Entry Form : For Girls / Women

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MALAYSIA OPEN KOSHIKI CHAMPIONSHIP

2017

ENTRY FORM (FOR GIRLS / WOMEN)

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_______________
Signature & Rubber Stamp of Association
Name:
Position / Title :
Address:

CLOSING DATE: 15/06/2017

48 KG & ABOVE

UNDER 48 KG

UNDER 17

UNDER 15

DATE OF BIRTH

UNDER 13
WEIGHT (KG)

NAME OF CONTESTANT

HEIGHT (CM)

No.

WEIGHT (KG)

NAME OF CLUB / ASSOCIATION:

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