CATEGORY AGE DISTANCE START TIME FEE (MYR) TICK (✔)

(A) MEN OPEN 20 - 39 YEARS 10 KM 7.15 AM RM 15

(B) WOMEN OPEN 20 - 34 YEARS 10 KM 7.15 AM RM 15

(C) MEN VETERAN 40 YEARS & ABOVE 10 KM 7.15 AM RM 15

(D) WOMEN VETERAN 35 YEARS & ABOVE 10 KM 7.15 AM RM 15

(E) FUN RUN 20 - 60 YEARS 5 KM 7.30 AM RM 10

OPEN TO ALL HEALTHCARE PROFESSIONALS ONLY:

DOCTOR/MEDICAL OFFICER PHARMACIST NURSE PARAMEDIC

PHYSIOTHERAPIST OTHERS (PLEASE SPECIFY)

ENTRY FORM

FULL NAME (BLOCK LETTERS)

MAILING ADDRESS

E-MAIL ADDRESS

POSTCODE NATIONALITY

I/C NO. (NEW) SEX:

MALE FEMALE

T-SHIRT SIZE:

S M L XL OTHERS

DATE OF BIRTH AGE TELEPHONE NO.:

Time 7:00 am onwards

Closing Date28thAugust 2014

MIMS Mini Marathon 14th September 2014

Stadium Arena, University of Malaya The Run for HCPs

PAYMENT DETAIL

CHEQUE NO.: TOTALLING RM PAYABLE TO MIMS MEDICA SDN BHD

CREDIT CARD: MASTERCARD VISA

CARD NO.: CARD EXPIRY DATE:

CARDHOLDER’S NAME (AS APPEARS ON CREDIT CARD): CARDHOLDER’S SIGNATURE:

PAYMENT DETAILS

RSVP TO SARAH NADARAJAH EMAIL: sara.nadarajah@mims.com FAX: 03-7958 7853

Last Call!Registration extended to

28th Aug

RACE DAY PROGRAM

TIME ACTIVITIES/EVENTS

6.00 am Reporting of runners/collection of race kit

7.00 am Warm-up session

7.15 am Flag off by Prof. Dato’ Dr. Ikram Shah Bin Ismail for 10 km categories (category A, B, C & D)

7.30 am Flag off by Prof. Dato’ Dr. Ikram Shah Bin Ismail for 5 km category (category E)

8.15 am 1st runner expected arrival time

9.30 am Last runner arrival time

10.30 am Speech by Prof. Dato’ Dr. Ikram Shah Bin Ismail. Director, University Malaya Medical Center

10.45 am End

RACE INSTRUCTIONSRACE ENTRY PACK1. Your Race Kit consists of: a. 1 T-shirt b. 1 running bib c. 4 safety pins2. Please attach your bib in front of your T-shirt and ensure that you are in the correct category.3. Race Kit Collection Date : 4th and 5th September 2014 Time : 2 pm - 5 pm Venue : MIMS Medica Sdn Bhd. Level 3A, Luther Centre, No.6 Jalan Utara, 46200 Petaling Jaya, Selangor, Malaysia. Tel : 03-7954 2910 Fax : 03-7958 7853 Or, on the race day (14th September 2014) at the registration counter. Participants should be at the registration

counter 60 minutes before the run for bib collection.

REPORTING1. Reporting time is 60 minutes before the starting time (6 am on 14th September 2014).2. Sign off at the registration desk.

WATER STATION1. There will be two water stations for the 10km category and one water station for 5km category.2. Runners are encouraged to drink at the water stations to stay hydrated.

LIGHT REFRESHMENTS1. Light refreshments will be served at the finishing point.

RULES AND REGULATION1. MIMS Mini Marathon 2014 is organised by MIMS Medica Sdn Bhd and Pacers Sport (hereby known as the organisers) in collaboration with Faculty of

Medicine, UM and University Malaya Medical Centre (UMMC).2. All prospective Participants must complete an official entry form in order to participate in the race.3. Completion of the official entry form confirms the Participant’s agreement to abide by all event Rules and Regulations. Registration for participation in the

race is only confirmed upon the successful completion of the race entry form, entry fee payment and issuance of a unique race identification number.4. Participants must complete their registration details with true, accurate and current information.5. Participants must agree to receive contact from the event organisers from time to time by e-mail. Any notice sent by e-mail by the organisers or the party

so assigned by the organisers to the supplied address on the registration form shall be deemed received by the Participant.6. Transfer of bib registration is not allowed and any substitution of runners must be with the consent of the organisers and they will not be entitled to receive

medal/certificate and shall assume any risk at their own expenses.7. In addition to adhering to the event’s Rules and Regulations, Participants will be required to abide to all local laws and customs while participating in the event.8. The organisers will not be responsible for any loss and/or damage, personal or otherwise, to the belongings and items deposited at the event baggage storage facility.9. The organisers also reserve the right to check any item or baggage deposited. The organisers reserve the right to modify or substitute any of these R&Rs

and/or T&Cs from time to time as they deem fit. If there is ambiguity in any of these provisions, the organisers shall be the authority to interpret and in so doing, they will take into account the interests of all the affected Participants.

10. The organisers reserve the right to cancel or postpone the marathon at any time with or without prior notice to the Participant, in which case they will make reasonable effort to inform the Participant prior to the date of the event. If the marathon has to be postponed, there shall be no refund of fees paid and the organisers shall not be liable for any other loss or inconvenience caused.

11. The organisers reserve the right to amend the race routes as they deem fit for the safety of the Participant and/or to prevent any potential hazards in the running of the event, at any time without prior notice to the Participant. In such cases, every effort will be made to inform the Participant prior to the day/date of the event. The organisers shall not be liable for any other loss or inconvenience caused due to such changes.

12. Precaution - Whilst reasonable precaution will be taken by the organisers to ensure the Participants’ safety, Participants take part in the marathon at their own risk and the organisers will not be responsible or held liable for any injury or death howsoever arising from training for or during participation in the marathon. Participants are strongly encouraged to consult their medical practitioner prior to registration and before the actual race day.

13. Other Items - Pets, bicycles, in-line skates, prams, push carts, shoes with built-in or attached rollers and any other wheel-run objects are not allowed on the race route for all categories.

14. Safety & medical i. Participants must be physically fit and in good health to complete their chosen race distance. Participants are responsible for their own personal

health insurance and well-being. The event organisers assume no responsibility for any injury or damage that occurs from training, during or as a result of the event. Participants are encouraged to consult with their medical practitioner prior to the event.

ii. Participants must retire from the race immediately if asked/requested to do so by any member of the officials, medical personnel or security officers.

MY-PLA-135

Supported by : Event organisers : Under the patronage of :

PUSAT PERUBATAN UM PUSAT PERUBATAN UMs p o r t s m e d i c i nUniversity Malaya Medical Centre

PUSAT PERUBATAN UM

MIMS Mini Marathon

One Round = 5KM

RIMBA ILMU

SportCentre

Stadium Arena

Institute ofGraduate Studies

Faculty ofComputer Science &

Information Technology

Academy ofMalay Studies

Faculty ofScience

Dewan TunkuCanselor

1ST

WATER & FIRST-AIDSTATION

2nd

WATER & FIRST-AIDSTATION

2.2KM

3.3KM

START &

FINISH

Campus Map