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KENYIR CHALLENGE
INTERNATIONAL HALF MARATHON 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.