Registration 07 Km Run Half Marathon Marathon Khardung La Type Ladakh for Fun Challenge Indian nationals – ⬜ ₹ 1200/­ ⬜ ₹ 1800/­ ⬜ ₹ 3000/­ ⬜ ₹ 6500/­ outside Ladakh Ladakh Residents ⬜ ₹ 700/­ ⬜ ₹ 900/­ ⬜ ₹ 1500/­ ⬜ ₹ 3500/­ Veterans ⬜ ₹ 1000/­ ⬜ ₹ 1200/­ ⬜ ₹ 1800/­ ⬜ ₹ 5000/­ Foreign Nationals ⬜ US$ 25.00 ⬜ US$ 40.00 ⬜ US$ 65.00 ⬜ US$ 120.00 ­ Open Veterans ⬜ US$ 20.00 ⬜ US$ 30.00 ⬜ US$ 40.00 ⬜ US$ 80.00 (If you are 48 years and above as on Race Day then please register under category “Veterans” for all Races) Name : ___________________________________________________________________ ​ Email – ID : ___________________________________________________________________ ​ Address : ___________________________________________________________________ ​ City/Town : _________________________ Pin Code: __________________________ ​ ​ State : _________________________ Country :___________________________ ​ ​ Nationality : _________________________ Gender : ⬜ Male ⬜ Female ​ ​ Date of Birth: ______/______/____________ Age as on 11/09/16*: __________________ ​ ​ Mobile No. : _________________________ Occupation : ________________________ ​ ​ Emergency Contact Name & No. : ____________________________________________________ ​ (Contact Number of a person should not be participating in the Event) Where did you see or hear about our event ?* ⬜ Mailer ⬜ SMS ⬜ Newspaper Ad ⬜ Hoarding ⬜ Television ⬜ Website ⬜ Facebook ⬜ Running Group ⬜ Radio Details of participation in any Previous marathons – marathon name and year* _________________________________________________________________________________ Name: _______________________ Amount: ______________ Category: ___________ Signature & Date: __________________________________________________________________ (Cheque / DD in favour of RIMO EXPEDITIONS) _________________________________________________________________________________ Acknowledgement of Risk & Indemnity: 1. Age limits – These must be adhered to strictly and the organizer has the right to verify the age of runners before, during and after the race. 2. Please do not apply more than one entry per person. Multiple applications will be rejected. 3. Before sending in your application, please ensure that all information as requested in the form has been provided with else your application will not be accepted. 4. Runners of the Marathon and Khardung La Challenge are to provide details of previous marathons along with timing certificates. 5. All applicants must agree and sign the “Risk and Indemnity Agreement”. And if an applicant is below the age of 18 years, the guardian has also signed the ‘waiver’ and written his/her relation with the applicant. 6. Entries not accepted: Participation in the event is subject to entry confirmation. If your entry is not confirmed for any reason, the application fees paid by you will be refunded after deducting a processing fee of Rs 200/­. 7. There will be no refunds for cancellations. However the registration fees can always be transferred for the next Ladakh Marathon”. 8. Transfer or change of race categories is permitted, but participants will be charged Rs 500 (Indian Nationals) and US$10 for Foreign Nationals towards processing charges. There are no refunds of fee if you transfer / change races or categories. 9. BIB number and collection of bibs: ○ Your official race BIB number is important. Therefore please ensure that it is displayed during the entire race. ○ Do not alter the Bib number in any manner. ○ Bib numbers are not transferable. ○ No one else may wear your bib number. ○ The bib number must be pinned properly to the front of your t­shirt and clearly visible. ○ Folding or covering any part of your bib number may result in disqualification. ○ Do not forcefully bend, crease or fold your bib. 10. Timing Chips: ○ Ladakh Marathon will use a timing chip for the timed races (Half Marathon and Marathon). ○ Timing chips must be attached to your BIB to score the race as per instructions provided. ○ This timing chip must be worn on the race day, attached properly to the BIB. ○ The chip must be attached from Start to Finish in order to be recognized as completing the race and receiving an official finish time ○ The timing chip identifies your bib number and should not be worn by any other entrant. 11. Should the event be cancelled due to circumstances beyond the control of the Organizer or force majeure, a refund of 50% of the registration fee will be made before 30 November 2016, and the Organizer shall have no further responsibility and/or liability thereafter. 12. All confirmed participants are required to come to Leh to collect their running number bibs (and timing chips). No running number bib or timing chip will be posted to individual mailing address. It is mandatory for participants of the categories 42 KM Marathon and Khardung La Challenge to collect their running number bibs and timing chips in person. 13. Race day images of all the races of the participants will be screened visually after the race. Where any of the participants is found not wearing the running bib allotted to him/her, the participant registered for that bib will be disqualified from the race and the subsequent edition of this event. 14. Instructions by the Organizer and race officials must be followed with respect to all matters not provided herein. The Organizer reserves the right to reject applications of participants who refuse to follow instructions of the race officials. 15. Official Time and Net Time (with Start and Finish times) will be provided for participants who have completed the races within the specified time limits. 16. Participants must ensure that they are medically and physically fit to participate in the race. Any person who is suffering from any chronic disease such as heart disease or high blood pressure should not participate in the event. The Organizer reserves the right to disallow / disqualify any person who is known or suspected to be physically unfit to participate in the event. 17. The application form and the right to participate in the event and the rights and benefits available to the applicant under this application form is at the sole discretion of the event promoters, RIMO EXPEDITIONS, and cannot be transferred to any other person under any circumstances. The actual applicant alone shall be entitled to the rights and benefits arising out of such confirmation of participation. ⬜ I agree to the terms and conditions. ​ _____________________ Signature & Date .