my
Enquiries : yamahafunride@yamaha-motor.com.my
Tel
: 03-6157 7011 ext. 6618 / 6623 Fax : 03-6157 7002
CLOSING DATE - BEFORE Thursday, 12 Mar. 2015
LIMITED PLACES, First Come First Serve Basis
MT-07
XJ6-N
XJ6-S
T/S Size
XJ6-F
21 Mar. 2015
PARTICIPANT INFORMATION
1. NAME
: ________________________________
3. IC NO
: ________________________
6. LICENCE NO.
: _____________
9. BLOOD TYPE
: _____________
4. HP NO: _______________________
5. AGE: __________
________________________________________________________________________________________________
Day/Date
Meet
Registration
Fees
Refreshment
:
:
:
Programme
08.00am09.00am
09.00am12.30pm
Highlights
:
:
-
Free
Provided
======================================================================================================
INDEMNITY DECLARATION
I, _____________________________________________ IC No.___________________________ hereby confirm that all information
given in the participation form is correct; and at all times during the YAMAHA TRACK DAY, I will:1) Follow all rules & regulations as well as all instructions by the Marshals or officials of the YAMAHA TRACK DAY
2) To ride and obey all the rules & regulation of the circuit
And also, I hereby agree that should I violate the above during the YAMAHA TRACK DAY, I will be asked to withdraw from the track day.
I also agree and consent that I am participating in the YAMAHA TRACK DAY organized by HLYM at by our free will, I will also not
seek any damages or losses from HLYM or its organizer and any other 3rd party should I be involved in any accidents or suffer lost
or damages either in part or full during the YAMAHA TRACK DAY activity.
I/We have received and read the Hong Leong Group Privacy Policy (to which HLYM belongs) and agree that all personal data provided to
HLYM or acquired by HLYM from the public domain as well as personal data that arises as a result of the provision of services to me/us will
be subject to such policy as may be varied from time to time. Further copies are available upon request or from the Hong Leong Manufacturing
Group website (www.hlmg.com.my).
____________________
_______________
Signature
Date
Please email completed form to us at yamahafunride@yamaha-motor.com.my or Fax to : 6157 7002 attention to - Fun Ride Committee. Tel : 6157 7011 ext. 6618 / 6623