Athlete Form Please fill the form in capital letters Name: Gender: Father Name: Male Female Date of Birth: NIC: District: Central / South / East / West Address: Country: Mobile: Home Phone: Email: Profession: Gym / Slimming Center Club / Association / Personal Name of Club/Association You Represent: Signature and stamp of Association Secretary Club/Slimming Center/Gym Owner or Manager Signature and stamp Entry Eligibility: Karachi Bodybuilding and Physique Sports Association event is open for permanent Residential of Karachi City. All Male & Female concern to Bodybuilding, Fitness and Slimming centers/clubs may participate accordingly in this open Event. Men’s Bodybuilding For Official Use Only JUNIOR KARACHI Remarks SN Category 1 UP TO 60 KG 2 UP TO 70 KG 3 ABOVE 70 KG SN Men’s Bodybuilding For Official Use Only MASTER Remarks Category 1 45 TO 55 YEARS 2 OVER 55 YEARS SN 1 Tick Tick Men’s Bodybuilding For Official Use Only SPECIAL CLASS Remarks Category FOR DISABLE PERSONS Tick Men’s Bodybuilding For Official Use Only MR.KARACHI Remarks SN Category 1 UP TO 60 KG 2 UP TO 65 KG 3 UP TO 70 KG 4 UP TO 75 KG 5 UP TO 80 KG 6 ABOVE 80 KG Tick Men’s Bodybuilding For Official Use Only JUNIOR MR.SINDH Remarks SN Category 1 UP TO 60 KG 2 UP TO 70 KG 3 ABOVE 70 KG Tick Men’s Bodybuilding For Official Use Only SENIOR MR.SINDH SN Category 1 UP TO 60 KG 2 UP TO 65 KG 3 UP TO 70 KG 4 UP TO 75 KG 5 UP TO 80 KG 6 ABOVE 80 KG Tick Fitness Physique For Official Use Only WOMEN FITNESS SN Category 1 MOST FIT LADY 2014 2 RAPIDLY FEMALE FAT LOSS 3 ABOVE 40 YEARS Tick Participants may wear those type of clothes to look fit and smart and they feel comfortable, shalwar kameez, pants shirt, t-shirt jeans, track suit etc make sure they are appropriate (obscene and vulgar clothing will not be allowed). Participants clothing will be assessed & finalized 10 days before the event by the organizing committee Fitness Physique For Official Use Only MEN FITNESS SN Category 1 MEN FITNESS PHYSIQUE 2 ATHLETIC PHYSIQUE 3 MODEL PHYSIQUE 4 SPORTS PHYSIQUE 5 RAPDLY MALE FAT LOSS Tick Note: The organizing committee reserve the right to cancel a category or to move over the next category if there is less than 3 competitors in any category. Junior must be complete 22 years of age may not celebrated its 22nd birthday and must present his NADRA original identity card or NADRA original B-form along with photocopy. Participant must submit all the necessary documents, name and details of men/women athletes and bodybuilders with 2 passport size photos and ID card copy for making security card to organizing committee. Declaration 1. 2. 3. 4. 5. 6. I have read and understood the contest rules and regulation and category definitions and fulfil the criteria to compete and decide to participate in the event on my own free will. I am free to take part in any sports competitions and I am not serving a ban or suspension from taking part in any sporting competition including bodybuilding I declare that I participated in this competition on my own accord and shall not hold the organizers responsible for any injuries, loss of property and/or health which may be sustained by me during the course of the competition. I shall not withdraw from the event unless I have been advised by my doctor and have medical proof or letter from said doctor to do so. If I do not turn up for the event without a valid reason and prior written approval from KBPSA. KBPSA may take disciplinary action against me. I agree to abide the rules and decisions of the organizing committee, the designated officials and KBPSA. I agree to pay for the registration fee of PKR 500/= per category to Karachi Bodybuilding and Physique Sports Association together with submission of the entry form page 1 to 6 and that KBPSA reserves the right to reject any incomplete entry forms. ________________________________________________ Name and Signature of Participant _____________ ______ Date ----------------------------------------------------------------------------------------------------------------------------------------------Parent / Guardian Approval (For participant under the age of 18 years old) I ____________________________________________ parent / guardian of ________________________________ (Name of Parent / Guardian) (Name of Participant) have read and understood the above declaration and hereby approve his/her participation for this event ________________________________________________ Name of Parent / Signature _____________ ______ Date ________________________________________________ Guardian NIC#: FOR OFFICE USE ONLY I hereby approve / do not approve the participation of the above mentioned participant. Registration Date: Registration fees Rs: 500.00 Approved Date: Checked By: Registration No#: ______________________________________________ Name & Signature of KBPSA President _____________ ______ Date ______________________________________________ Name & Signature of KBPSA Treasurer _____________ ______ Date