Great Run Registration

  1. Registration Fee: Ksh 6,000. Available Slots: 50

  2. Surname*
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  3. Other Names*
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  4. ID/Passport Number*
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  5. Age*
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  6. Gender*
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  7. Driving Licence Number*
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  8. Driving Licence Expiry Date
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  9. Occupation
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  10.  
  1. Phone/Mobile Number*
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  2. Work/Business Number
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  3. Email Address*
    Please input a valid email address
  4. Postal Address
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  5. Blood Group*
    Please input your blood group.
  6. Emergency Contact Name*
    Please input the name of who we should call in case of any emergency.
  7. Emergency Contact Phone*
    Please input emergency contact telephone number
  8.  
  1. Vehicle Make*
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  2. Vehicle Model*
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  3. Year of Manufacture
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  4. Year of Registration
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  5. Color
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  6. Registration Number*
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  7. Insurance Details*
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  8. Number of Passengers
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  9. Mechanical condition*
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