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  • Borang JOGOTHON 2

    Uploaded by

    Visvan Subramaniam
    6 views2 pages
    # the entry fee is RM Men Female Man Female 18 Years - 45 Years 18 Years-45 Years 46 Years and Above 46 Years and Above I enclosed herewith Cash / cheque(crossed) / Money Order / Postal Order to PIBG SMK Bukit Bandaraya, amount RM 30.00 as my entry fee. I also declare that I am healthy to take part in this event.

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    # the entry fee is RM Men Female Man Female 18 Years - 45 Years 18 Years-45 Years 46 Years and Above 46 Years and Above I enclosed herewith Cash / cheque(crossed) / Money Order / Postal Order to PIBG SMK Bukit Bandaraya, amount RM 30.00 as my entry fee. I also declare that I am healthy to take part in this event.

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    © All Rights Reserved
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    6 views2 pages

    Borang JOGOTHON 2

    Uploaded by

    Visvan Subramaniam
    # the entry fee is RM Men Female Man Female 18 Years - 45 Years 18 Years-45 Years 46 Years and Above 46 Years and Above I enclosed herewith Cash / cheque(crossed) / Money Order / Postal Order to PIBG SMK Bukit Bandaraya, amount RM 30.00 as my entry fee. I also declare that I am healthy to take part in this event.

    Copyright:

    © All Rights Reserved
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    of 2

    ENTRY FORM

    30.00. (for individual)

    # the entry fee is RM

    RM 25.00 (for
    students)
    Nama/Name
    :_______________________________________________
    Umur/Age
    : ________________________ (on 5th Mac 2016)
    No KP / IC Num
    : ________________________
    Jantina / Gender :
    M
    F
    Alamat/Address :
    ________________________________________________________________
    No Telefon / Tel : _________________________
    I would like to participate in this category: Saya ingin menyertai kategori
    ini:
    (
    (
    (
    (

    )
    )
    )
    )

    M
    F
    V
    W

    Men
    Female
    Man
    Female

    18 Years 45 Years
    18 Years 45 Years
    46 Years & Above
    46 Years & Above

    I enclosed herewith Cash/Cheque(crossed)/Money Order/Postal Order to


    PIBG SMK Bukit Bandaraya, amount RM 30.00 as my entry fee.
    I am also donating RM _________ to the welfare of this school children.
    (optional)
    I also declare that I am healthy to take part in this event.

    ..
    (Signature)
    For further inquiries/registration please contact
    Mr Visva
    012-3056646
    Mr Rashidi
    013-3577162.

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