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First name* :
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| Surname* : |
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| Date of birth* : |
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| Sexe* : |
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| T-shirt size *: |
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E-mail* :
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Cell phone :
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Adress* :
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| Adress 2 : | |
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City* :
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State/Province :
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Postal code :
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| Country of residence* : |
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| Country of Citizenship* : |
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Occupation :
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| Qualifications - 3 races : | |
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| I am part of a team or I am with a teammate (relay) : |
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| I will be housed at the (City, Hotel, Residence) : |
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Name of person to contact in case of emergency* :
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Phone number of person to contact in case of emergency* :
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| Proof of residence in Mauritius : (Format: gif, jpeg, jpg, png, pdf) |
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| Proof of identity : (Format: gif, jpeg, jpg, png, pdf) |
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I have read and approved the waiver *
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I have read the rules of the race *
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Upon receipt of your pre-registration you will be entered on the website of Mauritius Marathon.
Keep somewhere safe your ID/registration number generated by this form.
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