Please Fill Up This Form

Rider Info
Full Name  :  *No apostrophe¬† ( ' ) allowed
NRIC / Passport  :  *No dash (-) and space
Email Address  : 
Next of Kin Mobile No  :  *Emergency Purpose
Mobile No.  : 
Event Info
Category  : 

A - JUNIOR (below 19 y/o) 

B - MEN OPEN (20 - 34 y/o) 

C - MEN MASTER (35 - 44 y/o) 

D - MEN VETERAN (above 45 y/o) 


F - HEAVYWEIGHT (above 90kg) 


Tshirt Size
(View Size Chart)

I certify that I am physically fit, have sufficiently trained for participation in this event and have not been advised otherwise by a qualified medical person. In consideration of my application on this event, I hereby to waive, release and discharge from any and all liability to organiser for any incidents accrue to me. I understand that this event may be photographed and agreed to allow my photos to be used by event organisers for any legitimate purposes.