Kad Amaran Hakim Jalan Kaki

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KAD AMARAN HAKIM JALAN KAKI

JUDGE’S WARNING CARD


KOAM / TEK W21

MAKLUMAN A M A R A N
W ARNING NOTIFICATION

Nombor Peserta/ Bib Number : Masa Amaran Dibuat


Event Time

Sebab / Reason Lutut Bengkok / Bent Knee


atau
Terapung / Loss Of Contact

Nombor Hakim / Judge No. : Tandatangan / Signature :

Acara / Event :

Jarak / Distance :

Tarikh & Te m pat/ Date & Place :

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