LEVEL 1 CYCLING NATIONAL COACHING COURSE

CURRICULUM VITAE OF THE CANDIDATE

Private Information
Name :
Last name :
Date of birth :
Nationality : Photo
Profession :
Cycling Discipline :
Uniform Size : S / M / L / XL
Language
i. Speaking :
ii. Writing :

Contact information
Email address :
Mobile no. :

Sportive profile
Experience as Cycling Coach:

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Achievements for riders under your coaching care:

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 LEVEL 1 CYCLING NATIONAL COACHING COURSE

Others:
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Certification by National Federation / State Cycling Association

Name of the NF/SA :

Signature and official stamp of Secretary NF/SA :

Date :

I hereby confirmed that all the details above are true

Signature : ............................................................
Date :

NOTE :
nd
A) Please return the application form before 2 December 2016 to
Ms Brittney Adlynne britadlynne@yahoo.com or
Ms Beatrice A Lajawa bethlajawa@yahoo.com
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B) All participants must arrive by 5 December, 2016 as the transfer to Tenom will take
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quite sometime (please complete flight /arrival details in appendix 1 by 2 December 2016)

C) Payments (for Foreigners)

Registration Fee (All inclusive of MNCF Fee RM150, Course Kit, Airport Transfers and
meals) : RM260

D) Accommodation is hostel accommodation in TPS arranged by organiser. Please bring along

own toiletries and towels. Also bring along suitable sports shoes (for practical activities).

E) For cycling practical, please bring a road bike.

APPENDIX 1

NAME :

BY FLIGHT

AIRPORT OF DESTINATION IS BKI (KOTA KINABALU)

ARRIVAL DETAILS

Flight No :

Date :

Arrival Time :

DEPARTURE DETAILS

Flight No :

Date :

DepartureTime :

BY ROAD (SABAH)

If your are driving, convoy will leave latest by 2:30 pm from Kota Kinabalu via
Kimanis/Keningau road on 5th December 2016. Please also indicate if there are any
available space in your transport.

BY TRAIN (SABAH)

Date :

Arrival Time :

Date :

Departure Time :