BSF Ocean Swim Entry Form

2025 BSF Ocean Swims

16th Bali Ocean Swim June 1 ,20251st Dili Ocean Swim September 6,20251st Kupang Ocean Swim1st Komodo Ocean Swim

2025 Entry Fees

Swimmers can pay in Timor-Leste,Indonesia or Australia,whichever is more convenient.

For Indonesian Swimmers and KITAS holders

1.2 Km IDR 600,000

5 km IDR 900,000

10 km 1,300,000

For all other swimmers

1.2 Km = $50 USD

5 Km = $80 USD

10 Km = $ 100 USD

For Swimmers in Australia (AUD)

1.2 km = $70
5 km = $110
10 km = $140

Payment to:

Bank Details:

TIMOR-LESTE

Account Name : Bali Sports Foundation Australia

Bank : BNU

Account :1361608510001

IBAN : TL380020136160851000162

INDONESIA

Account Name: Yayasan Damai Olahraga Bali
Bank: CIMB Niaga
Branch: Jl Melati, Denpasar, Bali

Rupiah: 800040966400
USD : 800041048840
SWIFT CODE: BNIAIDJA

AUSTRALIA

Account Name : Bali Sports Foundation Australia Limited
Bank : Westpac
BSB : 032085
Account No: 455149
Currency : AUD

Event: 1.2Km

	Male	Female
Kids ( up to 12yrs)
Junior (12-17yrs)
Adult (18-35yrs)
Masters (36-50yrs)
Veterans (Over 50 yrs)

Event: 5Km

	Male	Female
Junior (12-17yrs)
Adult (18-35yrs)
Masters (36-50yrs)
Veterans (Over 50yrs)

Main Event: 10Km

	Male	Female
Open

Name

Given NameFamily Name

Gender

MaleFemale

Nationality

ID No (for Indonesian Citizen/Resident only)

Date of Birth

Date

Age on Race Day

Address

Country of Residence

Email

example@example.com

Emergency Contact 1

Emergency Phone No 1

Emergency Contact 2

Emergency Phone No 2

List Previous Experience at Registered Distance

Current Medical Issues

Are you allergic to any medication? If so what:

Do you wish medical staff to be aware of any condition?

YesNo

If Yes, please detail:

I certify that I am medically fit to compete and fully understand that I enter at my own risk, and that the organisation will in no way be held responsible for any injury, illness or loss, during or as a result of the event. (Parent or guardian to sign if competitor is under 18 years of age)

Date Signed

Date

Please verify that you are human*