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JELAJAH JANJI DITEPATI CARNIVAL

3ON3 BASKETBALL CHALLENGE

ENTRY FORM
TEAM NAME :

DATE : 28TH & 29APRIL 2012


VENUE : Wisma Bapa Malaysia, Kuching
TIME : 9.00AM-5PM

CATEGORY :
PLAYER1

RULES & REGULATIONS

NAME : ..

1. All Categories Malaysian and Non-Malaysian

ADD..

A. U15 boys 28th april 2012


B. U18 boys 29th april 2012
2.Reg fee is free. All Entries must be submitted by April 26th, 2012

..
TEL NO (HOUSE) : . (HP) : ....
IC NO : .... AGE : .....
EMAIL : ...

3. Replacement of team members is not allowed after submission of entry


form.

SIGNATURE.........................................................

4. All participants will have to produce their I.c & Company ID during
the event day for verification purpose.

PLAYER2

5. Any rough play or unsporting behavior before, during and after the
game will not be tolerated and will result in immediate disqualification.
6. The organizer reserves the rights to any decision made through the
tournament and no damage shall be claimed from organizer or sponsors.
7. Current and ex-national player or national junior players are not
allowed to participate. Unless they are an employee of a company
8. For more information please contact:
Mr. Wong - 012 358 5911

Mr Teo

- 013 8030087

9. Complete registration form must be faxed to 03-9075 7050 by


26th April 2012 or handle to Mr. Teo.
(FIRST COME FIRST SERVE BASIS ONLY)
10.Competition Prizes are as follow:

NAME : ..
ADD..
..
TEL NO (HOUSE) : . (HP) : ....
IC NO : .... AGE : .....
EMAIL : ...
SIGNATURE.........................................................
PLAYER3
NAME : ..
ADD..
..

OPEN

TEL NO (HOUSE) : . (HP) : ....


ST

1 PRIZE :
2ND PRIZE :
3RD PRIZE :

RM500
RM300
RM200

IC NO : .... AGE : .....


EMAIL : ...
SIGNATURE.........................................................

* Competitors hereby certify that they are physically fit and trained and they are
entering this competition at their own risk and responsibility and agree to abode by all
rules and conditions of the competition as determine by organizer as well as to release
the organizer or any responsibility in the event of injury, death or lost of property
incurred during, as a consequences of or while traveling to or from the competition.

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