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RACE KIT COLLECTION

KUALA LUMPUR
Date : 27 & 28 SEPTEMBER 2014 (SATURDAY & SUNDAY)
Time : 10.00AM 6.00PM
Venue : LEVEL 3, TAN SRI HAMZAH ARENA, WISMA OCM, JLN HANG JEBAT, 50150, KUALA LUMPUR.

PUTRAJAYA
Date : 10 OCTOBER 2014 (FRIDAY)
Time : 10.00AM 6.00PM
Venue : DEWAN MELATI 1, KOMPLEKS PERBADANAN PUTRAJAYA, PRESINT 3, PUTRAJAYA.

AUTHORISATION LETTER

I, _____________________________________________NRIC / Passport No.___________________, am collecting
BSN Putrajaya Night Marathon 2014 Race Kit(s) on behalf of the participant listed below.

Runners Detail Category Runners Signature
1
Full Name




NRIC / Passport No




Authorized Persons Acknowledgement
I confirm that the authorised person named above will have the following documents for verification:
1. This letter of authorisation duly signed by me
2. A photocopy of NRIC / Passport of person listed above
3. Authorized persons NRIC / Passport

I hereby declare that this Letter of Authorisation, along with all other supporting documents has been
confirmed as being authentic.

Yours sincerely,

Authorized Persons Signature : ___________________________

Authorized Persons Name : ___________________________

Date : ___________________________

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