2009年拉萨国际半程马拉松挑战赛
参赛报名表
The Competition Application of “2009Tibet International Semi-journey Marathon
Challenge”
? 半程马拉松 Semi-journey Marathon 参赛项目 ? 10公里 10 KM Events ? 5公里 5 KM 二寸免冠近照
姓 名 参赛号码
Name Number 2 inches photo
without hat 出生年月 性 别 Date of Birth Sex
国 籍 民 族 Nationality Race
?身份证 ID Card 证件号码 证件种类 ?护照 Passport Credentials’ Credentials ?户籍簿 Residence Booklet Number
工作单位/职业 联系电话 Occupation Telephone
家庭住址 邮政编码 Address Postcode
药物过敏史 血 型 Drug Allergy Blood Type
比赛经历及最好成绩
Competition Experiences and the Best Results
参赛者声明
我自愿报名参加2009年拉萨国际半程马拉松挑战赛。经县级以上医院检查，我的身体健康状况良好，完全符合参赛要求。我接受组委会为本人办理的人身意外险和医疗险。本人若在比赛过程中发生任何伤亡事故以及各项医疗救护费用，均按投保额度向保险公司进行索赔。家属、遗嘱执行人或有关人员均不能状告赛事组委会、赞助商、赛事组委会任命的官员、服务人员、代表、代理机构，以及参与组织、赞助西藏国际半程马拉松挑战赛有关机构、公司及员工，也不向以上单位、个人提出其他索赔要求。同时，我同意组委会有权利使用本人的姓名和肖像进行各项宣传活动。
我声明此报名表所填
内容
财务内部控制制度的内容财务内部控制制度的内容人员招聘与配置的内容项目成本控制的内容消防安全演练内容
都经我核实，情况属实。
特此声明。
声明人(监护人)签名:
二OO九年 月 日
Statement
I apply for 2009 Tibet International Semi-journey Marathon Challenge of my free will. Examined by hospital on county level and above, my physical condition is well, fully according with the demands. I
accept the life accident insurance and medical insurance Organizing Committee insured for me. If there are any causalities and expense of medical treatment happened during the competition, it will be claimed an indemnity from insurance company according to the insurance amount. The families, executor and relative
persons can not sue the Organizing Committee, sponsors, the officials, servants, representatives, agencies
appointed by Organizing Committee, and the relative organizations, companies and staffs participating in the organizing and sponsoring Tibet International Semi-journey Marathon Challenge. Neither could claim other else indemnity from departments and privates mentioned above. At the meanwhile, I agree that Organizing Committee has the right to conduct propaganda by making use of my name and portrait. I hereby certify that I have checked the contented of this application. The information provided in my application is accurate.
Signature:
Date:
备注: 1(填写字迹要清楚、工整，请在“?”内打“?”表示。
2(请于8月20前将报名表寄至(时间以邮戳为准)或传真组委会，此表复印有效。
Remarks:
1. Please fill in the blanks clearly, remark “?” in ? 2. Please post (Judging by the date of the postmark) or fax the application to Organizing Committee before
August 20, the copy is valid.
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