2018年伊諾華盃國際單車環島48小時極限挑戰賽 - 報名表
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報名表
 
2018 Endurance Race of Taiwan
Application form  
First name / Family name  
Passport number  
Sex (male or female)  
Country  
Date of birth (mm/dd/yyyy)
(ex. 12/31/2017)
 
Telephone number
[ex. +1 (123) 456-7890]
 
Mobile phone number
[ex. +1 (123) 456-7890]
 
Mailing address  
E-mail address  
I have my own physical and mental health and volunteered to participate in the event. I have read the Specific Regulations of the "2018 Endurance Race of Taiwan" and the information about the activities announced by the Organizer before the event. To comply with the Specific Regulations in the activities of the agreed matters, for the activities of the racer themselves to be borne by the risk and responsibility has a certain understanding and understanding, I agree to the activities of the photos/picture to provide free assembly.
Emergency contact person
(first name / family name)
 
Emergency contact person's phone number
[ex. +1 (123) 456-7890]
 
Relationship between emergency contact person and applicant  
*** The e-mail contact for abroad(not Taiwanese) applicant. Please mail nickchen5566@hotmail.com
 
 
2018年伊諾華盃國際單車環島48小時極限挑戰賽2018 Endurance Race of Taiwan
報名表 / Entry Fee NT$4800
姓名First name / Family name  
台籍人士請輸入身分證字號(ID No.) / 非台籍人士請輸入護照號碼Passport number  
性別(男或女) / Sex (male or female)  
國籍 / Country  
出生日期(年/月/日) / Date of birth (yyyy/mm/dd/yyyy)
(ex. 2017/12/31)
 
聯絡電話 / Telephone number
[ex. +1 (123) 456-7890]
 
手機號碼 / Mobile phone number
[ex. +1 (123) 456-7890]
 
通訊地址 / Mailing address  
E-mail address  
2018年伊諾華盃國際單車環島48小時極限挑戰賽個人切結書 本人    保證自身身心健康,志願參加活動,並已詳細閱讀過「2018年伊諾華盃國際單車環島48小時極限挑戰賽」之活動規程及主辦單位於活動前所公告之活動相關資訊,且同意亦保證遵守大會於活動規程中所約定事項,對於選手在活動中需自行負擔的危險性及責任已有一定的認知與了解,本人並同意活動畫面提供大會無償使用。Applicant's Declaration Letter for participate "2018 Endurance Race of Taiwan" I have my own physical and mental health and volunteered to participate in the event. I have read the Specific Regulations of the "2018 Endurance Race of Taiwan" and the information about the activities announced by the Organizer before the event. To comply with the Specific Regulations in the activities of the agreed matters, for the activities of the racer themselves to be borne by the risk and responsibility has a certain understanding and understanding, I agree to the activities of the photos/picture to provide free assembly.
報名者姓名 / Applicant's First name / Family name  
緊急連絡人姓名 / Emergency contact person
(first name / family name)
 
緊急連絡人電話 / Emergency contact person's phone number
[ex. +1 (123) 456-7890]
 
緊急連絡人與立切結書人關係 / The Relationship between emergency contact person and applicant  
*** The e-mail contact for abroad(not Taiwanese) applicant. Please mail nickchen5566@hotmail.com