BORANG PENYERTAAN ONLINE

• BORANG PENYERTAAN KEJOHANAN CATUR TERBUKA SG BESAR 2014

• Nama *
• No. Kad Pengenalan
• Alamat

  Street Address
  Street Address Line 2
  City	State / Province
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• Sekolah / IPT / Pekerjaan
• Tarikh Lahir *
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• Umur
• Jantina *
  Lelaki Perempuan
• No. Telefon *
  
  

     
• No. Faks / 2nd phone no.
  - Area Code Phone Number
• E-mail
• KATEGORI *
  TERBUKA BAWAH 17 TAHUN (Lahir tahun 1997 dan selepasnya) BAWAH 12 TAHUN (Lahir tahun 2002 dan selepasnya)
• Hadiah Khas (Kategori Terbuka)
  Penduduk Sg. Besar Wanita Veteran (> 45 tahun) Pelajar IPT Kakitangan Kerajaan Kakitangan Swasta Anak Selangor (Lahir di Selangor)
• Pengakuan *
  Saya faham dan bersetuju untuk mematuhi undang-undang dan peraturan-peraturan acara ini. Penganjur tidak akan bertanggungjawab bagi apa-apa liabiliti, kejadian yang tidak diingini, kerugian, kerosakan, tuntutan atau kemalangan berlaku semasa acara berkenaan.
• TARIKH TUTUP PENYERTAAN : 18 OKTOBER 2014

  Yuran Penyertaan

  Kategori Terbuka=RM 20

  Kategori Bawah 17 dan Bawah 12 tahun=RM 10

  dibayar kepada 'CERDIK CATUR ENTERPRISE'

  No. Akaun Semasa MAYBANK : 5648 1000 6279
• Bank-in Slip
  Upload a File
• Jika anda tidak dapat upload bank-in slip di sini, mohon maklumkan butiran bayaran (tarikh dan masa bank-in) kepada En. Fadli di talian 014-2312370 / 016-3038892 dan e-mel juga SLIP bayaran kepada cerdikcatur@yahoo.com

  Sila simpan & bawa slip bayaran pada hari kejohanan sebagai bukti. Terima kasih.
• Komen / Cadangan
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