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G20 LANGKAWI RIDE 2009(07
TH
MAC – 10
TH
MAC,2009)
REGISTRATION FORM
(PLEASE FILL IN PARTICULARS)
NAME OF RIDER (AS IN NRIC NO/PASSPORT):_____________________________________ DATE OF BIRTH :___________ SEX :___________ NATIONALITY : ______________ TEL : (RES)________________ TEL (OFF)________________ (HP)______________________ NRIC/PASSPORT NO :___________________________ BLOOD GROUP :________________ T-SHIRT SIZE (S/M/L/XXL/3XL/4XL)_____________ DRUG ALLERGY (IF ANY)____________ PAYMENT : RM _____________ MOTORCYCLE PARTICULARS :REGISTRATION NO : _______________ MAKE & MODEL : ____________________________ ENGINE NO : ______________________ CHASSIS NO : ______________________________ ENGINE CAPACITY : ________________________ YEAR MADE : ______________________ ROADTAX EXPIRY DATE : _______________ LISENCE EXPIRY DATE : ________________ *** PHOTOCOPY OF REGISTRATION CARD/ ROAD TAX/ LISENCE/ NRIC OR PASSPORTNO AND IF UNDER FINANCE LETTER OF AUTHORIZATION FROM FINANCE CO.PERSON(S) TO CONTACT IN CASE OF EMERGENCY:NAME :____________________________________ ___ CONTACT NO : _________________ RELATIONSHIP : ______________________
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g20 Langkawi Ride 2009
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| Upload Date: | 01/30/2009 |
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