The Labuan International Insurance Association 2026 Charity Golf Registration
In aid of
Pertubuhan Pemulihan Dalam Komuniti (PPDK) Labuan
Date
:
20 May 2026, Wednesday
Venue
:
Labuan International Golf Club
Time
:
06:15 AM (MYT)
Fee
:
RM 400.00 / player
Company Detail
Company Name
*
Name of Contact Person:
*
Designation of Contact Person:
*
Email Address of Contact Person:
*
example@example.com
Phone Number of Contact Person:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Participant Detail
Participant 1 - Full Name:
*
Participant 1 - Designation:
*
Participant 1 - Email Address:
*
example@example.com
Participant 1 - Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Participant 1 - Club Membership Name (if any):
*
Participant 1 - Club Membership Number:
*
Participant 1 - Current Handicap Number:
*
Participant 1 - T-shirt Size:
*
Please Select
XS
S
M
L
XL
2XL
3XL
4XL
5XL
6XL
7XL
8XL
Participant 2 - Full Name:
Participant 2 - Designation:
Participant 2 - Email Address:
example@example.com
Participant 2 - Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Participant 2 - Club Membership Name (if any):
Participant 2 - Club Membership Number:
Participant 2 - Current Handicap Number:
Participant 2 - T-shirt Size:
Please Select
XS
S
M
L
XL
2XL
3XL
4XL
5XL
6XL
7XL
8XL
Declaratrion
I/We hereby give consent to LIIA to process and but not limited to collect, use, hold, store or disclose my/our personal data herein contained in this e-form for the purpose and to the extent as permitted by the relevant laws.
*
I Agree
I Disagree
Name of Authorized Signatory:
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Designation:
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Payment Detail
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