POPX GROUP Registration Form
Get 30% OFF for a group registration that consist of 6 swimmers. Valid till 15 March 2020
0%Swimmers 1
  • ** You may pause & resume later


  • IMPORTANT NOTICE :

    For Safety reasons, swiming buoy is mandatory to ALL participants of POPX.
    You can bring your own buoy

    Group Personal Accident is provided by MSIG Insurance (M) Bhd.

    MYR25,000/USD6000 for Death and Permanent disablement
    MYR2000/USD480 for Medical Expenses

    Premium is MYR15 / USD3.60 (including SST and stamp duty)
  • Swimmers' Personal Information

  • Name
    Email
    Mobile No (Country Code + HP No)
    Date of Birth
    Age (on 4 April 2020)
    Gender (F/M)
    Nationality
    Personal Document (Passport/ MNRIC)
    Passport / MNRIC No
    Previous OWS participant? Y/N
    Year of Last participation (Type 0 if first time)
    T-Shirt Size
    Buy Swimbouy? Y/N
    Need Group Personal Accident for the event? Y/N
    Selected Swim Distance Category (500m/1km/3km/6km)
  • Name
    Mobile Phone No.
    Country Code + Mobile No
    For e.g 60102345678
  • Name
    Relation (Father/Mother/Other: please state)
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