| HTML Block | 68th Perak Amateur Open 2026 |
|---|---|
| Full Name | mohd faisal bin samirin |
| Gender | Male |
| Phone No | 0192023501 |
| Email hidden; Javascript is required. | |
| Address | pt 2137 rpt tualang sekah,jalan bunga raya |
| Name of Club | kelab golf kinta |
| WHS No | 282255 |
| WHS H'Cap Index | 17 |
| T-Shirt Size (Male) | XL |
| Entry Fee: | Non - Member (FPX) |
| HTML Block | For Non-Malaysian:
Please make the payment to: Maybank Berhad: Bank Account: 5082 2511 8571 Swift Code: MBBEMMYKL |
| Non - Member's Rate | Non - Member's Rate, Qty: 1, Price: RM 550.00 |
| Total Fee (Nett) | RM 550.00 |
| Remarks | |
| Remarks: | Entry form without the accompanying payment will NOT be accepted. I have read and understood the conditions and hereby agreed to abide by them. The entry fee will NOT be refunded should I withdraw my application after the closing date. I further indemnify the Tournament Committee, the Club, MGA, the Sponsors and their agents against any losses, damage or injury to my property or myself whether fatal or otherwise while participating in this event. |
