Register BTS Ultra 2019

Register for 2019 Bromo Tengger Semeru Ultra

Take your time to fill in this registration form as accurate as possible

Race Category

Race Experience

Tell us, at least one race that you have completed. For 170Km, 102Km, 70Km, and 30Km this will deterimine if you qualify to enter. Our Founder and Race Checker will review your submission, and only after Approved (And Payment) your participation will be confirmed

For 30Km, Participants are required to have completed a trail race with minimum distance of 15KM, or road race 21KM. But runners are strongly advised to educate themselves with the nature and challenges of trail run.

Race Complited(1)

Detail

Result

Race Complited(2)

Detail

Result

Files Upload

Headshot

Upload your photo here, showing your face clearly (Format : jpg/jpeg/png)

Passport/KTP

Upload Passport/KTP (Format : jpg/jpeg/png)
IMPORTANT : We need this to apply for National Park

KITAS Upload

Only for KITAS holder (Format : jpg/jpeg/png)

Race Result(1)

This is optional screenshot or e-certificate of your previous race result.(Format : jpg/jpeg/png)

Race Result(2)

This is optional screenshot or e-certificate of your previous race result.(Format : jpg/jpeg/png)

Personal Information

First Name

Last Name

Nationality

Passport/KTP Number

Are You KITAS holder?

Yes

KITAS number

Gender

Male

Female

Date of Birth

Blood Type

Event T-Shirt Size

Correspondense & Residential Address

Same email can only be used by one runner

Mobile Number

Address Line1

Address Line2

City

State/Prov

Country

Post Code

Emergency Contact

In Case Of emergency, who should we contact?

Emergency Contact Name 1

Emergency Contact Number 1

Example : +6281212345678, +622198765432 Please include country code and area code (if applicable)

Emergency Contact Name 2

Emergency Contact Number 2

Example : +6281212345678, +622198765432 Please include country code and area code (if applicable)

Agreement

IMPORTANT : By registering for this event. You have read and agree to the condition stated in Rules and Regulation