Running Event Registration Form

Wednesday, September 12, 2012

Larian Terbuka Kelantan 2012 - Kelantan

Date: 29th September 2012, Saturday
Venue: Kompleks Sukan II, USM, Kubang Kerian, Kuantan
Flag-Off Time: 6.30am
Distance: 3km, 6km & 10km
Category:
A - Men Vetetan ( 40 years old & above) - 6km
B - Women Veteran (35 years old & above) - 6km
C - Men Open (20 to 39 years old) - 10km
D - Women Open (20 to 34 years old) - 6km
E - Men Junior (13 to 19 years old) - 10km
F - Women Junior (13 to 19 years old) - 6km
G - School Boys (below 12 years old) - 3km
H - School Girls (below 12 years old) - 3km
Entry Fee:
Category A to F = RM20
Category G & H = RM15

Registration Info:
Please complete and submit your entries form with entry fees to:-
Urusetia Larian Kelantan 2012,
Program Sains Senaman dan Sukan,
Pusat Pengajian Sains Kesihatan,
Kampus Kesihatan, Unversiti Sains Malaysia,
16150, Kubang Kerian, Kelantan

Payment Info:
Payment by Cheque payable to:
"KELAB KESIHATAN DAN KESEJAHTERAAN MASYARAKAT KELANTAN"

For Online/ Bank-in transcation to:
Payee Bank: Bank Islam
Account No: 0301-8010-1444-94
*Please bring your payemnt receipt / slip as the proof of payment during reporting.*
 
Race Prize:
Cash Prize: Will be awarded to first 10 qualified finishers to respective category.
Medal: Will be awarded to first 20 qualified finishers to respective category.
 
Particiapnts Entitlements:
- Running T-shirt
- Certificate
- Lucky Draw
 
For more info, please contact or visit to:
Cik Mardhiah: 013-602 0165
Pn. Masliza: 019-911 3143
Office No: 09-767 7772
Fax: 09-767 7515
 
Closing Date Registration: 20th September 2012
 
Route Map.....
 
 
Registration Form.....

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