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Challenge Iskandar Puteri 22-23 September 2017 - Wednesday, 03 May 2017 12:49
IJM Allianz Duo Highway Challenge (Besraya) 30 July 2017 - Thursday, 18 May 2017 10:02
IJM Allianz Duo Highway Challenge (NPE) 10 Sept 2017 - Thursday, 18 May 2017 10:03

Individual Registration

Please enter information in the form below to process registration for event Challenge Iskandar Puteri 2017.

Particulars
Name*
Address*
City*
Country*
State*
Postcode*
Phone*
Email*

 

 
IC / Passport*
Date Of Birth*

(dd/mm/yyyy)

Nationality*
Gender*
Select Category
Race Category*
Select Age Group
Main Race (Age Group)
Kids Race (Age Group)
Select Apparel Size
Event T-Shirt Size*
Finisher Polo Shirt Size*
Wind Breaker Size

For MAIN RACE only. Kids are not entitled to Wind Breaker

In Case of Emergency
Emergency Contact Person*
Emergency Contact Number*
Relationship*
Medical Condition/Allergies (if any)

Please state your medical condition or any allergies clearly

Is this your first triathlon?*
Payment Method
Payment Method Online Payment (Credit Card/Online Banking)
Discount Code (if any)

 

         

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