Name :

Signature :
I.C / PR / Passport No : www.bhpetrol.com.my
Piazza-The Curve-Mutiara Damansara-PJ
OrangeRun14
No.:
DATE : 7 September 2014 (Sunday)
VENUE : Piazza, The Curve, Mutiara Damansara, PJ
START TIME : Men / Boys - 7.00 am
: Women / Girls - 7.15 am
ORGANISER : BHPetrol
ADDRESS
TELEPHONE NO.: (H/P) (H)
DATE OF BIRTH
I/C NO. / PR NO. / PASSPORT NO.:
POSTCODE
DD/MM/YY F M
AGE SEX
CODE
A Men Open Age 18 yrs and above 12 km
B Men Veteran Age 40 yrs and above 12 km
D Women Veteran Age 35 yrs and above 12 km
C Women Open Age 18 yrs and above 12 km
E Boys Age 13-18 yrs 12 km
F Girls Age 13-18 yrs 12 km
G Men International Open Age 18 yrs and above 12 km
H Women International Open Age 18 yrs and above 12 km
CATEGORY DISTANCE (X)
FULL NAME
R
M
5
per entry
In consideration of the Organiser accepting this entry, and registration to participate in the
above Run, I hereby waive and release any and all right or claims to damages I may have
against the Organiser holding this Run, their agents, representatives, successors, assigns, race
sponsors for any and all injuries, death and invalidity I may sustain before, during or after the
course of the event or arising as a result of it. I hereby indemnify the Organiser and keep them
indemnified and waived against all claims or damages that arise in consequence of the above.
Rules & Regulations
1. AGE QUALIFICATION: Taken as at 31 December 2014 (Veteran competitors must attach a
photocopy of their identity card together with their entry form)
2. NATIONALITY: Open to all. Malaysians and PR* will run in category A-F, International
entries will run in category G and H.
*PR must attach photocopy of their PR card together with entry form.
3. ENTRY FEE: RM5.00 per entry. Limited to 5000 entries only on first come first served basis.
All entry fees collected will be donated to 3 charity homes. BHPetrol will top up the donation
to RM30,000.
4. SUBMISSION OF ENTRIES: All entries must be submitted on the official entry form.
Photostat copies are acceptable.
5. CLOSING DATE OF ENTRIES: All entries must be completed and signed by participants.
Any incomplete entries and entries without signature will not be accepted. For category
E&F, parents signature is compulsory.
6. REGISTRATION AND COLLECTION OF TAG NUMBERS: Tag numbers will be given out
upon submission of completed entry forms during registration time at the following seven
BHPetrol stations.
Date : 16-17 August 2014
Time : 10.00am 4.00pm
Venue : BHPetrol Mutiara Damansara, BHPetrol TTDI, BHPetrol Damansara
Utama, BHPetrol Damansara Jaya, BHPetrol Sg Kayu Ara, BHPetrol SS2,
BHPetrol Bandar Sri Damansara (Kepong/Batu Caves bound)
7. VERIFICATION DATE OF BIRTH: All winners from 1 10 positions in each category must
produce identity card or other valid identification document to authorized technical officials
and/or the Organiser.
8. ENQUIRIES: a) BHPetrol Customer Service Centre toll free at 1-300-22-2828.
b) Please enquire at the weekend registration counters at the above
mentioned BHPetrol stations at the dates and times specified above.
In Collaboration With :
IPD Petaling Jaya
Technical Support :
R
M
5
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1st CATEGORY PRIZES 3rd 4th 5th 2nd
Men Open
Age 18 yrs and above
CASH (RM)
BHPetrol Vouchers
Men Veteran
Age 40 yrs and above
CASH (RM)
BHPetrol Vouchers
Women Open
Age 18 yrs and above
CASH (RM)
BHPetrol Vouchers
Women Veteran
Age 35 yrs and above
CASH (RM)
BHPetrol Vouchers
Boys
Age 13 - 18 yrs
CASH (RM)
BHPetrol Vouchers
Girls
Age 13 - 18 yrs
CASH (RM)
BHPetrol Vouchers
Men International Open
Age 18 yrs and above
CASH (RM)
BHPetrol Vouchers
Women International Open
Age 18 yrs and above
CASH (RM)
BHPetrol Vouchers
6th-10th
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7Sept2014
CONSENT TO PROCESSING OF PERSONAL DATA: By providing my personal data above
and by signing below I acknowledge that I have read and understood Boustead Petroleum
Marketing Sdn. Bhd.s Privacy Notice which has been made available to me or which I
have views at www.bhpetrol.com.my/privacy.html and I consent to the processing of my
personal data in the manner as set forth in the Privacy Notice.
M5 Event Sdn Bhd
G
The Effingham
Bandar Utama
Persiaran Bukit Utama
Persiaran Tropicana
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SMKBU
Damansara 3
Water Supply Station
G
SJK (C) Damansara
G
One Tech Park
G
Lien Hoe
Tower
G
Tropicana
Avenue
KBU
G
Oasis BU 11
Bandar Utama
G
G Sunway
Sutera
Riana Green G
Tropicana
Club
G
Casa
Tropicana
G
Polis Station
Bandar Utama
G
West Point G
BU8 G
TNB G
G
Bukit Utama
G
STARTING /
Finishing POINT
(Royale Bintang Hotel)
The Curve
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