None of above
Other:
Required
FAQ
For any inquiries, please feel free to contact the following person in charge:
Baharudin 0192359918
Eddie 0143322055
Fendi 0163223412
Please tick if you accept the terms and conditions stated by the organiser
*
I accept
Required
A copy of your responses will be emailed to the address you provided.
Submit
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