The 16th Asian Mountain Bike Championships & 2nd Asian Junior Mountain Bike Championships

Official Enrollment Form (Officials)

The 16th Asian Mountain Bike Championships & 2nd Asian Junior Mountain Bike
Jecheon City, Korea

Send to : 2010 Asian MTB/BMX Championships Organizing Committee (AMBCOC)

Name : Ms. KOH, E.J.
Phone : +82-2-420-4247
Fax : +82-2-420-4178
Email : cycling.ej@sports.or.kr
Remark : Please return this form via fax or email by August 26th, 2010

Category
No SURNAME, Name UCI Code Function
MALE FEMALE

1 LED ALWYN SAULO COACH

2 CERSAR ARTURO M. LOBRAMONTE PHI19581103 MECHANIC

3 NIÑO Q. SURBAN PHI19870131 RIDER ELITE

4 ELEAZAR T. BARBA PHI19881002 RIDER ELITE

5 JOEY U. BARBA PHI19841217 RIDER ELITE

6 BABY MARITES S. BITBIT PHI19850615 RIDER ELITE

7 JOHN RENEE S. MIER PHI19920614 RIDER JR

8 RUSTOM C. LIM PHI19930708 RIDER JR

Name of Federation PHILCYCLING ( Integrated Cycling Federation of the Philippines )

Signature and Stamp :

Date and Place July 27 2010 Tagaytay, City Philippines

 The 16th Asian Mountain Bike Championships

Official Enrollment Form (Elite Men & Women)

The 16th Asian Mountain Bike Championships
Jecheon City, Korea

Send to : 2010 Asian MTB/BMX Championships Organizing Committee (A

Name : Ms. KOH, E.J.
Phone : +82-2-420-4247
Fax : +82-2-420-4178
Email : cycling.ej@sports.or.kr
Remark : Please return this form via fax or email by August 26th, 2010

Category
No SURNAME, Name UCI Code Event MEN WOMEN
Elite Elite
1 BABY MARITES S. BITBIT PHI19850615 O X
2 O
3 O
4 O
XCO
5 NIÑ0 Q. SURBAN PHI19870131 X O
6 O
7 O
8 O
9 O
10 O
11 O
12 O
13 DHI
ELEAZAR T. BARBA JR PHI19881002 X O
14 JOEY U. BARBA PHI19841217 X O
15 O
16 O

Name of Federation PHILCYCLING ( Integrated Cycling Federation of the Philippines )

Signature and Stamp :

Date and Place July 27 2010 Tagaytay, Philippines

mpionships

& Women)
pionships

ps Organizing Committee (AMBCOC)

ail by August 26th, 2010

eration of the Philippines )

The 16th Asian Mountain Bike Championships & 2nd Asian Junior Mountain Bike Championships

Delegation
The 16th Asian Mountain Composition
Bike Championships & Form
2nd Asian Junior Mountain
Bike
Jecheon City, Korea

Send to : 2010 Asian MTB/BMX Championships Organizing Committee (AMBCO

Name : Ms. KOH, E.J.
Phone : +82-2-420-4247
Fax : +82-2-420-4178
Email : cycling.ej@sports.or.kr
If this form is not returned to us, we will assume that you
Remark will not participate

We will participate in the 5th Asian MTB Championships & the 2nd Asian Junior MTB Championships
YES □ X NO □

If yes, please fill in the following :

No. Number
Function
Male Female
1 Officials 2
2 XCO
Elite
3 DHI 2
4 Junior XCO 2 1

Name of Federation PHILCYCLING ( Integrated Cycling Federation of the Philippines )

Signature and Stamp :

Date and Place July 27 2010 Tagaytay, City Philippines

hilippines )