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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
Newton Challenge 15 October 2017 - Tuesday, 20 June 2017 13:18

Individual Registration

Please enter information in the form below to process registration for event Challenge Iskandar Puteri - 5km Fun Run.

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

 

 
IC / Passport*
Date Of Birth*

(dd/mm/yyyy)

Nationality*
Gender*
T-Shirt Size*
Run Category*
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

Payment Method
Payment Method Online Payment (Credit Card/Online Banking)
Promo Code (if any)

 

         

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