Perhentian_Marathon_Application_form

mows
Clinic/Training Schedule
clinic/Training Registration
Sponsors
Shop
Putrajaya Night Swim Registration Form
Swimmers Ranking
Results
Regional OWS
About us

mows
Clinic/Training Schedule
clinic/Training Registration
Sponsors
Shop
Putrajaya Night Swim Registration Form
Swimmers Ranking
Results
Regional OWS
About us

APPLICATION FORM FOR PARTICIPATING IN 16KM PERHENTIAN ISLAND MARATHON SWIM - 6th Oct 2018

Note: This event is limited to 30 slots only. Your application will be reviewed and the result will be sent to you within 2 weeks after submission. You will be offered a slot if your application is successful.

Name ( as per IC/Passport no)

IC/Passport no

Gender

Male

Female

Date of birth

contact no

Email Address

Nationality

Current country you reside in if different than above

Your OWS experiences for the past 12 months in the event of 10KM or longer distance

Never

once

twice

thrice or more

Please specify the event name you participated, 10km or above.

Your current average speed per kilometer

10min - 20min

21min - 40min

41min -60min

more than 60min

Your target to complete 16km swim

between 3-4 hours

between 4-5 hours

between 5-6 hours

between 6-7 hours

Do you have any medical condition?

None

Asthma

Diabetes

Heart

Epilepsy

Other

If other, please eloborate

Could you describe why we should qualify and approve your application. note: cut-off time is 7 hours

if you have sport CV or Profile - please email to us via info@malaysiaopenwaterswimming.com

The Privacy Policy applies.

Note: Please fill out the fields marked with an asterisk.