Flag-Off Time: 
  7.00 am  
 
No. of Registrants:  
Name of Participant 1:    Blood Type: 
 
Gender:    Contact Number (Mobile): 
 
I.C Number / Passport:    Email: 
 
Nationality:    Emergency Contact Number (Mobile): 
 
Date of Birth:    Age:
  Relationship of Contact Person: 
         
 
Medical History (if there's any):    
Shirt Size:     
2XS XS S M L
XL 2XL 3XL 4XL 5XL
   
     
 
Name of Participant 2:    Blood Type: 
 
Gender:    Contact Number (Mobile): 
 
I.C Number / Passport:    Email: 
 
Nationality:    Emergency Contact Number (Mobile): 
 
Date of Birth:    Age:
  Relationship of Contact Person: 
         
 
Medical History (if there's any):    
Shirt Size:     
2XS XS S M L
XL 2XL 3XL 4XL 5XL
   
     
 
Name of Participant 3:    Blood Type: 
 
Gender:    Contact Number (Mobile): 
 
I.C Number / Passport:    Email: 
 
Nationality:    Emergency Contact Number (Mobile): 
 
Date of Birth:    Age:
  Relationship of Contact Person: 
         
 
Medical History (if there's any):    
Shirt Size:     
2XS XS S M L
XL 2XL 3XL 4XL 5XL
   
     
 
Name of Participant 4:    Blood Type: 
 
Gender:    Contact Number (Mobile): 
 
I.C Number / Passport:    Email: 
 
Nationality:    Emergency Contact Number (Mobile): 
 
Date of Birth:    Age:
  Relationship of Contact Person: 
         
 
Medical History (if there's any):    
Shirt Size:     
2XS XS S M L
XL 2XL 3XL 4XL 5XL
   
     
 
Name of Participant 5:    Blood Type: 
 
Gender:    Contact Number (Mobile): 
 
I.C Number / Passport:    Email: 
 
Nationality:    Emergency Contact Number (Mobile): 
 
Date of Birth:    Age:
  Relationship of Contact Person: 
         
 
Medical History (if there's any):    
Shirt Size:     
2XS XS S M L
XL 2XL 3XL 4XL 5XL
   
     
 
Name of Participant 6:    Blood Type: 
 
Gender:    Contact Number (Mobile): 
 
I.C Number / Passport:    Email: 
 
Nationality:    Emergency Contact Number (Mobile): 
 
Date of Birth:    Age:
  Relationship of Contact Person: 
         
 
Medical History (if there's any):    
Shirt Size:     
2XS XS S M L
XL 2XL 3XL 4XL 5XL
   
     
 
Name of Participant 7:    Blood Type: 
 
Gender:    Contact Number (Mobile): 
 
I.C Number / Passport:    Email: 
 
Nationality:    Emergency Contact Number (Mobile): 
 
Date of Birth:    Age:
  Relationship of Contact Person: 
         
 
Medical History (if there's any):    
Shirt Size:     
2XS XS S M L
XL 2XL 3XL 4XL 5XL
   
     
 
Name of Participant 8:    Blood Type: 
 
Gender:    Contact Number (Mobile): 
 
I.C Number / Passport:    Email: 
 
Nationality:    Emergency Contact Number (Mobile): 
 
Date of Birth:    Age:
  Relationship of Contact Person: 
         
 
Medical History (if there's any):    
Shirt Size:     
2XS XS S M L
XL 2XL 3XL 4XL 5XL
   
     
 
Name of Participant 9:    Blood Type: 
 
Gender:    Contact Number (Mobile): 
 
I.C Number / Passport:    Email: 
 
Nationality:    Emergency Contact Number (Mobile): 
 
Date of Birth:    Age:
  Relationship of Contact Person: 
         
 
Medical History (if there's any):    
Shirt Size:     
2XS XS S M L
XL 2XL 3XL 4XL 5XL
   
     
 
Name of Participant 10:    Blood Type: 
 
Gender:    Contact Number (Mobile): 
 
I.C Number / Passport:    Email: 
 
Nationality:    Emergency Contact Number (Mobile): 
 
Date of Birth:    Age:
  Relationship of Contact Person: 
         
 
Medical History (if there's any):    
Shirt Size:     
2XS XS S M L
XL 2XL 3XL 4XL 5XL
   
     
 
Do you need an accomodation?    Yes    No
If yes, please select your preferred accomodation:   
Donation: *All charitable proceeds will go to DANA ANAK-ANAK YATIM ANGKATAN BERSENJATA DIRAJA BRUNEI
Main Contact Person (Must be a participating member): 
   
 
Each participant are only allowed to register ONCE. Multiple registration under the same personal information will be voided or cancelled. Please fill in your participants data accordingly if you are buying for another person. DO NOT FILL IN THE SAME INFORMATION. IF you would like to change the details of your registration please send us the amended details through thealphachallengebn@gmail.com
 
DECLARATION
 
I certify that I am entering the obstacle race at my own risk and shall not hold the Organisers responsible for any injury, accident or death, however caused before, during or after the obstacle race. My age is calculated from my identity card and is given correctly above.
 
I agree and have read the Terms and Conditions
 
I agree and have read the Rules and Regulations
 
I agree and have read the Privacy Policy