LABUAN CROSS CHANNEL SWIMMING CHALLENGE 2005
LABUAN INTERNATIONAL SEA CHALLENGE 2005
17th APRIL 2005

ENTRY FORM

Entry Fee                  :   SINGLE OPEN        -   RM 30.00

Closing Date              :   14th April 2005  

Payment Method       :   Entry feee should be made payable by Cash / Chequs / Bank Drafts
                                    to:  LABUAN CORPORATION

All entry forms must include a photocopy of Identification Card ( Malaysians ) or Passport
( Non-Malaysians ) and one (1) "4cm x 5cm: color photographs.
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                                                COMPETITORS PARTICULARS

Name of Participant:...........................................................................................................

Identity Card No:.......................................................................... ( Malaysian Citizen )

Passport No:.................................................. ( Non-Malaysian)  Nationality:..........................

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

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

Hand Phone No:.................................................. E mail:...................................................

I, the undersigned hereby confirmed that the above details are correct and my participation in the Labuan Cross Channel Swimming Competition 2005.

..............................................................                               ...........................................
                       Signature                                                                         Date

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For more information, please contact:

LABUAN TOURISM ACTION COUNCIL
P.O.Box 235, 87008, F.T. Labuan
Tel: 087 422622  Fax: 087 419622
Email: [email protected]
Website: www.labuantourism.com.my.

or

LABUAN BACKPACKERS ASSOCIATION
P.O.Box 80903, 87019 F.T. Labuan