12TH SABAH MASTERS ATHLETICS OPEN CHAMPIONSHIPS 2024

ORGANIZER

SABAH MASTERS ATHLETIC ASSOCIATION (SAMAS)

WITH THE COOPERATION OF
MINISTRY OF YOUTH AND SPORTS, SABAH &
SABAH SPORTS COUNCIL

ENTRY FORM

DATE

21ST – 22ND SEPTEMBER 2024

VENUE

KOMPLEKS SUKAN KENINGAU,

KENINGAU, SABAH.
 12thSABAH MASTERS ATHLETICS OPEN CHAMPIONSHIPS 2024
21 ST
– 22 SEPTEMBER 2024, KOMPLEKS SUKAN KENINGAU, KENINGAU SABAH.
ND

ORGANIZER
SABAH MASTERS ATHLETIC ASSOCIATION (SAMAS) with the Cooperation of
MINISTRY OF YOUTH AND SPORTS, SABAH &
SABAH SPORT COUNCIL

INDIVIDUAL ENTRY FORM

Full Name

Full Address

PostcodeTeam

Date of Birth Age Group

IC / Passport No Sex

Telephone No Fax /Email

Association/District

Events Entered: (Limited to 4 individual events)

1).…………………………..................…… 2)..............................……………………………

3).…………………………………….......… 4) ................………………………………………

Entry fee for per individual event:

For Malaysian ONLY - 1st Event RM40.00
2nd, 3rd, 4th events RM 30.00 perevent

For Foreign Participants - USD 15.00 Per Event

Relays: - RM40.00 per team

- USD 25 (Foreign Team)

INSURANCE: RM6.00 For 2 Days (Compulsory) :- 35-79 Will be arranged by the organisers. ATHLETES 80
yrs and above have to get their own insurance (Compulsory) and attach the insurance note with the entry form.
Fees enclosed :

FOR MALAYSIAN ONLY

Registration + T’Shirt : RM 40.00

INSURANCE : RM 6.00
Entry Fees: ……… Individual event/s : RM
……… Relay/s : RM
----------------
TOTAL : RM
=========

Insurance cover fee are for Malaysian Athletes only. Foreign athletes to arrange
their own insurance cover
T’SHIRT SIZE: XS, S, M, L, XL, XXL, XXXL (Please Circle)

FOR FOREIGNER

Registration + Admin : USD 20.00

Entry Fees: ……… Individual event/s : USD
……… Relay/s : USD
----------------
TOTAL : USD
=========

Closing Date: 21st AUGUST 2024

Late entries: (Late entries will not be entertained)

All CASH Term Transactions should be made payable to “Persatuan Olahraga Masters Negeri
Sabah (SAMAS)” ACC No: 5601 4868 5348 - MAYBANK

(Payment by Cheque is not accepted)

Please send the entry form together with the payment receipt to:

Ms. Laura Dosui

Organizing Secretary
12thSabah Masters Athletics Open Championship 2024
Lot 22 NO.7, JLN KKIP Selatan, Ind.Zone 1 (IZI),
KKIP Sepanggar, 88450 Kota Kinabalu.
Sabah.

Laura Dosui: H/P: 016 805 1975 Fax: (6088) 498 158
Email: [email protected]
------------------------------------------------------------------------------------------------------------
DECLARATION:

I hereby declare that all particulars given in this form are true and agree to abide by all the rules and
conditions as laid down by the organizer.

I further declare that I am fit and in good health and absolutely relieve the organizer and such other
person involved in the organization of the 12th Sabah Masters Athletics Open Championships 2024 of
any responsibility for any injury, loss, or damage to myself or my property which I may sustain in the
course or in connection with the said Championship.

I understand that the fees paid is non refundable.

…………………………………… Date: Signature of participant

NAME:
 12thSABAH MASTERS ATHLETICS OPEN CHAMPIONSHIP2024
Rules and Regulations

1. Date and Place: The Championships will be held on 21st-22nd September 2024, at Kompleks Sukan
Keningau, Keningau Sabah.
2. Events to be held are as per list attached.
3. Participation: Men aged 35 and above & women aged 35 and above.
Open to all team in Malaysia.
4. Technical Rules: The competition is held under WMA/AMA and World Athletics rules. The Organizers
reserve the right to change any rule if there is need due to time constraint.
5. Awards: Medals will be awarded to 1st, 2nd and 3rd winners.
6. Limitations: Individual participation is limited to 4 individual events only.
7. General: The organizers’ reserve the right to advance the time of track events according to the
availability of the track.
8. Where there are less than 3 participants in any age group in any event, the organizers reserve the right to
cancel the event for that particular age group or to allow the participants to participate in a lower age group
in cases where he/she is not entered for in any other event in his/her own age group.
9. Entries Without The Proper Entry Fee Will Not Be Accepted.
10. All implements for field events and starting blocks will be provided by the organizer. The use of personal
implement is not permitted.
11. Only spikes of 6mm, in length or less is permitted on stadium tracks.
12. The organizers shall not be responsible for any INJURY, LOSS, or DAMAGE to a competitor or his property
which he may sustain in the course of or in connection with the Championship.
13. The appointed officials shall have the right to disqualify any competitor whose performance is considered
dangerous to him/her self or to any other competitors.
14. Entry signifies that each competitor will follow rules of the organizing and technical committees.
15. The Championship is open to all men and women born on or before 21-09-1989, and who are physically fit
for competition.
16. All entries must be received on or before 21st AUGUST 2024. Official entry forms or photocopies of the
official entry form must be used. Certified proof of date of birth (Identity card / birth certificate /
passport) should accompany the entry form.
17. Certified Proof of date of birth (Identity Card / Birth Cert / Passport (should accompany the entry form.
18. Duly completed entry forms can be submitted to the following SAMAS representatives for the stated areas:

Ms. Laura Dosui : 016 805 1975 (Secretary)

Ms. Theresa Sidau : 013 863 8220 (Asst. Secretary)
Ms. Erine Sinuel : 016 823 3146 (Asst.Treasuer)

19. All remittances should be in the name of: “Persatuan Olahraga Masters Negeri Sabah (SAMAS) “

20. All entries with payment receipt should be sent to:

Ms. Laura Dosui

Organizing Secretary
11th Sabah Masters Athletics Open Championship 2022
Lot 22 NO.7, JLN KKIP Selatan,Ind.Zone 1 (IZI),
KKIP Sepanggar, 88450 Kota Kinabalu, Sabah.
H/P : +6016 805 1975 Fax No. (6088) 498158
21. List of Events

MEN WOMEN
100m, 200m, 400m, 800m, 1500m, 5000m 100m, 200m, 400m, 800m, 1500m, 3000m
5000m Walk 3000m Walk
100m Hurdle (35- 49) 100m Hurdle (35 - 39)
100m Hurdle (50 - 69) 80m Hurdle (40 - 54)
Long Jump Long Jump
Triple Jump Triple Jump
High Jump High Jump
Shot Put Shot Put
Discus Throw Discus Throw
Javelin Throw Javelin Throw
4 x 100m (35 - 49) 4 x 100m (35 - 49)
4 x 100m (50and above) 4 x 100m (50 and above)
4 x 400m (35 - 49) 4 x 400m (35 - 49)
4 x 400m (50 and above) 4 x 400m (50 and above)
Mixed Relay 4 x 200m Open (170 & above)

22. Age Classification

AGE GROUP BORN FROM BORN TO AGE

35 21.09.1984 21.09.1989 35+
40 21.09.1979 21.09.1984 40+
45 21.09.1974 21.09.1979 45+
50 21.09.1969 21.09.1974 50+
55 21.09.1964 21.09.1969 55+
60 21.09.1959 21.09.1964 60+
65 21.09.1954 21.09.1959 65+
70 21.09.1949 21.09.1954 70+
75 21.09.1944 21.09.1949 75+
80 21.09.1939 21.09.1944 80+
85 21.09.1934 21.09.1939 85+

23. TEAM MANAGERS’ MEETING

20th September 2024(Friday), at Bilik Mesyuarat Kompleks Sukan Keningau at 5.30 pm.

24. NUMBERS COLLECTION:

20th September 2024 (Friday) from 2.00pm – 5.00 pm at Bilik Mesyuarat Kompleks Sukan Keningau.

25. INSURANCE:
All participants must be covered with insurance for the duration of participation. The organizer will
Arrange group insurance for participants who are 35-79 yrs,
AS for participants 80yrs and above they have to fill in the special declaration form attached.
 12th SABAH MASTERS ATHLETICS OPEN CHAMPIONSHIP 2024
PROGRAMME OF EVENTS

1STDAY:21st September 2024

MORNING SESSION
EVENT
TIME EVENT M/W AGE GROUP
NUMBER
101 (A – K) 0730 3000m Walk Women All Age Groups
102 (A – K) 0730 Shot Put Women All Age Groups
103 (A – K) 0730 Javelin Men All Age Groups
104 (A – K) 0730 Long Jump Men All Age Groups
105 (A – K) 0830 5000m Walk Men All Age Groups
106 0930 100m Women 35 – 39
107 0940 100m Women 40 – 44
108 0950 100m Women 45 – 49
109 (A – B) 1000 100m Women 50 – 59
110 (A – B) 1010 100m Women 60 – 69
111 (A – D) 1020 100m Women 70 and above
112 (A – K) 1030 Discus Women All Age Group
113 (A – H) 1030 1500m Women 50 and above
114 (A – C) 1040 1500m Women 35 – 49
115 (A – F) 1050 1500m Men 55 and above
116 (A – B) 1110 1500m Men 45 – 54
117 (A –B) 1120 1500m Men 35 – 44
118 1130 Mixed Relay 4 x 200m 2 MEN + 2 WOMEN Open (170 & above)
AFTERNOON SESSION
119 (A – E) 1400 Discus Men All Age Groups
120 (A – H) 1400 High Jump Men All Age Groups
121 (A – E) 1400 Triple Jump Women All age group
122 1400 100m Men 35 – 39
123 1410 100m Men 40 – 44
124 1420 100m Men 45 – 49
125 1430 100m Men 50 – 54
126 1440 100m Men 55 – 59
127 1450 100m Men 60 – 64
128 1500 100m Men 65 – 69
129 1510 100m Men 70 – 74
130 (A – C) 1520 100m Men 75 and above
131 1540 400m Women 35 – 39
132 1545 400m Women 40 – 44
133 1550 400m Women 45 – 49
134 1555 400m Women 50 – 54
135 (A – G) 1600 400m Women 55 and above
136 1610 400m Men 35 – 39
137 1620 400m Men 40 – 44
138 1630 400m Men 45 – 49
139 1635 400m Men 50 – 54
140 1640 400m Men 55 – 59
141 1645 400m Men 60 – 64
142 (A – D) 1650 400m Men 65 and above
143 1700 5000m Men All age group
 2nd DAY:22nd September 2024
MORNING SESSION
EVENT
TIME EVENT M/W AGE GROUP
NUMBER
201 (A – K) 0730 Triple Jump Men 50 and above
202 (A – K) 0730 Javelin Women 60 and above
203 (A – K) 0730 Shot Put Men 60 and above
204 (A – K) 0730 3000m Women All Age Groups
205 0800 200m Women 35 – 39
206 0810 200m Women 40 – 44
207 0820 200m Women 45 – 49
208 0830 200m Women 50 – 54
209 (A – C) 0840 200m Women 55 – 69
210 (A – D) 0850 200m Women 70 and above
211 0900 200m Men 35 – 39
212 0910 200m Men 40 – 44
213 0920 200m Men 45 – 49
214 0930 200m Men 50 – 54
215 0940 200m Men 55 – 59
216 0950 200m Men 60 – 64
217 1000 200m Men 65 – 69
218 1010 200m Men 70 – 74
219 (A – C) 1020 200m Men 75 and above
220 (A – F) 1030 800m Women 50 and above
221 (A – C) 1040 800m Women 35 – 49
222 (A – D) 1050 800m Men 60 and above
223 (A – K) 1100 High Jump Women All Age Groups
224 1100 800m Men 55 – 59
225 1110 800m Men 50 – 54
226 1120 800m Men 45 – 49
227 1130 800m Men 40 – 44
228 1140 800m Men 35 – 39
AFTERNOON SESSION
229 (A – H) 1400 Long Jump Women All Age Groups
230 1400 80m H Women 40 – 44
231 1405 80m H Women 45 – 49
232 (A – C) 1410 80m H Women 50 – 64
233 1420 100m H Women 35 – 39
234 1430 100m H Men 50 – 69
235 1440 100m H Men 55 – 59
236 (A – B) 1450 100m H Men 60 – 69
237 1500 110m H Men 45 – 49
238 1505 110m H Men 40 – 44
239 1510 110m H Men 35 – 39
240 1520 4 x 100m Women 35 – 49
241 1525 4 x 100m Women 50 and above
242 1530 4 x 100m Men 35 – 49
243 1535 4 x 100m Men 50 and above
244 1550 4 x 400m Women 35 – 49
245 1600 4 x 400m Women 50 and above
246 1610 4 x 400m Men 35 – 49
247 1620 4 x 400m Men 50 and above
CLOSING CEREMONY
Kepada:
Persatuan Olahraga Masters Negeri Sabah / Penganjur
Kejohanan Olahraga Masters Negeri Sabah Ke-12
Tahun 2024.

DEKLARASI ATLET MASTERS YANG BERUMUR 80TAHUN DAN KE ATAS YANG MENDAFTAR UNTUK MENYERTAI DALAM
KEJOHANAN OLAHRAGA MASTERS TERBUKA NEGERI SABAH KE-12 (SAMOC)
(21-22HB SEPT 2024, KOMPLEKS SUKAN KENINGAU, SABAH)

Saya (Nama)…………………………………………………………… (No.KP ……………………………………………………) dengan ini

mengaku bahawa saya mengambil bahagian dalam kejohanan Olahraga Masters Terbuka Negeri Sabah Ke-12, dengan rela hati dan
atas minat dan kehendak diri saya sendiri. Saya mengaku bahawa saya adalah dalam keadaan sihat dan cergas untuk mengambil
bahagian dalam kejohanan ini. Saya TIDAK akan menyalahkan pihak penganjur kejohanan ini serta mana mana pihak yang terlibat
dalam penganjuran kejohanan ini, atas apa apa kecelakaan yang mungkin berlaku ke atas diri saya sendiri sepanjang kejohanan ini
berlangsung. Saya juga mengaku bahawa saya TIDAK akan membuat sebarang tuntutan dan apa apa faedah dari mana mana pihak
sekiranya berlaku sebarang kemalangan, kematian ke atas diri saya. Ini adalah keputusan saya sendiri untuk menyertai dalam
kejohanan ini atas minat dan kemahuan saya.

Tandatangan Peserta :………………………………………………………………….

Nama Peserta : …………………………………………………………………………….

Tarikh : …………………………………………………………………………………………

Tandatangan Ahli Keluarga : …………………………………………………………

Nama : ………………………………………………………………………………………….

No. KP : …………………………………………………………………………………………