OrangeRun13 13Oct2013

Piazza-The Curve-Mutiara Damansara-PJ

In consideration of the Organiser accepting this entry, and registration to participate in the above Run, I hereby waive and release any and all right or claims to damages I may have against the Organiser holding this Run, their agents, representatives, successors, assigns, race sponsors for any and all injuries, death and invalidity I may sustain before, during or after the course of the event or arising as a result of it. I hereby indemnify the Organiser and keep them indemnified and waived against all claims or damages that arise in consequence of the above. Rules & Regulations 1. AGE QUALIFICATION: Taken as at 31 December 2013 (Veteran competitors must attach a photocopy of their identity card together with their entry form) 2. NATIONALITY: Open to all. Malaysians and PR* will run in category A-F, International entries will run in category G and H. *PR must attach photocopy of their PR card together with entry form. 3. ENTRY FEE: RM5.00 per entry. Limited to 5000 entries only on first come first served basis. All entry fees collected will be donated to 3 charity homes. BHPetrol will top up the donation to RM30,000. 4. SUBMISSION OF ENTRIES: All entries must be submitted on the official entry form. Photostat copies are acceptable. 5. CLOSING DATE OF ENTRIES: All entries must be completed and signed by participants. Any incomplete entries and entries without signature will not be accepted. For category E&F, parents signature is compulsory. 6. REGISTRATION AND COLLECTION OF TAG NUMBERS: Tag numbers will be given out upon submission of completed entry forms during registration time at the following seven BHPetrol stations. Date : 28-29 September 2013 Time : 10.00am 4.00pm Venue : BHPetrol Mutiara Damansara, BHPetrol TTDI, BHPetrol Damansara Utama, BHPetrol Damansara Jaya, BHPetrol Sg Kayu Ara, BHPetrol SS2, BHPetrol Bandar Sri Damansara (Kepong/Batu Caves bound) 7. VERIFICATION DATE OF BIRTH: All winners from 1 10 positions in each category must produce identity card or other valid identification document to authorized technical officials and/or the Organiser. 8. ENQUIRIES: a) BHPetrol Customer Service Centre toll free at 1-300-22-2828. b) Please enquire at the weekend registration counters at the above mentioned BHPetrol stations at the dates and times specified above.

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RM50

DATE : 13 October 2013 (Sunday) VENUE : Piazza, The Curve, Mutiara Damansara, PJ START TIME : Women / Girls - 7.00 am : Men / Boys - 7.15 am ORGANISER : BHPetrol
FULL NAME

ADDRESS

7-3-1 Jalan 10/42A Taman Sejahtera Off Jalan Kuching 51200 Kuala Lumpur
POSTCODE

Malaysia
TELEPHONE NO.: (H/P) (H)

cto

! n o w e b o ,000 t ntry
RM5 per e

te: Da

Clo sin g

Mazlan Syafiq bin Jamalal Nurjaddin

be

r2

01

No.:

51200

014-3630397
I/C NO. / PR NO. / PASSPORT NO.:

03-62417141 1 4 0
AGE

0 3

SEX M

5
F

DATE OF BIRTH DD/MM/YY

14/03/97
CODE A B C D E F G H CATEGORY Men Open Men Veteran Women Open Women Veteran Boys Girls Men International Open

16

Male
DISTANCE (X) 11 km 11 km 11 km 11 km 11 km 11 km 11 km 11 km

Age 18 yrs and above Age 40 yrs and above Age 18 yrs and above Age 35 yrs and above Age 13-18 yrs Age 13-18 yrs Age 18 yrs and above

CATEGORY

PRIZES
CASH (RM) BHPetrol Vouchers CASH (RM) BHPetrol Vouchers CASH (RM) BHPetrol Vouchers CASH (RM) BHPetrol Vouchers CASH (RM) BHPetrol Vouchers CASH (RM) BHPetrol Vouchers CASH (RM) BHPetrol Vouchers CASH (RM) BHPetrol Vouchers

1st
1000 500 1000 500 1000 500 1000 500 1000 500 1000 500 1000 500 1000 500

2nd
700 300 700 300 700 300 700 300 700 300 700 300 700 300 700 300

3rd
500 250 500 250 500 250 500 250 500 250 500 250 500 250 500 250

4th
300 200 300 200 300 200 300 200 300 200 300 200 300 200 300 200

5th
200 100 200 100 200 100 200 100 200 100 200 100 200 100 200 100

6th-10th

Men Open Age 18 yrs and above Men Veteran Age 40 yrs and above Women Open Age 18 yrs and above Women Veteran Age 35 yrs and above

Women International Open Age 18 yrs and above

TO KOTA DAMANSARA
JLN PJU 3/22 JLN PJU 7/18

PONDOK POLIS MUTIARA DAMANSARA

Boys Age 13 - 18 yrs Girls Age 13 - 18 yrs

Persiaran Surian

CHINESE SCHOOL

Men International Open Age 18 yrs and above

1 TECH PARK KBU

Persiaran Bukit Utama Tangkat Bandar Utama JLN PJU 7/1

(Royale Bintang Hotel)

Mutiara Homes

STARTING POINT

Women International Open Age 18 yrs and above

Persiaran Surian

L eb

uh B

CENTRE POINT

Mutiara Homes

andar

Signature Name
STATION

: :

U ta m a

I.C / PR / Passport No :

Che Normah 720726-08-5628

IPD Petaling Jaya

www.bhpetrol.com.my

TV3

1 UTAMA

1 UTAMA

(NEW WING)

DRIVING RANGE

Parking is at The Curve/e@Curve

Technical Support :

In Collaboration With :