2010 Prima Open Application Form

Entry Form No. Event:

MEN'S DOUBLES

LADIES DOUBLES

MIXED DOUBLES

Name Telephone No. Mobile No. Email Birthday ID Presented Sex: Male Female T-Shirt Size No. of years playing: Club / Affiliation: Most recent tournament joined: (level) Where do you usually play:

Name Telephone No. Mobile No. Email Birthday ID Presented Sex: Male T-Shirt Size No. of years playing: Club / Affiliation: Most recent tournament joined: (level) Where do you usually play:

Pls. Check if you are/ have been any of the ff: HS Varsity College Varsity Badminton Trainer/Coach National Training Pool National Team

Pls. Check if you are/ have been any of the ff: HS Varsity College Varsity Badminton Trainer/Coach National Training Pool National Team

Female

We Hereby certify that the information stated above are true and correct. We also understand and agree that the Tournament Organizers have the right to deny or disqualify an entry, as deemed necessary and with the proper justification (eg. Misinformation, misrepresentation, omission of relevant information etc.) Furthermore, we certify that we: are phyiscally fit, enter this tournament freely and voluntarily, understand the conditions of the play and the rules and regulations of the games and the tournament. We submit to the authority of the Officials and the Tournament Organizers, and will not hold the Tournament Organizers and its sponsors liable in any way whatsover.

Attach Picture Here

Attach Picture Here

Player's Signature over Printed Name:

Player 1

Player 2

Payment Date:

Result of levelling:

Received by:

Levelling Official:

OR No: