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BULK REGISTRATION FORM FOR INTERNATIONAL PARTICIPANTS
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SELANGOR INTERNATIONAL INDOOR ARCHERY CHAMPIONSHIP 2024
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MAEPS SERDANG, SELANGOR | 02 TILL 04 FEBRUARY 2024
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NAME OF TEAM / CLUBCOUNTRY OF ORIGIN
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Golden Trurst Archery ClubHong Kong
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NUMBER OF PAX & AMOUNT (MALAYSIAN RINGGIT - MYR)MYR 0.00
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RECURVE UNDER 12 & UNDER 15 CATEGORY (MYR 150.00 PER PAX)
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CATEGORY (PLEASE SELECT FROM DROPDOWN LIST)NAMEDATE OF BIRTH (FORMAT XX/YY/ZZ)PASSPORT NONATIONALITY
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NUMBER OF PAX & AMOUNT (MALAYSIAN RINGGIT - MYR)0MYR 0.00
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If the number of participants exceed this form, please fill-in a new Registration Form.
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OPEN CATEGORY (MYR 200.00 PER PAX)
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CATEGORY (PLEASE SELECT FROM DROPDOWN LIST)NAMEDATE OF BIRTH (FORMAT XX/YY/ZZ)PASSPORT NONATIONALITY
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1COMPOUND MEN OPENGOKMEN EMRE KESKIN02/09/1980U26546922TURKISH
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NUMBER OF PAX & AMOUNT (MALAYSIAN RINGGIT - MYR)1MYR 200.00
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Payment can be made to the following account:
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BANK ISLAM MALAYSIA BERHAD
NO OF OFFICIALSNO OF ATHLETETOTAL PAYMENT
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PERSATUAN MEMANAH SELANGOR (BARU)
1MYR 200.00
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ACC NUMBER : 1209 20100 50481
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SWIFT CODE : BIMBMYYKL
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Acknowledged by
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PLEASE COMPLETE THIS FORM AND TO EMAIL TOGETHER WITH THE PAYMENT SLIP / BANK TRANSMITTAL TO
Team Manager :
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selangorarchery@gmail.com
Mobile Number :(+852) 51177653
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