ENTRY FORM

SJM-SJP CENTURY RIDE SURVEY MANJUNG-PRAI ON 11 MAY 2008 (SUNDAY)-ROADBIKE ONLY

NAME

NRIC/PASPORT NO.

CONTACT NO

IN CASE EMERGENCY CONTACT NO. MR/MRS



RULE AND REGULATIONS

1. Riders must sign indemnation letter/agreement before taking part of this event.
2. This no a race but riders is advised to follow group pace for safety reason.
3. Assistance will be available all the time & please stop at safe roadside area for assistance.
4. All riders must abide the Traffic Rules and Regulation through out the event.
5. All riders shall be responsible for their own safety as well as other riders.

INDEMNITY

I hereby agree to abide by rules & condition of the event & certify that all of the above particulars are correct. I am joint thiis event at my own risk & will not hold the organizer/sponsor/organizing committee responsible for any accident/injury/death/loss of property arising before, during & after the said event.




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Signature / Date