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KENYIR CHALLENGE 
HALF MARATHON INTERNATIONAL 2003
ENTRY FORM

Full Name as stated in I.C. or Passport:

Identity Card or Passport Number:

Sex:

Male Female

Date of Birth:

Day Month Year

Place of Birth:

Full Correspondence Address:

Town / City:

State / Country:

Post Code:

Country of Origin:

Citizenship:

Telephone Number:

Handphone Number:

Fax Number:

E-Mail Address:

Category :

  The egibility age is effected from 1st January 2003

T-Shirt Size :

XL L M

 

By sending this form you are agree with the conditions and rules of the race. You certify that you are physically fit and sufficiently trained to complete the 21 km. Please see the conditions and rules.