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MIR ADVENTURES REGISTRATION FORM
Contact us at +6016-3320122 or miradventuresmy@gmail.com
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Activity Date
*
MM
/
DD
/
YYYY
Activity
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Fun Climbing at Batu Caves
Pinnacles Takun Hiking / Climbing / Abseiling
Waterfall Abseiling at Sg Pisang
Guided Multi-pitch Climbing (Takun/B.Caves)
SEACF Level 1 Certification Course
SEACF Level 2 Certification Course
SEACF Level 3 Certification Course
Trekking Sg Pisang Waterfall
Mount. Siguniang Twin Peaks
Other:
Required
Shoe Size - Applicable for activities below only
1. Fun Climbing at Batu Caves
2. Pinnacle Takun Climbing/Abseiling
3. Multi-pitch Climbing
4. SEACF Level 1 course
Choose
I have my own climbing shoe
US 3
US 4
US 5
US 6
US 7
US 8
US 9
US 10
US 11
US 12
US 13
Can you belay?
*** Only applicable for activity "
Fun Climbing at Batu Caves"
I dont know, never try
a couple of times, need refresher
Yes, no problem
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Contact No
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Emergency Contact Name
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Emergency Contact Number
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Country
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Age
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Gender
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Identify Card No (Malaysian)
Passport No (Non Malaysian)
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Address in Malaysia
For tourist use hotel address , if accommodation has not been confirm, just enter TBC
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Any health condition we should take noted of
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Please read and understand the terms and conditions, trip cancellation policy in the link below
Terms and Conditions
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