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2019 Registration Form

Hereby I declared that the information given below are true, and follow the regulation that stated specifically for the event. If there any problem that caused by misleading information given below, I will be responsible and give the organizer authorities to take any necessary actions.

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* Required information.
First Name *
Last Name *
Date Of Birth *
UCI Code *
Passport Number *
Team *
Country *
Address *
Mobile Phone *
Email *
Blood Type *
Series *
Category *
Group *
Arival Date
Flight No / Airports Name
Departure Date
Flight No / Airports Name
Hotels Name
Hotels Phone No
Attached payment details