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Mount Kinabalu
Charity Climb

Organised By

15th May - 18th May 2026

Participant Registration

PERSONAL DETAILS

First name*

Last name*

Identification (IC) Number*

Birthday*

Day

Month

Year

Address for Mystery Box Delivery*

Phone Number with WhatsApp*

Gender*

Female

Male

Blood Type*

A

B

AB

O

Other

Special Request & Needs*

Vegetarian, Allergies, etc...

EMERGENCY CONTACT

Emergency Contact ONE (1)*

Name AND Phone Number

Contact ONE (1) Relationship*

Sibling

Mother

Father

Spouse

Relative

Emergency Contact TWO (2)*

Name AND Phone Number

Contact TWO (2) Relationship*

Sibling

Mother

Father

Spouse

Relative

PROOF OF PAYMENT

Please transfer RM 3,699 with the reference "Charity Climb" to the following bank account: Persatuan Kebajikan Suriana Maybank 5123 6150 5370

Transaction Receipt*

Please keep a copy of the transaction receipt for yourself

Register as a
Sponsor

Get in touch with us!

Email: enquiry@suriana.org

Phone: 1-300-88-2200

Get Monthly Updates

Enter your email here

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