(If no SA ID No is available, contact us; The ID no must be 13 no's or will not save)

(Please do not use characters like ' or " or ^ and others with your name, to avoid program errors)

Add ID No:
() Login if ID No exists Repeat Identity Number again: SA ID no to link family: Surname: Firstname: Title: Select Title Mr Mrs Ms

Gender:
Birthdate:
Age:

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Email (required if password is lost): Cell No (required for sms results): Address: City: Postal code:
Province: Select Province Eastern Cape Free State Gauteng KZN Limpopo Mpumalanga Northern Cape North West Western Cape
Country: Country Select Country South Africa Australia New Zealand Other African Other UK USA

Club / School / Team name: Chip Name & Number: Licenced / Registered with ASA / CSA / TSA ? Yes No ASA / CSA / TSA License no: Medical Aid & No: Emergency Name and Cell: Doctor name & Cell: Blood group: Other medical conditions:

Require News Emails: Cycling: Running: Triathlon: All disciplines: No Emails:

(Please DO NOT forget this Password !!)

Password (min 6x characters):
Confirm Password (min 6x characters):



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