ALL C

Name Of Applicant: SHAHRULL IZWAN BIN ZAINUD

Address / Email : shahrullizwan_siz@yahoo.com
Contact Number :0148658695
Submitted By (Name):
Date Of Submission :
/
/
Sutera Sanctuary Lodges: Ref:

NO

FULL NAME ( IN BLO

AHMAD FADZLEE BIN DONALD

NORSAFWATI BINTI JAINUDIN

3
4

DYANA BINTI DONALD

NADIA BINTI DONALD

ABDUL MANAF BIN ABDUL MALIK

7
8

MOHD. IQMAL BIN HIZAZI

RAFAE BIN ZULKIFLI

10

My group and I confirm that all the pa

Permit Fee For Non-Malaysian 18 years And

Permit Fee For Non-Malaysian Below 18 Yea
Permit Fee For Malaysian 18 years And Abo
Permit Fee For Malaysian Below 18 years
Insurance Fee .........
Received By:
Date:
Signature Of Officer On Duty:
ORIGINAL : KINABALU PARK

DUPLICATE: MT GUIDE

ALL CLIMBERS ARE REQUIRED TO FILL IN THIS FOR

(THIS INFORMATION IS FOR IN

AN BIN ZAINUDDIN
@yahoo.com

LR/GL/WH/PL (

Booking Fo
)Pax

VISITO

LL NAME ( IN BLOCK LETTER )

hat all the particulars given above are true

FOR SABAH PARK

an 18 years And Above...@RM100.00 Per person

an Below 18 Years.....@RM40.00 Per person
years And Above.....@RM30.00 Per person
low 18 years ......@RM12.00 Per person
....................@RM7.00 Per person

TE: MT GUIDE

LEMBAGA PEMEGANG AMANAH TA

(THE BOARD OF TRUSTEES OF SABA
MOUNTAIN CLIMBING RESERVATIO

LOT 45 & 46, TINGKAT 1-5, BLOCK SIGNATURE O

COASTAL HIGHWAY, 88100 KOTA KINABALU, SA
P. O. Box 10626, 88806 KOTA KINBALU, SABAH,
Tel : +06088-263864, +06088-212719, Fax: +060

ALL CLIMBERS ARE REQUIRED TO FILL IN THIS FORM AND RETU

(THIS INFORMATION IS FOR INSURANCE AN

INUDDIN
m

Date Of Climb :

29 / 11 / 2014
Booking For Accommo
LR/GL/WH/PL (
)Pax

VISITOR PARTICUL

N BLOCK LETTER )

e particulars given above are true :

I.C / PA

92021

92071

93042

99022

90010

92080

91040

FOR SABAH PARKS OFFICE'S

And Above...@RM100.00 Per person

8 Years.....@RM40.00 Per person
Above.....@RM30.00 Per person
rs ......@RM12.00 Per person
..............@RM7.00 Per person
TOTAL
Time:
Receipt No:
TRIPLICATE: INSURANCE

AMANAH TAMAN-TAMAN SABAH

EES OF SABAH PARKS)
RESERVATION FORM

CK SIGNATURE OFFICE, KK TIMES SQUARE,

A KINABALU, SABAH, MALAYSIA.
NBALU, SABAH, MALAYSIA
12719, Fax: +06088-263864, E-mail: sabahparks@sabah.gov.my

ORM AND RETURN IT TO THE OFFICE BEFORE STARTING CLIMB

R INSURANCE AND STATISTICAL PURPOSE)

Fax Number :
Tour Guide Name & License Number:
Period Of Climb: 2
For Accommodation
Mountain Torq: (
) Pax

TOR PARTICULAR

I.C / PASSPORT NO

SEX

AGE

920210-12-6157

MALE

22

920716-12-6488

FEMALE

22

930420-12-5864

FEMALE

21

990226-12-6640

FEMALE

15

900109-12-6189

MALE

24

920808-13-5381

MALE

22

910404-12-6295

MALE

23

ue :
..

( Signature Of Group Leader )

Name

RKS OFFICE'S USE ONLY

RM _________
RM _________
RM _________
RM _________
RM _________
RM _________
Approved By:
Signature & Chop:

@sabah.gov.my /sabahparks@gmail.com

TARTING CLIMB

e Number:
Climb: 2

) Pax

Day 1 Night

der )

NATIONALITY
MALAYSIA
MALAYSIA

MALAYSIA
MALAYSIA
MALAYSIA

MALAYSIA
MALAYSIA

MALAYSIA
SABAH

Group Number

Guide's Name

Date:
Remarks:

MALAYSIA
SWK WMAL