ROLEX/IGFA LABUAN INTERNATIONAL GAME FISHING TOURNAMENT 2005

Please print and print this entry form and sent it to Labuan Anglers Association as per
address stated below.

ENTRY FORM

 

Tournament Entry Fee: RM380.00 per person
                                             ( Note: Boat Rental is NOT included in the tournament entry fee )

 Closing Date: 1st April 2005

 Payment:

   1. Tournament Entry Fee (RM380.00 p/person) should be made payable by Cheques / Bank Drafts to: 
        LABUAN ANGLERS ASSOCIATION and sent payment with entry forms to:

 Lot 5, 2nd Floor, Wisma Wong Woo Loo,
  Jalan Tun Mustapha, 87000  F.T. Labuan , Malaysia .
  Tel / Fax: 087 417367 ( Domestic Calls )
                : +6 087 417367 ( International Calls )
  After office hour no: 019 889 6739 / 019 887 6739( Mobile )
  Email: [email protected]

2. Boat Rental payment should be made payable by Cheques / Bank Drafts to:

         LABUAN ANGLERS ASSOCIATION 

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All entry forms must include a photocopy of Identification Card ( For Malaysians ) or
Passport ( For Non – Malaysians ) and four (4) pieces of “4cm x 5cm” color photographs

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For more information or boat rental, please call contact person at:

Tel: 087 417367, 019 8896739  Fax: 087 417367  Email: [email protected]

PARTICIPANT PARTICULARS

 Name :.........................................................................................................................  

Address:......................................................................................................................  

Nationality:...................................................................................................................  

Identification Card / Passport No:.............................................................................  

Tel:..........................................................   Fax:............................................................

Handphone:.............................................  Email:........................................................


Flight Details  

Date Arriving Labuan :............................ Flight No:........................  Time:....................

 Date Departing Labuan :........................ Flight No:.........................  Time:....................

 I,  the undersigned hereby confirmed that the above details are correct and  wishes
to participate in the Rolex/IGFA Labuan International Fishing Tournament 2005.

 

 

Signature:....................................................................  Date:....................................