ITB Run
Burn Calories Together
Organised by Institut Teknologi Brunei
In Conjunction with
st
1 Convocation Festival Institut Teknologi Brunei 2014
Bib Number
Registration will be closed on
Tuesday 14th October 2014 (1 week)
Participants are encouraged to register early.
Notice
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All participants of ITB RUN have to be present one hour before the start of the run.
All participants are only allowed to run for themselves and not on behalf of others. If found guilty of the
misconduct, the participant will automatically be disqualified from the run.
All participants have to wear the numbering bib provided by the organiser. The numbering bib provided is
for placement on front and back of the participant’s shirt.
Every participant is requested to wear decent sport’s clothing which covers their ‘aurat’ during the run.
Participants will be provided Isotonic Drinks and Water at the water stations provided.
All participants are advised to have their breakfast and drink sufficient water before the run.
All participants are not allowed to park their cars along the route of the run.
Registration payment will not be returned when participant decides to withdraw.
The organiser has the right to amend or make changes to any of the rules of ITB RUN and programme of
events from time to time.
The organiser has the right to make changes to the date and venue of the event due to unforeseeable
reasons.
Any changes or latest information will be informed via the official ITB Website.
PERSONAL INFORMATION
Name:
Identity Card No:
Contact Details :
Jantina/Gender:
(M)
Male
Female
E-Mail:
(H
)
Mailing Address:
CATEGORY ( Please tick the appropriate box)
Category
Staff
Distance
5 km
Male
Students
10 km
A.
Family Member of
Staff / Students
Academic
Centre/ Programme Area
1 km
(Fun Run Fun Walk)
Female
EEE
SB - EC
SCI - CC
PCE
SB - ACC
SCI - CIS
Library
ICTC
Estate
Store
Services
ME
SB - MGT
SCI-CNS
Registrar’s
Office
Admin
CE
CCT
L
SA
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CATEGORY ( Please tick the appropriate box)
Category
Distance
5 km
Alumni / Family
Member of Alumni
Male
Public
Female
10 km
1 km
(Fun Run Fun Walk)
5 km
B.
10 km
1 km
(Fun Run Fun Walk)
EMERGENCY CONTACT PERSON
Name:
Relationship :
Contact Details :
(M)
(H)
DECLARATION
I hereby declare to participate in the “ITB Run, Burn Calories Together’ organised by Institut Teknologi Brunei
in conjunction with Pesta Konvo Pertama Institut Teknologi Brunei 2014, under my own responsibility. The
Organiser and committee members shall not be deemed responsible and will not be bound by any claim in
case of any mishap or accident that may occur to me before, during or after event.
Signature
Date
PAYMENT ARRANGEMENTS & ENTITLEMENTS
Registration Fees :
Public - $15
ITB Staff - $15
Alumni - $15
ITB
Students $10
Family of ITB
Staff/Alumni/Student
- $10
Entitlements :
Pedometer
Bib
Safety Pins
Certificate
Water
Thank you for your support. Kindly make your payments at :Venue
Day/Date
Time
: Finance Office, 1st Floor, Phase 2
: Tuesday , 7th October 2014 – Tuesday, 14th October 2014
: 8.30am – 3.30pm
Registration will only be processed once payment is made.
FOR OFFICE USE
Receipt Number
Official Stamp
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This page is will be forwarded to the respective School / Centre / Programme Area / Section by the
Organiser.
 This page is not a guarantee for receiving an ITB RUN T-Shirt.
 This page is to identify how many participants from each School / Centre / Programme Area /
Section is willing to buy an ITB RUN T-Shirt.
 The price of an ITB RUN T-Shirt will depend on respective School / Centre / Programme Area /
Section’s arrangements with vendors. Payment will be to the focal point appointed by School /
Centre / Programme Area / Section.
 In case of the unavailability of vendors to print ITB RUN T-Shirt due to short time frame towards
the day of the run, each participant has to check ITB Website for latest information on the colour
of shirt to wear and represent each School / Centre / Programme Area / Section.
 The Organiser and Committee of ITB RUN appreciates your support in wearing the chosen color
for your respective School / Centre / Programme Area / Section and be part of the sea of colors
on the day of the ITB RUN
ITB RUN T-SHIRT ARRANGEMENTS
Name :
Mobile No :
Email :
Section / Centre/
Programme Area:
Do you want to purchase ITB Run T-Shirt :
ITB Run T-Shirt
Size :
XS
S
M
L
Yes
No
[I will wear the chosen color only]
XL
XXL
XXXL
Others, Please indicate
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