KENYIR CHALLENGE INTERNATIONAL HALF MARATHON 2003 ENTRY FORM
Full Name as stated in I.C. or Passport:
Identity Card or Passport Number:
Sex:
Date of Birth:
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 :
T-Shirt Size :