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RIDE 4 LIFE COMMUNITY PROJECT 2012 Jointly organized by Rotaract Clubs of Damansara, District 3300 Malaysia, University of West of England Alumni Malaysia & Ride for Life Bikers

RIDE FOR LIFE 3 Organising Chairperson: Neethasha Biaspal Tel: 012-2065841

Committee Members Priya Tel: 012-2201458 Samreet S. Sagoo Tel: 012-6039500 Rajdish S. Malhi Tel: 017- 2419519

VIVENANANDA HOME REMBAU – 14th JANUARY, 2012

Biker Registration Form Name of Rider

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Identification Card No

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Passenger (if any)

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Identification Card No

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Motorcycle Registration No :

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Motorcycle Model

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Contact Number

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Home Address

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In case of emergency Contact: Name:………………………. ………………… President UWE Alumni

Mobile No

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Terms and Conditions

Bikers Coordinator

I understand that the Organisers of RIDE FOR LIFE 3 (hereinafter referred to as the Convoy) will not be responsible / liable for any hurt, injury, death or other loss that might occur during this Convoy. Every Rider takes part in this Convoy does so voluntarily and thereby absolves the Organising Committee and all parties involved in the organising of this Convoy of any liability that might arise.

Ravin Singh Tel: 019-3255825

:………..………………Relationship:……………..

All monies collected for this Convoy are to be used strictly for Meals, T-shirts and Donations (for Vivekananda Home Rembau). I understand the terms and conditions of this Convoy. The Organisers reserve the right to make any changes deemed necessary or to be in the best interest of the Convoy. I undertake to make payment of RM50/= before or on the day of the Convoy as registration fee and for organised breakfast, lunch and one T-shirt. All fees paid are non-refundable unless the Convoy is cancelled by the Organisers. If a participant is unable to attend, a replacement is allowed. I also agree to accept the T-shirt size that is available should my size be unavailable. All Participants undertake to be punctual, ride safely and adhere to the rules and regulations explained by the Organisers for the duration of the Convoy. I agree to receive information on and invitations to future rides and projects organised by the abovementioned organisers.

Signed………………………………

Date: ………………………

Please fill and FAX to 03 2093 2200 or email to RAVIN@RFLBIKERZ.COM


Ride For Life 3