★ 参与项目/ Activity(请打“√”/ Please tick in the box)

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一寸照片一张

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来自地区/ Region (请打“√”/ Please tick in the box)

中国大陆 Chinese Mainland    
   
   

个人资料/ Personal Information

姓名
(与身份证/护照相同)
Name

(中)

(Chinese)

性别

Sex

(英/拼音)

(English/Pinyin)

出生日期

Date of birth

身份证/护照号码

ID Number

年龄 (周岁)

Age

国籍

Nationality/ies

代表城市

City
E-mail

所属团体

Group

居住地址

Correspondence Address

邮政编码

Post code

联络电话

Phone Number

领队

Team Leader

血型

Blood Type

教练

Coach

注:请认真填写,务必保证字迹清晰、工整,以上所有项目均为必填项,如确实没有,请填“无”。
Note: all the questions in the form above MUST be answered.

少年规定拳/Youth Stipulated Quan
长拳/Changquan
规定南拳/Stipulated Nanquan
少林拳/Shaolinquan
传统南拳/Traditional Nanquan

一类

Class A

形意/Xingyi
八卦/Bagua

八极/Baji

二类

Class B

通臂/Tongbei
劈挂/Pigua
翻子/Fanzi

三类

Class C

地躺/Ditang
象形/Xiangxing

四类

Class D

查拳/Cha Quan
花拳/Hua Quan
炮拳/Pao Quan

红拳/Hong Quan
华拳/Hua Quan
24式太极拳/24 Style Taijiquan
42式太极拳/42 Style Taijiquan

杨式太极拳/Yang Style
陈式太极拳/Chen Style
武式太极拳/Wu Style
孙式太极拳/Sun Style
吴式太极拳/Wu Style
其他太极拳/Other Taijiquan
其他拳术/Other Quanshu
剑术/Jianshu
刀术/Daoshu
棍术/Gunshu
枪术/Qiangshu
双器械/Dual-Weapons
软器械/Soft Weapons
南器械/Nan Weapons
32式太极剑/32 Style Taijijian
42式太极剑/42 Style Taijijian
其他太极器械/Other Taiji Weapons
其他器械/Other Weapons
对练/Dual Event
集体拳术/Group Quanshu
集体器械/Group Weapons

特别提醒/ Special Attention
1、此表为横竖对照表,请用“√”在相对应的“□”内示意您选择的项目。“M”表示男子组,“F”表示女子组,“A” 、“B” 、“C”、 “D”、“E”、“F”、“G”、“H”表示各年龄组别,例:“MA”表示男子A组;
Please tick in the corresponding column. ‘M’ stands for Male and ‘F’ stands for Female. ‘A’, ‘B’, ‘C’, ‘D’, ‘E’, ‘F’, ‘G’, ‘H’ stands for each age group. e.g., ‘MA’ stands for Male Group A.
2、表中未列及的项目需在相对应组别的“其他拳术” 或“其他器械”中作出选择。并在以下的横线上准确注明:
拳术名称/Quanshu: 器械名称/Weapon: 。否则,因此而失去获奖机会,责任自负;
The applicant takes part in other Quanshu and Weapon competition shall tick in the corresponding column and accurately fill the event name in the blank above. Otherwise the applicant shall take the whole responsibility by himself for losing the chance to win.
3、如一、二、三、四类拳术或其他拳术、其他器械中任何一种单项的报名人数超过5名可以单独录取。

If the participants of any single event in Quanshu Class A, Class B, Class C, Class D, other Quanshu and other Weapons are more than 5, the competition result shall be separately calculated.

注意事项/ Notes

是否需由大会代订机票/ Yes / No
Need the airplane ticket service?

是否需由大会代办签证 / Yes / No

Need the VISA service?
紧急联系电话/ Emergency contact phone number (必须填写/ must fill in

◆报名时请认真、仔细、如实填写报名表,并随身份证复印件或出生证明复印件、二寸免冠彩色照片两张及参赛费寄至大会。
Please fill in the Application Form carefully and truly, and post the form together with a copy of Passport/ ID Card/ Birth Certificate, 2 pieces of 2 inch, without hat, colored photo to the Organizing Committee. Remit the entry fee to the appointed account.

◆报名表复印有效。/ This form may be copied.

免责声明
本人在此签署报名表格并声明:本人是自愿申请报名参加世界华人运动会马来西亚赛区的赛事,身体健康并适合参加比赛,如因身体原因或自身疏忽导致发生意外,责任自负;同意遵守比赛规则与裁判的判决;自行保管好个人财物与贵重物品,组委会对赛场内所发生的任何遗失或偷窃事件,不承担任何责任;保证本报名表格所填写的资料及随附文件是正确和完整的,如有虚报愿承担一切后果。报名人员未满十八周岁者,均视为家长同意参加此次比赛。
Disclaimer
I am signing here to declare: I am willing to apply to participate in the Universal Chinese Sports, Malaysia and I am health to take part in the competition. I shall take the whole responsibility for any contingency due to physical or self-negligence reason. I agree to observe all the competition rules and the judgement of judges. All the participants shall take care of all the personal belongings and the valuables voluntarily, and the Organizing Committee does not undertake any responsibility for any loss which occurs in the venues or in a stealing event. I guarantee all the information filled in the form and all the appended materials are accurate and integrated and shall take the whole responsibility for making a false report. Applicant under 18 shall be deemed to apply by the parent’s approval.


申请人签署/ Signature of the Applicant

_____________________ 日期/ Date