Running Event Registration Form

Thursday, April 19, 2012

Larian Perpaduan 2012 - Pulau Pinang

Date: 29th April 2012, Sunday
Venue: Pusat Kecemerlangan Sukan Wetlands, Jalan Padang Victoria, Pulau Pinang
Flag-Off Time: 7.30am
Distance: 3km & 6.5km
Category:
Student Closed Category:
1 - School Boys 12 to below 15 years old - 3.5km
2 - School Girls 12 to below 15 years old - 3.5km
3 - School Boys 15 to below 18 years old - 6.5km
4 - School Girls 15 to below 18 years old - 6.5km
5 - School Boys 18 years old - 6.5km
6 - School Girls 18 years old - 6.5km

Open Category:
7 - Men Open - 6.5km
8 - Women Open - 6.5km
9 - Men Veteran (50 years old & above) - 6.5km
10 - Women Veteran (45 years old & above)  - 6.5km

Entry Fees: RM15 for open category.

Registration Info:
Please complete and submit entries form to:
Persatuan Melayu Pulau Pinang (PEMENANG)
No. 60, Jalan Pemenang,
10250, Pulau Pinang
Tel: 04-227 3092     Fax: 04-228 3937
 
Payment Info:
Entries together with fees attached Cash or Cheque (crossed) and payable to:
'MAJLIS PERUNDINGAN MUHIBBAH NEGERI PULAU PINANG'
 
Race Prize:
Trophy: For top 6 winners to each category.
Medal: Top 30 finisher's to each category
 
Runners Entitlement:
- Certificate
- Lucky Draw
 
For more info, please contact with:
Persatuan Melayu Pulau Pinang (PEMENANG)
Bangunan Pemenag,
No. 60, Jalan Pemenang,
10250, Pulau Pinang
Tel: 04-227 3092 Fax: 04-228 3937
 
Closing Date Registration: 19th April 2012
 
Registration Form 01......

Registration Form 02.....

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