05 NC D3

Basic Information

Team Name : BLAKEFROST BC

(Chinese words not more than 6 characters, English alphabet not more than 12 characters)

Manager Phone: 017-6520655 Email: [email protected]
MOHD TAHIR B HAJI SAAD Height (cm): 167 Weight (kg): 88

Coach Name: Phone: 0126496194 Email; [email protected]
IKHWAN AFIQ Height (cm): 173 Weight (kg): 70

Player Name List (Maximum 12 players)

*For size measurement needed, players height and weight information must compulsory fill up.

Jersey No: 4 Jersey No: 5

PHOTO NAME (IC): Adib Anwar Bin PHOTO NAME (IC): Hamiraj Fahry
Azizuddin Abdul Hamid

NEWIC NO: 010302-14-1239 NEWIC NO: 720420-10-5307

HP NO: 016-7269503 HP NO: 017-6626350

E-MAIL: E-MAIL:
[email protected] [email protected]

HEIGHT (CM)：170 HEIGHT (CM)：178

WEIGHT (KG)：51 WEIGHT (KG)：73
Jersey No: 6 Jersey No: 7

NAME (IC): Mohd Ishamudin PHOTO NAME (IC): Muhammad
Bin Ishak Syamil Bin Sahari

NEWIC NO: 951015-05-5527 NEWIC NO: 951024-02-5637

HP NO: 013-6613004 HP NO: 019-5531237

E-MAIL: E-MAIL:
[email protected] [email protected]

HEIGHT (CM)：176 HEIGHT (CM)：167

WEIGHT (KG)：79 WEIGHT (KG)：59
Jersey No: 8 Jersey No: 9

PHOTO NAME (IC): Muhammad PHOTO NAME (IC): Muhammad
Danial Hakimi Bin Muhaimin Bin Muhammad
Mohammad Noor Azam Masri

NEWIC NO: 971109-14-5927 NEWIC NO: 960101-14-5013

HP NO: 011-11448413 HP NO: 0137187894

E-MAIL: E-MAIL:
[email protected] [email protected]

HEIGHT (CM)：187 HEIGHT (CM)：165

WEIGHT (KG)：100 WEIGHT (KG)：58

Jersey No: 10 Jersey No: 11

PHOTO NAME (IC): Zam Hariz bin PHOTO NAME (IC): Mohd Eusoff
Hizam Khalish Bin Mohd Hassan

NEWIC NO: 961205-10-5643 NEWIC NO: 960502-10-5231

HP NO: 012-5566792 HP NO: 012-3615231

E-MAIL: E-MAIL:
[email protected] [email protected]

HEIGHT (CM)：178 HEIGHT (CM)：165

WEIGHT (KG)：93 WEIGHT (KG)：58
Jersey No: 12 Jersey No: 13

PHOTO NAME (IC): Syed Ridhwan PHOTO NAME (IC): Wan Mohd
Bin Basgeer Syaheer Bin Wan Suhaimi

NEWIC NO: 960422-56-5289 NEWIC NO: 960830-14-6649

HP NO: 011-27577072 HP NO: 011-23350957

E-MAIL: E-MAIL:
[email protected] [email protected]

HEIGHT (CM)：180 HEIGHT (CM)：163

WEIGHT (KG)：73 WEIGHT (KG)：93
Jersey No: 14 Jersey No: 15

PHOTO NAME (IC): Muhammad PHOTO NAME (IC): Muhammad
Aidishamil Bin Mohd Tahir Anwar Aiman Bin Mohd
Declare and Subscribe Suhaimi
NEWIC NO: 960325-56-5279
NEWIC NO: 950901-09-5019
HP NO: 017-6520655
HP NO: 013-2488625
E-MAIL:
[email protected] E-MAIL:
[email protected]
HEIGHT (CM)：167
HEIGHT (CM)：196
WEIGHT (KG)：88
WEIGHT (KG)：70

1. I, as a team manager, affirm that our team players that less than 18 years old already have parents or guardian

approval to take part in this competition. And affirm that all players in team are healthy, suitable to take part in

this competition.

2. I represent all team players, affirm that all information provide are accurate and did not contain false information

to the organizer. If find out there are cheating, false or fabricate, our team will be disqualify and all deposit will not

be return by organizer.

3. I and all members will obey rules and regulation in competition, venue safety rules, and referee.

4. In the period of competition, any injuries, sickness, death or lose in material or money wise, we will manage on

our own cost.

Team Manager Signature:







Basic Information

Team: SABERTOOTH
(Chinese words not more than 6 characters, English alphabet not more than 12 characters)

Manager Name: ABDUL HARITH Phone: +60 19-222 3658 Email:
[email protected] Height (cm): 176 Weight (kg):77

Coach Name: TENGKU MUHAMMAD AMIR BIN TENGKU ABU BAKAR

Phone: 019948707 Email: [email protected]

Height (cm): 160 Weight (kg):75

Player Name List (Maximum 12 players)

*For size measurement needed, players height and weight information must compulsory fill up.

Jersey No:98 Jersey No:34

NAME (IC)：Omar Hasrullah NAME (IC)：Danish Afiq

Bin Abdul Maalek bin Zulkifli

NEWIC NO: 981230125257 NEWIC NO:

HP NO：+60 18-224 3170 980728106075
E-MAIL:
[email protected] HP NO:+60 13-722 7768

HEIGHT (CM)：178 E-MAIL ：
WEIGHT (KG)：79
[email protected]
Jersey No:25
HEIGHT (CM)：181
WEIGHT (KG)79

Jersey No:17

NAME (IC)：Danial Zafran NAME (IC) ： Amirun
bin Azlan Tasnim bin A. Rozi

NEWIC NO: 991016-14- NEWIC NO: 991015-06-
5299 5131

HP NO：+60 12-260 1955 HP NO:+60 13-931 9437

E-MAIL: E-MAIL ：
[email protected]
m [email protected]
HEIGHT (CM)：162

HEIGHT (CM)：179 WEIGHT (KG)：55
WEIGHT (KG)：74

Jersey No:12 Jersey No:10

NAME (IC) ： Muhammad

Imran Syakir Bin NAME (IC) ： ADIL

Burhanuddin TAUFIQ

NEWIC NO ：

NEWIC NO ： 991016-14- 981001065561

5299 HP NO:+60 19-372 8665

HP NO: +60 11-1992 6323 E-MAIL ：

E-MAIL ： [email protected]
HEIGHT (CM)： 178
[email protected]

m WEIGHT (KG):80
HEIGHT (CM)：178

WEIGHT (KG)：85

Jersey No:0 Jersey No:14

NAME (IC) ： Muhammad NAME (IC)：Baharum Mat
Nadhir Adha Bin Darus Ripin

NEWIC NO ： NEWIC NO ：

980420036533 880102295021

HP NO：+60 11-2924 4589 HP NO：+60 13-628 1158

E-MAIL ： E-MAIL ：

[email protected] [email protected]

HEIGHT (CM)：179

WEIGHT (KG)：76 HEIGHT (CM)：179
WEIGHT (KG)：80
Jersey No:7
Jersey No:8
NAME (IC)：Dzul Asyraff
Firdhaus NAME (IC)： Ahmad Aizrul

NEWIC NO ：900916-06- Ahmad Tajudin
5247
NEWIC NO ：

860925915027

HP NO:+60 18-328 2848

E-MAIL ：

HP NO:+60 18-231 8544 [email protected]

E-MAIL ：

[email protected] HEIGHT (CM)：179

HEIGHT (CM)：165 WEIGHT (KG)：80
WEIGHT (KG)：67
Jersey No:11
Jersey No:57

NAME (IC) ： NAME (IC) ： Lokman

MUHAMMAD NOR AIDIL Hakim Bin Rahim
NEWIC NO ： 990611-06-
NEWIC NO ：
5061

000707101287

HP NO:+60 13-207 0801 HP NO ： +60 10-234

E-MAIL ： 9837

[email protected] E-MAIL ：

HEIGHT (CM)：170 [email protected]

WEIGHT (KG)：60 HEIGHT (CM)：166

WEIGHT (KG)：60

Declare and Subscribe





Basic Information

Team Name: Membakul Prodigy
(Chinese words not more than 6 characters, English alphabet not more than 12 characters)

Manager Name Syamil Hakeem Dzulkafli
Phone 0169800714
Email [email protected]
Height (cm) 165
Weight (cm) 60

Coach Name Isa
Phone 0172520245
Email
Height (cm)
Weight (cm)

Photo Photo Photo Photo Photo

Player’s
Particulars

Jersey’s No & 12 11 6 14 8
Size (M) (L) (L) (L) (L)

Name Muhammad Idham Ahmad Syahiir b Md Hafiz Aiman bin Adi Irfan bin Ahmad Muhammad Syahmi
bin Rosmee Ghazali Shamsul Bahrin Rushidi Bin Mohd Sabri
My Kad No 990601-14-5869 990301-06-5381
Weight (kg) 991112-14-5379 940522-10-5185 971223-02-5419
Height (cm) 70 74
63 67 70
174 168
175 176 175

Photo Photo Photo Photo Photo

Player’s
Particulars

Jersey’s No & 9 10 7 4 15
Size (L) (L) (L) (M) (S)
Name
Mu'iz bin Bahaman Oummar Korish bin Hazim bin Zazli Muhamad Syamil Tuan Muhammad
Azahari Hakeem bin Dzulkafli Syameel bin Tuan
My Kad No 940309-10-5637 930510-87-5079
Weight (kg) 960401-14-5197 75 961104-07-6177 Hairul
76 188
Height (cm) 177 75 60 031115-03-0405
185 165
60
170

Photo Photo

Player’s
Particulars

Jersey’s No & 5 13
Size (XL) (L)

Name Muhammad Haikal Muhamad Afiq
Bin Rizal Syahmi Bin Ibrahim
My Kad No
Weight (kg) 970320-11-5577 980309-10-5975
Height (cm)
89 75
175 185

Player Name List (Maximum 12 players)
*For size measurement needed, players height and weight information must compulsory fill up.

Declare and Subscribe
1. I, as a team manager, affirm that our team players that are less than 18 years old already have parents or guardian
approval to take part in this competition. And affirm that all players in the team are healthy, suitable to take part in
this competition.
2. I represent all team players, affirm that all information provided is accurate and did not contain false information
to the organizer. If find out there is cheating, false or fabricate, our team will be disqualified.
3. I and all members will obey rules and regulations in competition, venue safety rules, and referee.
4. In the period of competition, any injuries, sickness, death or lose in material or money wise, we will manage on
our own cost.

Team Manager Signature:

Syamil

Basic Information (DIVISION 3 NC)

Team Name : PYTHONZ ORIGINS
(Chinese words not more than 6 characters, English alphabet not more than 12 characters)

Manager Name: Phone: Email:
Nasrullah Bin 010-9443364 [email protected]
Landide
Height (cm): 170cm Weight (kg): 69kg

Coach Name: Phone: Email: -
Tamil Selvan a/l 011-15056242 Weight (kg): 70kg
Ganesan
Height (cm): 175cm

Player Name List (Maximum 12 players)
*For size measurement needed, players height and weight information must compulsory fill up.

Jersey No: 13 Jersey No: 7

NAME (IC)： NAME (IC)：
Muhammad Alif Ashraf Bin Che Ahmad Nidzamuddin Bin Ahmad
Zulhaimee Nazari

NEWIC NO：950101-14-5559 NEWIC NO：890103-03-5837

ALIF (S) HP NO： NIDZAM (4XL) HP NO：
E-MAIL： E-MAIL：

HEIGHT (CM)： 170cm HEIGHT (CM)： 170cm
WEIGHT (KG)： 50kg WEIGHT (KG)： 120kg

ADIB (2XL) Jersey No: 14 MIMS (M) Jersey No: 9

NAME (IC)：Mohd Adib Bin NAME (IC)：Mohd Hamim Bin
Yunus Noordin

NEWIC NO： 800911-06-5381 NEWIC NO：861023-23-5393

HP NO： HP NO：
E-MAIL： E-MAIL：

HEIGHT (CM)： 183cm HEIGHT (CM)： 166cm
WEIGHT (KG)： 97kg WEIGHT (KG)： 64kg

MILOZ (L) Jersey No: 8 HAZIM (3XL) Jersey No: 4

NAME (IC)：Mohammad Aimil NAME (IC)：Khamarul Hazim B.
Fariz bin Ibrahim Azmi

NEWIC NO：880630-02-5017 NEWIC NO：880621-08-6205

HP NO： HP NO：
E-MAIL： E-MAIL：

HEIGHT (CM)： 180cm HEIGHT (CM)： 170cm
WEIGHT (KG)： 69kg WEIGHT (KG)： 105kg

Jersey No: 5 SHAH (M) Jersey No: 16

NAME (IC)：Mohammad Helmy NAME (IC) : Shahrul Bin Sa’adon
Bin Zahari
NEWIC NO：890907-10-5335
NEWIC NO：941215-10-5577
HP NO：
HP NO： E-MAIL：
E-MAIL：
HEIGHT (CM)： 169cm
HEIGHT (CM)： 165cm WEIGHT (KG)： 70kg
WEIGHT (KG)： 63kg
MIE (M)

SLASHER (M) Jersey No: 12 QUCAE (M) Jersey No: 6

NAME (IC)：Shafiq Bin Ramlan NAME (IC)：Hakim Qusyairy Bin
Mohammad Shah
NEWIC NO：910830-06-5069
NEWIC NO：020806-10-0683
HP NO：
E-MAIL： HP NO：
E-MAIL：
HEIGHT (CM)： 168cm
WEIGHT (KG)： 56kg HEIGHT (CM)： 177cm
WEIGHT (KG)： 75kg

STARK (S) Jersey No: 15 Jersey No: 11

NAME (IC)：Mohamad Arif Bin ZARIF (M) NAME (IC)： Mat Zarif Bin
Mashudi Abdullah

NEWIC NO：981229-07-5061 NEWIC NO： 020419-03-0339

HP NO： HP NO：
E-MAIL： E-MAIL：

HEIGHT (CM)： 165cm HEIGHT (CM)： 171CM
WEIGHT (KG)： 53kg WEIGHT (KG)： 70KG

Declare and Subscribe
1. I, as a team manager, affirm that our team players that less than 18 years old already have parents or
guardian approval to take part in this competition. And affirm that all players in team are healthy, suitable
to take part in this competition.
2. I represent all team players, affirm that all information provide are accurate and did not contain false
information to the organizer. If find out there are cheating, false or fabricate, our team will be disqualify and
all deposit will not be return by organizer.
3. I and all members will obey rules and regulation in competition, venue safety rules, and referee.
4. In the period of competition, any injuries, sickness, death or lose in material or money wise, we will manage
on our own cost.

Team Manager Signature:

Basic Information

Team: Cyclones
(Chinese words not more than 6 characters, English alphabet not more than 12 characters)

Manager Name: TENGKU MUHAMMAD AMIR BIN TENGKU ABU BAKAR

Phone: 0199948707 Email: [email protected]

Height (cm): 160 Weight (kg):75

Coach Name: TENGKU AHMAD MUQRI BIN TENGKU ABU BAKAR

Phone: 01117952376 Email: [email protected]

Height (cm): 167 Weight (kg):55

Player Name List (Maximum 12 players)
*For size measurement needed, players height and weight information must compulsory fill up.

Jersey No:6 Jersey No:8

NAME (IC) ： AHMAD NAME (IC) ：
UZAIR BIN ZAMRI
MUHAMMAD NAIM BIN

ZULKEFFLY

NEWIC NO:
020824050333
NEWIC NO:
000711102119

HP NO：0182073194 HP NO：0132548399
E-MAIL:
[email protected] E-MAIL ：

HEIGHT (CM)：179 [email protected]

om

WEIGHT (KG)：95 HEIGHT (CM)：176

WEIGHT (KG)：88

Jersey No:7 Jersey No:9

NAME (IC)：MUHAMMAD NAME (IC) ：
MUIZZUDDIN DANISH BIN
JEFFRY MUHAMMAD

NEWIC NO:000403141351 ASYRAFUL SYAKIR BIN

HP NO：0189740463 KAMARUL NIZAM
E-MAIL:
[email protected] NEWIC NO:
030713010565
HEIGHT (CM)：184
HP NO：01115221403

E-MAIL ：

[email protected]

WEIGHT (KG)：64 HEIGHT (CM)：173

WEIGHT (KG)：98

Jersey No:11 Jersey No:10

NAME (IC)：MUHAMMAD NAME (IC) ： AHMAD
SYAFEEQ BIN AHMAD AHTIAR BIN AHMAD
SHAKEREE AMRAN

NEWIC NO ： 031128-14- NEWIC NO ：

0427 030707040231

HP NO 019-311-2811

E-MAIL ： HP NO：01123062833

[email protected] E-MAIL ：

HEIGHT (CM)：171 [email protected]

HEIGHT (CM)：171

WEIGHT (KG)：60

WEIGHT (KG)：55

Jersey No:4 Jersey No:3

NAME (IC)：ZULHILMI BIN NAME (IC)：MUHAMMAD
ZAPHIL IZZMAN BIN HAFIZI

NEWIC NO ： NEWIC NO ：

010401020643 991219065491

HP NO： 011-21507105 HP NO：0139507807

E-MAIL ： E-MAIL ：

[email protected] [email protected]

du.my

HEIGHT (CM)：183

HEIGHT (CM)：174

WEIGHT (KG)：59

WEIGHT (KG)：64

Jersey No:5 Jersey No:2

NAME (IC) ： NAME (IC) ： DANISH
ARIFF BIN AHMAD
MUHAMMAD ZAFIAN RIDZUAN

NURISYRAF SYAZWANI

BIN ABDUL SANI

NEWIC NO ：

NEWIC NO ： 00121912- 000116081237
12-1101

HP NO：01111504541

HP NO： 019-2570429 E-MAIL ：

E-MAIL ： [email protected].

[email protected] my

HEIGHT (CM)：175 HEIGHT (CM)：171

WEIGHT (KG)：72 WEIGHT (KG)：67

Jersey No:1 Jersey No:12

NAME (IC) ： NAME (IC)：MUHAMMAD
NAJMI BIN MOHAMAD
MUHAMMAD ARIF BIN NOR

MAT JALI

NEWIC NO ： NEWIC NO ：

000903100089 010625060759

HP NO：0182937989 HP NO：0134448749

E-MAIL ： E-MAIL ：

[email protected] [email protected]

HEIGHT (CM)：171 HEIGHT (CM)：168

WEIGHT (KG)：58 WEIGHT (KG)：60

Declare and Subscribe

1. I, as a team manager, affirm that our team players that less than 18 years old already have parents or guardian

approval to take part in this competition. And affirm that all players in team are healthy, suitable to take part in

this competition.

2. I represent all team players, affirm that all information provide are accurate and did not contain false information

to the organizer. If find out there are cheating, false or fabricate, our team will be disqualify and all deposit will not

be return by organizer.

3. I and all members will obey rules and regulation in competition, venue safety rules, and referee.

4. In the period of competition, any injuries, sickness, death or lose in material or money wise, we will manage on

our own cost.

Team Manager Signature:







Basic Information

Team Name: VENDETTA
(Chinese words not more than 6 characters, English alphabet not more than 12 characters)

Manager Name: Phone: 0136296959 Email: [email protected]
Khairul Afiq Bin
Jamaluddin Phone: 01127724596 Email:
Coach Name: [email protected]
Muhammad
Zulhazwan Bin
Mohamad Sobri

Player Name List (Maximum 12 players)
*For size measurement needed, players height and weight information must compulsory fill up.

Jersey No:4 Jersey No: 5

NAME (IC)：Wan Ahmad Faris Bin NAME (IC)：Ekhwan Harith
Wan Asmadi Bin Zainudin
NEWIC NO：020927870027 NEWIC NO:860327565733
HP NO：0122377159 HP NO：0197532273

E-MAIL： E-MAIL：

[email protected] [email protected]
HEIGHT (CM)：169 HEIGHT (CM)：180
WEIGHT (KG)：60 WEIGHT (KG)：96

Jersey No: 6 Jersey No:7

NAME (IC)：Muhammad Syafiq Bin NAME (IC)：Hazeem Jaszle
Abdul Rahman bin Abdul Rahim
NEWIC NO：970410055029
HP NO：0136786217 NEWIC NO：040729141227
E-MAIL：[email protected]
HEIGHT (CM)：165 HP NO：01159714899
WEIGHT (KG)：90
E-MAIL：

[email protected]
HEIGHT (CM)：182
WEIGHT (KG)：68

Jersey No:8 Jersey No: 9

NAME (IC)：Muhammad NAME (IC)：Firhad Hazimi
Zulhazwan Bin Mohamad Sobri Bin Jamaludin
NEWIC NO：940216115537 NEWIC NO:020401101055
HP NO：01127724596 HP NO：0122060806

E-MAIL： E-MAIL：

[email protected] [email protected]
HEIGHT (CM)：169 HEIGHT (CM)：173
WEIGHT (KG)：64 WEIGHT (KG)：56

Jersey No: 10 Jersey No: 11

NAME (IC)：Muhammad NAME (IC)：Khairul Afiq
Nadzimuddin Bin Zamani Bin Jamaluddin
NEWIC NO：021219100907 NEWIC NO:960812055057
HP NO：01110241969 HP NO：0136296959
E-MAIL：[email protected]
HEIGHT (CM)：172 E-MAIL：
WEIGHT (KG)：55
[email protected]
Jersey No:12 HEIGHT (CM)：165
WEIGHT (KG)：60
NAME (IC)：Muhammad Azri Bin
Zulkefli Jersey No: 13
NEWIC NO：010407140857
HP NO：01169972493 NAME (IC)：Mohamad Atiq
Irfan Bin laizani
E-MAIL： NEWIC NO:981227117117
HP NO：01126925029
[email protected]
HEIGHT (CM)：173 E-MAIL：
WEIGHT (KG)：56
[email protected]
Jersey No: 14 HEIGHT (CM)：173

NAME (IC)：Muhammad Afifi WEIGHT (KG): 58
Syafiq Bin Omar
NEWIC NO：970514045167 Jersey No: 15
HP NO：0167417418
E-MAIL：[email protected] NAME (IC)：Muhammad
HEIGHT (CM)：169 Faiz Bin Zulkefli
WEIGHT (KG)：83 NEWIC NO:950523145209
HP NO：01163916059

E-MAIL：

[email protected]
HEIGHT (CM)：180
WEIGHT (KG)：85

Declare and Subscribe
1. As a team manager, affirm that our team players that less than 18 years old already have parents or guardian approval to
take part in this competition. And affirm that all players in team are healthy, suitable to take part in this competition.
2. I represent all team players, affirm that all information provide are accurate and did not contain false information to the
organizer. If find out there are cheating, false or fabricate, our team will be disqualify and all deposit will not be return by
organizer.
3. I and all members will obey rules and regulation in competition, venue safety rules, and referee.
4. In the period of competition, any injuries, sickness, death or lose in material or money wise, we will manage on our own cost.

Team Manager Signature:

(KHAIRUL AFIQ BIN JAMALUDDIN)
VENDETTA BC MANAGER