World 10K (10 km)

Open 10K Run (10 km)

Min. Age eligibility: 18 years (born on or before 12/05/2000)

Min. Age eligibility: 15 years (born on or before 12/05/2003)

Your application for this category will be confirmed based on criteria for confirmation, which are explained in details below in this form.

Participation in the World 10K is open for only international and national elite athletes. To qualify in this race category, please enclose a photocopy of your latest official timing certificate (conducted within the period of 24 months preceding race day i.e. 13th May 2018) along with the application form. Entry into this race category is subject to elite qualification criteria as set out by event promoters, Procam International Pvt. Ltd. Where an applicant does not qualify for the World 10K, the said applicant shall be confirmed in the Open 10K Run race category, subject to event application rules and guidelines

APPLICATION FORM Registration End Date: Friday, 20th April 2018 or as soon as running places are filled, whichever is earlier.

No group registration will be accepted for the Open 10K race category. However, a representative can submit up to 10individual application forms.

Your application form must be submitted along with your valid photo identity proof issued by the Government, i.e.passport, PAN card or Aadhar card which has complete date of birth on it and recent passport size photo, all participants'race day images will be screened visually after the race and matched with the photo provided at the time of registration.If the photo provided during registration does not match with race day photo of the confirmed participant, the registeredrunner will be disqualified from the race and the subsequent edition of the event. Your entry for the Open 10K race category will be confirmed basis:-

Once your entry is confirmed, you will be required to visit the Nestlé Get Active Expo personally to collect your running number bib.

Eligibility of the application, and supporting documents submitted, under confirmation criterion applied for (refer to'Criteria for Confirmation' given below), Verification of documents submitted along with application form,

Availability of running spaces, Entry rules and guidelines of 2018 edition.

IMPORTANT INFORMATION FOR OPEN 10K APPLICANTS

tcsworld10k.procamrunning.in /tcsw10k @TCSWorld10K @tcsw10k

Distance participated in Marathon (42.195 km) 25 Km Run Half Marathon (21.097 km) 10 Km

03:58:00 or faster 03:18:35 or faster 01:30:00 or fasterFinish Time 06:54:00 or faster

RACE CATEGORIES

Your entry to the Open 10K Run category will be confirmed basis the 'confirmation criteria' explained in details below.

'Applicants' please note – You must have participated in a distance running event which fulfils the following requirements –

a) The running event must have been conducted within the period of 24 months preceding race day, i.e.13th May 2018

b) Timing of only Marathon (42.195 km), 25 km, Half Marathon (21.097 km), and 10 km distances will be considered for the Open 10K race category. Timing certificate of a recognized timed relay race, where an individual covers a distance of minimum 10 km, will be considered to qualify for Open 10K race category.

I] TIMING CRITERIA:

c) To be eligible for confirmation under this criterion, your timing certificate needs to show your finish time as specified below:

CRITERIA FORCONFIRMATION

e) Outside of running events promoted by Procam International (viz. the Airtel Delhi Half Marathon, the Tata Mumbai Marathon andthe Tata Steel Kolkata 25K), THE TCS WORLD 10K BENGALURU DOES NOT ENDORSE ANY RACE AS AN OFFICIAL QUALIFIER and noadvantage may be sought by any participant claiming a finish time from any such race.

f) The provisional timing results are displayed on the website within 12 hours of published close hour of the race.

Guidelines for race Promoters/Organizers of running events –

Given below are guidelines for promoters/organizers of running events for the timing certificates of your races to be accepted as partfulfillment of confirmation criteria where submitted by an applicant. Please note where any of the guidelines are not followed by apromoter/organizer, or where there are any issues/complaints relating to timing, distance or facilities provided by race organizers onrace day, Procam may at its sole discretion, not accept the timing certificates of such running events. The decision of Procam's shallbe unequivocal and final.

The running event must have been conducted within the period of 24 months preceding TCS W10K 2018 race day, i.e. 13th May 2018.

Please note your running event cannot use the term 'qualifier to TATA CONSULTANCY SERVICES WORLD 10K BENGALURU' or 'official qualifier to TCS W10K BENGALURU' in full or part in any communication.

The timing certificate needs to be from a running event, where the course is measured either by an accredited IAAF-AIMS measurer

using the calibrated bicycle method (refer to the event website for a note on calibrated bicycle method) or by a local state athletic

association representative using a GPS measurement device. Measurement by GPS device has been found to underestimate course

length by approximately 200m over a half marathon distance so the target reading for a GPS-measured half marathon should be 1%

more than the advertised distance, i.e. 21.31km. Equivalent GPS device target lengths for other race distances would be: 10km:

10.1km; 20km: 20.2km; 25km: 25.25km; Marathon: 42.62km. The measurement report must be uploaded onto the official website

of the event.

tcsworld10k.procamrunning.in /tcsw10k @TCSWorld10K @tcsw10k

e) All runners are compulsorily timed using the RFID technology. Timing tags must be pasted on to the bibs before handing over therunning number bibs to the runners – timing tags must not be handed out loose to the runners.

The timing certificate needs to be from a running event, where the course is measured either by an accredited IAAF-AIMS measurerusing the calibrated bicycle method (refer to the event website for a note on calibrated bicycle method) or by a local state athleticassociation representative using a GPS measurement device. Measurement by GPS device has been found to underestimate courselength by approximately 200m over a half marathon distance so the target reading for a GPS-measured half marathon should be 1%more than the advertised distance, i.e. 21.31km. Equivalent GPS device target lengths for other race distances would be: 10km: 10.1km;20km: 20.2km; 25km: 25.25km; Marathon: 42.62km. The measurement report must be uploaded onto the official website of the event.

d)

All runners are compulsorily timed using the RFID technology.Timing tags must be pasted on to the bibs before handing over the running number bibs to the runners – timing tags must not be handed out loose to the runners. In addition to the timing mats at the start and finish gates, the course should have the •following minimum number of mats on the course (split points) –For a full marathon course (42.195 km) – at least 3 split point timing mats For a 25 km course – at least 2 split point timing matsFor a half marathon course (21.097 km) – at least 2 split point timing mats For a 10 km course – at least 1 split timing mat.The provisional timing results are displayed on the website within 12 hours of published close hour of the race. Results and timing certificates should be available for verification by Procam on the website.Adequate verifiable mechanisms are put in place to verify that the applicant for TCS WORLD10K 2018 is the runner who registered and ran at the running event in concern.A organizer/promoter to give a written declaration to Procam confirming the following –The technical conduct of the race in question is being assisted by the local/state athletic federation. Number of timing mats •used (in addition to mats at start and finish gates) and the locations where mats are placed (indicating kilometre point). The •course has adequate verifiable anti-cheat mechanisms, including timings mats at split points, functional cameras at important junctions throughout the duration of the race with footage available for verification and officials present at crucial junctions.

•

•

•

There are a limited number of running places reserved for women applicants who cannot produce a timing II] WOMEN'S CRITERIA: certificate as mentioned above.

Where your application cannot be confirmed in or does not fall under either of the two criteria mentioned III] GENERAL CATEGORY: above for whatsoever reason, with the exclusion of the application being rejected or is invalid, your application will be under general category where limited applications are accepted. Applications under general category will be accepted on first come first served basis and event Promoter will stop accepting applications as and when the limited running spaces kept aside for “General Category” are filled.

Limited charity running places for the Open 10K Run are available at a premium (over and above the IV] CHARITY RUNNING PLACES: applicable registration fee) with the Event's official Philanthropy Partner, India Cares Foundation. The amount to be paid by theapplicant will be minimum of `3000. After deducting applicable event entry fee, the balance shall be remitted to the chosenCivil Society Organisation (CSO/NGO) registered with the Philanthropy Partner for the Event chosen by the applicant. The application form for charity running places will be available with India Cares Foundation- use only such form to apply for charity running places. Please note, charity running places will not be available after 21st April 2018 or as soon as running places are filled, whichever is

Note: Confirmation is subject to verification of your documents submitted, eligibility of your application under the given criteria,availability of running spaces and of course the Entry Rules & Guidelines.

earlier. You may log on to the event website for more details.http://tcsworld10k.procamrunning.in

tcsworld10k.procamrunning.in /tcsw10k @TCSWorld10K @tcsw10k

Last date to accept application forms for World 10K and Open 10K race category is Friday, 20th April 2018 or until running places arefull, whichever is earlier.

Post filled entry form and requisite entry fee to P.O. Box No. 5022, Bengaluru GPO, Bengaluru-560 001

You can use ANY ONE of the following modes for applying for this Event.

Online: Log on to the event website http://tcsworld10k.procamrunning.inDeposit application forms along with requisite application fees in drop box located at: Sree Kanteerava Stadium at Room No. 93,Gate No. 3, Sree Kanteerava Stadium, Bengaluru – 560 001 (timing: 10 am to 6 pm, Monday to Saturday).

Form availability: Application forms are available at the ITC Windsor Bengaluru, India Cares office and atthe Sree Kanteerava Stadium, Bengaluru. Application forms are also available for download online@ http://tcsworld10k.procamrunning.in

HOW TO APPLY?

Scratch card code, available from the Sree Kanteerava Stadium office (can be used only for online registration)

*NOTE: 1) All cheques and demand drafts to be drawn in favour of “PROCAM INTERNATIONAL PVT. LTD.”. 2) Also write your full name, the race category chosen and contact number on reverse of cheque/demand draft

Demand Draft/Pay Order (payable at Bengaluru)

Net Banking (Can only be used during online registrations)

Cheque (only cheques payable at par will be accepted)

Credit Card and Debit cards

PAYMENT MODES

`APPLICATION FEES

Domestic Applicant (applicant residing in India) ` 1400

*Overseas Applicants (applicant residing outside India) US $ 45

Applicant Type Application Fees (Inclusive of GST #)

#GST No. 29AABCP7300E1ZP ; CIN No. U92413MH1993PTC070636

*Overseas applicants are required to apply only online through our website – http://tcsworld10k.procamrunning.in

The entry fee payable is exclusively for your participation in the TCS World 10K Bengaluru 2018. Such entry fee shall not be considered in part or full as an amount payable for any offers/promotions /discounts/goodies/tee that may be offered, directly or indirectly, by any Event Sponsor/Partner or a third party by virtue of your application/participation for/in Event.

Confirmed applicants of Open 10K Run category will be eligible for priority line-up on race day within the line-up area, based on thefinish times mentioned in the timing certificates submitted along with respective application form.

PRIORITY LINE-UP:

*NOTE: Open 10K line-up sections above are indicative and may undergo a change which will be communicated on the website post closure of all registrations. On race day timing results and certificates will be generated only http://tcsworld10k.procamrunning.in

Confirmed applicants improving their performance post submission of applicants can request for a change in the line-up section onlytill 20th April 2018. Valid timing certificate needs to be emailed along with the request on tcsworld10k@procam.in

A

Section

B

C

D

E

F 01:20 or Slower and charity running places without timing certificate

Under 00:50

Section End Time [HR:MN]

Under 01:00

Under 01:05

Under 01:10

Under 01:20

Section Start Time [HR:MN]

00:50

01:00

01:05

01:10

Line-up Section* in Open 10K Run:

for runners who complete the 10 km distance within 1 hr and 30 min from the start time.

ENTRY RULES ANDGUIDELINES

1. You may use a photocopy of the physical or downloaded form from the event website to sendhttp://tcsworld10k.procamrunning.in in your application.

2. Only one applicant can apply for the Event using a single form. Also, do not send in more than one entry per person; multiple applications will entail all being rejected.

3. Applicants must submit their entries only via the Application Modes mentioned in this form. No individual/group has been authorised to collect entries on behalf of the Promoter.

4. NO GROUP ENTRIES will be accepted for the Open 10K race category.

5. One representative can submit application forms for maximum 10 individual runners for Open 10K race category.

6. Before sending in your application, please check if you..

have filled in details against all mandatory fields prefixed with '*' in the application form; have attached a copy of your latesttiming certificate as may be required to confirm you under priority line up on race day (if applicable); have affixed a copyof your latest colour passport sized photograph with face clearly visible on the form. All participants' race day images will bescreened visually after the race and matched with the photo provided at the time of registration. If the photo provided duringregistration does not match with race day photo of the confirmed participant, the registered runner will be disqualified from therace and the subsequent edition of the event.; have attached a copy of either your Aadhar card, PAN card or passport to the

form which has your clear date of birth on it; have enclosed the requisite application fees (refer to 'application fees' chart); have met the minimum age eligibility criteria for the chosen race category; have signed the 'waiver' in the application form; if the applicant is below the age of 18 years, the guardian has also signed the 'waiver' and written his/her relation with the applicant.

7. Where any discrepancy is found in any of the above mentioned mandatory requirements, your application will not to be accepted.

8. On entry confirmation, Open 10K runners will be further classified into age categories for prize money. For more information log on to event website http://tcsworld10k.procamrunning.in

9. The line-up sections given in this application overleaf are indicative and may undergo a change, which will be communicated on the event website post close of all registrations.

tcsworld10k.procamrunning.in /tcsw10k @TCSWorld10K @tcsw10k

Please review the following questions before submitting your application form.

Has your doctor ever said that you have a heart condition and that you should only do physicalactivity recommended by a doctor?

Do you feel pain in your chest when you do physical activity?

In the past month, have you had chest pain when you were not doing physical activity?

Do you lose your balance because of dizziness or do you ever lose consciousness?

ARE YOU FITTO PARTICIPATE?

Do you have a bone or joint problem that could be made worse by a change in your physical activity?

Is your doctor currently prescribing drugs for your blood pressure or heart condition?

Are you pregnant?

Are you diabetic?

Do you know of any other reason why you should not do physical activity?

If you have answered YES to any of the questions above, then please consult your physician before applying for registration inTata Consultancy Services World 10K Bengaluru. Irrespective of whatever may be your age, we sincerely advise you to obtain amedical clearance from a registered medical practitioner/doctor before applying for the Tata Consultancy Services World 10KBengaluru 2018. It is unfair to you and your family to risk serious illness and become a medical emergency on race day.

10. Application status: Post closure of registrations, individual applicant is required to go online on http://tcsworld10k.procamrunning.in and check his/her application status. If you are unable to check application status online, please contact our event helpline number +91 8041739955 or email us at . tcsworld10k@procam.in

tcsworld10k.procamrunning.in /tcsw10k @TCSWorld10K @tcsw10k

17. For information on awards and accolades, log on to http://tcsworld10k.procamrunning.in

18. Please thoroughly go through all information mentioned in this form prior to submitting your application. Confirmation of applications received will be subject to the applicable confirmation criteria and the entry rules given herein.

19. This application form and the right to participate in the event and the rights and benefits available to the applicant under this entry form is at the sole discretion of the event Promoters, Procam International Pvt. Ltd., and cannot be transferred to any other person under any circumstances. The applicant alone shall be entitled to the rights and benefits arising out of such confirmation of participation.

14 . Confirmed runner's identity and proof of residence may be verified by a verification agency hired for validating the details provided by you in the form. Where any information and/or any document provided by an applicant/runner at any point in time is found to be incorrect, participation of the said runner shall be withheld/disqualified and there will be no refund of application fees paid by the runner. All benefits accruing to the said runner as a participant of Tata Consultancy Services World 10K Bengaluru 2018 shall stand forfeited.

15. All Open 10K participants' race day images will be screened visually after the race and if any of the participant is found not wearing the running number bib allotted to him/her, the participant registered for that bib will be disqualified from the race and the subsequent edition of the event in 2019. Further, Procam International reserves the right to take necessary legal action against the registered participant and the person who has used the running number bib on race day, for impersonation.

13.3 Authorised representative must carry with him/her (a) the website confirmation downloaded from application status on , (b) photo-identity proof (Aadhar card, PAN card or passport) of the representativehttp://tcsworld10k.procamrunning.in and the confirmed participant.

13.2 It is mandatory for an Open 10K Run participant to collect his/her running number personally from the Nestlé Get Active Expo

In case of unavoidable circumstances, such runner can send his/her authorised representative to collect running number bib

on his/her behalf. Please note, a representative will not be allowed to collect running number bib on behalf of more than ONE

Open 10K Run participant.

Event Helpline: +91 80 41739955 (Mon to Sat, 10 am to 7 pm)Website: E-mail: http://tcsworld10k.procamrunning.in tcsworld10k@procam.in

CONTACT US

16. This application form and the right to participate in the event and the rights and benefits available to the applicant under this entry form is at the sole discretion of the event Promoters, Procam International Pvt. Ltd., and cannot be transferred to any other person under any circumstances. The applicant alone shall be entitled to the rights and benefits arising out of such confirmation of participation.

13. Running number bib collection:

11. Entries not accepted: Participation in the event is subject to entry confirmation. Where your entry is not confirmed for any reason, the entry fees paid by you will be refunded on or before 30th May 2018. An amount of ` 150 will be deducted as processing charges. Any refund discrepancies must be brought to the attention of the Event Registration Team immediately. Refund queries will not be entertained post 7th June 2018.

12. Requests for cancellation and thereby, refund will not be entertained. Further, application fees shall not be refunded by virtue of non participation, including failure by a confirmed participant to collect his/her bib from the Nestlé Get Active Expo.

13.1 All confirmed participants/their authorized representatives are required to come to the Nestlé Get Active Expo Bengaluru

(Address will be confirmed on the website, closer to the event) scheduled from 10th May 2018 to 12th May 2018 in order to

collect their running number bibs. No running number will be posted to individual mailing addresses

Philanthropy PartnerMedical Services PartnerHydration Partner

MOMENTS OF TCS WORLD 10K BENGALURUMOMENTS OF TCS WORLD 10K BENGALURU

Please fill up the form in CAPITAL letters only

For Race Categories: World 10K and Open 10K

CHECK LIST: HAVE YOU….

Fully read the information in the overleaf of this Application Form? || Affixed your recent passport sized photograph? || Attached a copy of either your Aadhar card, PAN card or passport? || Attached a photocopy of your latest timing certificate (if applicable)? || Filled all mandatory fields (marked '*')? || Included the correct application fee? || Signed the Waiver?

* Affix your recent color photograph

with your face clearly visible

Size: (2 inch x 2 inch)

APPLICATION FORM

*RACE CATEGORY (tick any one)

World 10K (applicable only for elite athletes; refer to 'Entry Rules and Guidelines')

Entry to the Open 10K race category is as per the order of preference given below. For details, please go through information under 'Confirmation Criteria' and 'Entry Rules & Guidelines' in the form overleaf:

(1) Timed Runner (attach recent timing certificate for a higher chance of entry confirmation and priority line up on race day as per your timing performance)

(2) Women's Quota

(3) Where you do not fall in either of the above 2 criteria, your application will be put in general category where limited applications are accepted on first come first served basis.

(4) Charity running places

Confirmation Criteria:

Important: Open 10K confirmed runners are required to visit the Nestlé Get Active Expo individually to collect theirrunning bib. In case of unavoidable circumstances, a runner can send his/her representative to collect running numberbib on his/her behalf. Please note, a representative will NOT be allowed to collect running number bib on behalf of morethan ONE Open 10K runner.

Open 10K Run (10 Km)

PERSONAL INFORMATION

*First Name ______________________________________ *Last Name ______________________________________

* Address ____________________________________________________________________________________________________

_____________________________________________________________________________________________________________

* City/Town _________________________ * State _____________________________ * Pin Code __________________________

* Country _________________________* Nationality ____________________________ * Gender: Male / Female

* Date of Birth: ___ / ___ / ___ (dd/mm/yy) Age as on 12.05.2018: _____* Tel. Number: _______ – ________________________(STD Code) (Landline No. / Mobile No.)

Email-Address: (1) __________________________________________________________

(2) _________________________________________________________________

(Post closure of registrations, individual applicant is required to go online on http://tcsworld10k.procamrunning.in and check his/her application status.Applicant will receive event related information on the email id mentioned above).

*All Open 10K confirmed participants will receive a Puma Race day T-shirt, to be collected from Nestlé Get Active Expo. T-Shirt is subject to availabilityand request for change in size and colour will not be accepted.

Occupation: (tick any one)

Business, Self-Employed,

Salaried,

Retired, Housewife, Student,

Govt. Employee,

Sportsperson, Unemployed

Name of organisation: _________________________

Where did you see or hear about the event?: (tick any one)

Radio, Newspaper, Television, Online, Outdoor Hoarding, Referred by a friend,

13 May 2018

(tick any one) S,XS, M, L, XL, XXL

T-Shirt size (incms)

Chest

XS S M L XL XXL

94 100 106 114 122 130

* Go Green: Do you wish to receive race day information book on email and agree that you will not collect the physical copy from the Nestlé Get Active Expo?

Yes No/

If you wish to send your finish timing via sms on race day to your friends and family, please provide their mobile numbers (max .3 mobile numbers allowed):1) Mobile Number: ____ - __________________

(Country Code, eg: +91)

(Mobile No.)

2) Mobile Number: ____ - __________________

(Country Code, eg: +91)

(Mobile No.)

3) Mobile Number: ____ - __________________

(Country Code, eg: +91)

(Mobile No.)

Demand DraftCheque Credit/ Debit Card

Chq/DD No.: ____________________

Chq/DD Date: __ __ /__ __ /__ __ (dd/mm/yy) Cheque / DD in favour of “PROCAM INTERNATIONAL PVT. LTD”.

Bank Name & Branch: __________________________________________________________

Amount in Rs.

*PAYMENT INFORMATION (tick any one)

CHARITY (tick )

TCS World 10K Bengaluru is a unique platform to raise funds and support your chosen cause. Do you wish to support any of the NGOsregistered with Charity Partner for the Event? Yes No (You will be contacted on your email id and will be guided on how to support charity.)/

(I) have given true and complete information in this application form and me/my ward is/am solely responsible for the accuracy of this information; (ii) have fully understood the risk and responsibility of participating in the TCS World 10K or any event outlined in this application (collectively "the event") and will be participating entirely at my/his/her risk and responsibility; (iii) understand the risk of participating on a course with vehicular traffic, even if the course may be regulated/policed; (iv) understand that l/my ward must be of, and must train to, an appropriate level of fitness to participate in such a physically demanding event and l/my ward have obtained a medical clearance from a registered medical practitioner, allowing me to participate in the event/s; (v) for myself/ourselves and our legal representatives, waive all claims of whatsoever nature against any and all Sponsors of the event, Bengaluru City, all political entities, authorities and officials, all contractors and construction firms working on or near the course, all TCS World 10K Committee persons, officials and volunteers, Procam International Private Limited and all other persons and entities associated with the event and the directors, employees, agents and representatives of all or any of the aforementioned including, but not limited to, any claims that might result from me/my ward participating in the event and whether on account of illness, injury, death or otherwise; (vi) agree that if I am/my ward is injured or taken ill or otherwise suffer/s any detriment whatsoever, I hereby irrevocably authorize the event officials and organizers to, at my/our risk and cost, transport me/my ward to a medical facility and/or to administer emergency medical treatment and l/my ward waive/s all claims that might result from such transport and/or treatment or delay or deficiency therein. I shall pay or reimburse to you my/my ward's medical and emergency expenses and l/my ward hereby authorize/s you to incur the same; (vii) shall provide to race officials such medical data relating to me/my ward as they may request. I agree that nothing herein shall oblige the event officials or organizers or any other person to incur any expense or to provide any transport or treatment; (viii) in case of any illness or injury caused to me or my ward or death suffered by me or my ward due to any medical reasons or medical condition during the race or at any time thereafter as a result of the event, regardless or not whether such medical reasons or condition shall have been pre-existing conditions known by me and further regardless of whether I/my ward shall have disclosed, at any point in time, the existence of such reason or condition to any person, none of the sponsors of the event or any political entity or authorities and officials or any contractor or construction firms working on or near the course, or any of the TCS World 10K Committee persons, officials or volunteers or Procam International Private Limited or any persons or entities associated with the event or the directors, employees, agents or representatives of all or any of the aforementioned shall be held liable by me/my ward or my/my ward's representatives; (ix) in case of any illness or injury caused to me or my ward or death suffered by me or my ward during the event or due to any force majeure event including but not limited to fire, riots or other civil disturbances, earthquakes, storms, typhoons or any terrorist act, none of the sponsors of the event or any political entity or authorities and officials or any contractor or construction firms working on or near the course, or any of the TCS World 10K Committee persons, officials or volunteers or Procam International Private Limited or any persons or entities associated with the event or the directors, employees, agents or representatives of all or any of the aforementioned shall be held liable by me/my ward or my/my ward's representatives; (x) understand, agree and irrevocably permit Procam International to share the information given by me/my ward in this application, with all/any entities associated with the TCS World 10K, at its own discretion; (xi) understand, agree and irrevocably permit Procam International to use my/my ward's photograph which may be photographed on race day and/or during various functions of the event, for the purpose of promoting TCS World 10K, at its own discretion; (xii) shall not hold the organizers and all/any of the event sponsors responsible for loss of my/his/her application form and/or application fee in transit; (xiii) I/my ward do agree to receive information and offers of various brands/products/services as may be sent to me/my ward by the event promoters (or a person duly authorized by the promoters) on the email address given by me/my ward in this application form; (xiv) I/my ward understand and agree to the event terms and guidelines.

Applicant's Signature

I/ my ward, __________________________________(full name), declare, confirm and agree as follows that I/my ward..

If applicant is under 18 years of age as on 12.05.2018

Guardian's Signature Name & relation of Guardian with Applicant

*WAIVER (Must be signed for entry acceptance)

REFUNDIn case of entry not accepted, the refund via NEFT will be made, INR 150 will be deducted as processing charges and you will becontacted on your email asking for your NEFT / Bank account details.

DISCLAIMER: The Karnataka State Assembly elections are imminent. On account of which, there is a possibility that our race date, i.e. Sunday 13th May 2018, may undergo a change. Procam International shall update all, at the earliest possible. Please note, if we have to change the date due to circumstances beyond our control, requests for refund of entry fees or refund of any other participation related expenses owing to change of race date, will not be accepted by Procam International.

Others, if others selected, where ?_____________________

* Contact name & number of family/friend/guardian in case of emergencies (such person should not be a participant of the event)

Name: ____________________________________________________ Tel. Number: _______ – ____________________________ (STD Code) (Landline No. / Mobile No.)