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Attention:

  1. Please read carefully GIETMAN Rule before submit at http://www.mtbman.org 
  2. I have read the rules of GIETMAN  and accept them without reservation.
  3. Please Transfer Entry Fee before register

Registration Time: 

A.  Period 16th March  to 16th April   2017  Entry Fee  Rp. 250.000

B.  Period  17th to  22th April 2017  Entry Fee Rp. 350.000

PAYMENT of ENTRY FEE  including : Participant Starter kits,  1 lunch box /Finisher Medal / Refreshment all the cycling time, 

Transfer address :

Bank Indonesia Account           : Bank Rakyat Indonesia, Kantor Cabang Kuta

Jl. Dewi Sri  No. 99X – Kuta – Badung – Bali – Indonesia

Swift Code                                    : B R I N I D J A

NAME                                             : YAYASAN ATLIT NUSANTARA

ACCOUNT NO.                              : 055601000699309

………………………………………………………………………………………………………………………………………………………………………………

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No KTP / Pasport (required)

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Date of birth (M-D-Y)

Race Category

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