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Name NRIC no. Designation Contact no. Email address 2 3 4 5 6 7 8 Submission made by: Team captain: Signature: Date: Team Correspondence Address: Email: Contact no: Disclaimer: 1. Due to limited space, slots will be awarded on first come first served basis. 2. Submission due date, 13 December 2013 (Fri) 3. 4. 5. Registration form must be accompanied by declaration form for all players ASPRI should not be held responsible for any injuries sustained at any time by participants or offi.

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