SUBUM Trail Challenge Series 2

Participant Details
Email*
example@example.com
Name as per ID*
ITRA ID
Identity Card Number / Passport Number*
Date of Birth

DayMonthYear
Date
MaleFemale
Open [ 48 years and below ]Master [ 49 years and above ]Senior Master[ 60 years and above ]
Open [ 45 years and below ]Master [ 46 years and above ]
Phone Number*

Area CodePhone Number

Emergency Contact Details
Name*
Phone Number*

Area CodePhone Number
Waiver
By ticking this boxx, I, {nameAs} confirm that:

I am medically fit and capable of participating in this event, and I take part entirely at my own risk.

I release and hold harmless the event organizers, sponsors, partners, and all associated personnel from any liability, claims, demands, or causes of action arising from any injury, loss, or damage that may occur as a result of my participation in this event.

I consent to the use of photographs, videos, or recordings taken during the event that may include my image for promotional, marketing, and documentation purposes.
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Registration Entry + Finisher T-Shirt
50.00BND Size

Total

0.00BND
Please note that the payment amount is indicated in your total. Thank you for your prompt payment.
BIBD Online Banking TransferBAIDURI I-BankingTAIBMasterCard / Visa Payment Link (Additional Charges May Apply)
Below is the account details

Bank Name: Bank Islam Brunei Darussalam
Account Number: 00001010138417
Account Holder: Passion Ku Enterprise

Bank Name: BAIDURI
Account Number: 0400117531397
Account Holder: Passion Ku Enterprise

Bank Name: TAIB
Account Number: 008701122648018
Account Holder: Passion Ku Enterprise

kindly upload your receipt below
Orders will only be processed upon receipt of payment confirmation.*

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Participant Details