Gunung Ledang Johor National Park Registration Form Date: Date Out: Serial No: Insurance No

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GUNUNG LEDANG JOHOR NATIONAL PARK

REGISTRATION FORM
Date : Date Out : Serial No :
Insurance No :
NO NAME
ADDRESS !
"ONTA"T NO
AGE SE#
PASSPORT
$I" NO
NATIONALIT% PROFESSION SIGNATURE
&
'
(
)
*
+
,
-
.
&/
Terms & Conditions :
1. Permission to enter the Park is at the discretion of the Park authority
2. In the event of cancellation of bookings, any deosit aid to the Park authority is not refundable.
!. "isitors enter this Park at their o#n risk. $ohor %ational Park Cororation is not resonsible&liable for any loss, damage, in'ury and&or death to erson(s) and&or roerty(ies), ho#soever caused.
*. +ll visitors must indicate their agreement to these conditions by signing on this form. Please submit this form uon registration at the Park.
%ame & ,ignature of the -rou .eader
Phone %o :
/ate :
FOR OFFI"E USE
/ate :
Time :
%ame :
,ignature :
REMARKS

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