| 
		                                        Race Category
		                                     | 
 
|   | 
		                                        Fun Run – RM50
		                                     | 
 
| 
		                                        Product – Fun Run
		                                     | 
 
|   | 
		                                        1727
		                                     | 
 
| 
		                                        Given Name
		                                     | 
 
|   | 
		                                        CHOON FOO
		                                     | 
 
| 
		                                        Family Name
		                                     | 
 
|   | 
		                                        LEE
		                                     | 
 
| 
		                                        Nationality
		                                     | 
 
|   | 
		                                        Malaysia
		                                     | 
 
| 
		                                        IC No./Passport No.
		                                     | 
 
|   | 
		                                        640711075347
		                                     | 
 
| 
		                                        Date of Birth
		                                     | 
 
|   | 
		                                        11/07/1964
		                                     | 
 
| 
		                                        Gender
		                                     | 
 
|   | 
		                                        Male
		                                     | 
 
| 
		                                        Address
		                                     | 
 
|   | 
		                                        886, JLN SAMUDRA SELATAN 2, TMN SAMUDRA, BATU CAVES GOMBAK, SELANGOR 68100 Malaysia Map It
		                                     | 
 
| 
		                                        Contact No.
		                                     | 
 
|   | 
		                                        601111491648
		                                     | 
 
| 
		                                        Email
		                                     | 
 
|   | 
		                                        alcf99@gmail.com
		                                     | 
 
| 
		                                        Event-T Size
		                                     | 
 
|   | 
		                                        Adult-M
		                                     | 
 
| 
		                                        Emergency Contact No.
		                                     | 
 
|   | 
		                                        60183994158
		                                     | 
 
| 
		                                        Medical Condition
		                                     | 
 
|   | 
		                                        None
		                                     | 
 
| 
		                                        Agreement
		                                     | 
 
|   | 
		                                          I have read and agree to abide by the Event Registration Rules & Regulations of NX113 Open Water Swimming Premier Series 2023.
		                                     | 
 
| 
		Order
	 | 
 
|   | 
| Product | 
Qty | 
Unit Price | 
Price | 
 
| 
						Fun Run
 | 
1 | 
RM 50.00 | 
RM 50.00 | 
 
|   | 
					Sub Total | 
					RM 50.00
				 | 
 
|   | 
Admin Fee – 6% | 
						RM 3.00					 | 
 
|   | 
					Total | 
					RM 53.00 | 
 
 
 | 
 
 
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