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1stLegSabahDev

elopmentJuni
orTour2019
Regi
str
ati
onFor
m

NexusResor
tKar
ambunai f–27thJanuar
Gol y2019(
Sunday
)

Nameofpar
ti
cipant
:__
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Dat
eofbi
rt
h:_
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Sex:
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_ Guar
dian’
sname:
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Phone:
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___Fax:
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Emai
laddr
ess:
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HomeCl
ub:
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Cur
rentHandi
cap(
NHS/
USGA)
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___I
ndex:
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NHSNo.
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CATEGORY YEARBORN BOYS GI


RLS HOLES

A(
U18) 2001–2003 18

B(
U15) 2004–2006 18

C(
U12) 2007-2008 9

D(
U10) 2009and 9
bel
ow

ENTRANCEFEE:
RM50f
or9hol
es/RM80f
or18hol
esi
ncl
usi
veofbuggyandgr
eenf
ee.

*Agecat
egor
iesbasedont
hey
earofbi
rt
h

Pl
easecomplet
etheentryf
orm andretur
ntoCoachRonni
ePan(
0168493895)orCoach
Donni
eInt
ungatLikasPar3(0168238177).
Discl
aimer
:Theor
gani
zerwi
l
lnotbel
i
abl
eforanyl
oss,
inj
ury
,damageofpr
oper
ty,
oracci
dentdur
ing
theevent
.
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Pl
ayer
’sSi
gnat
ure Guar
dian’
sConsent

Pl
easecomplet
etheentryf
orm andretur
ntoCoachRonni
ePan(
0168493895)orCoach
Donni
eInt
ungatLikasPar3(0168238177).
Discl
aimer
:Theor
gani
zerwi
l
lnotbel
i
abl
eforanyl
oss,
inj
ury
,damageofpr
oper
ty,
oracci
dentdur
ing
theevent
.

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