HORSE and PONY riding activities for recreations or sports.

1. Sarawak Pony Club
c/o Persatuan Sukan Ekuestrian Negeri Sarawak
Lot 3427 Kpg Sinar Budi Baru, Lorong 17 Tmn Desa Wira
93250 Jalan Batu Kawa, Kuching
AAnnyy ppeerrssoonn wwiisshhiinngg ttoo ppaarrttiicciippaattee iinn tthhee SSaarraawwaakk PPoonnyy CClluubb aaccttiivviittiieess//pprrooggrraammss,, oorrggaanniizzeedd bbyy tthhee PPeerrssaattuuaann SSuukkaann EEkkuueessttrriiaann
NNeeggeerrii SSaarraawwaakk ((EEkkuueessttrriiaann SSaarraawwaakk)) mmuusstt bbee aa MMeemmbbeerr ooff tthhee PPSSEENNSS && SSaarraawwaakk PPoonnyy CClluubb.. EEnnttrriieess wwiillll nnoott bbee aacccceepptteedd ffoorr aannyy
iinnddiivviidduuaall wwhhoo
IIss nnoott aa MMeemmbbeerr..
MMeemmbbeerrsshhiipp AApppplliiccaattiioonn FFoorrmm
((EElliiggiibbllee aaggee :: 77 ttoo 1177 yyeeaarrss oolldd oonnllyy))
I wish to apply for Membership to the Sarawak Pony Club c/o Persatuan Sukan Ekuestrian Negeri Sarawak and in doing so declare that I and my
parents / legal guardian agree to abide by the Persatuan Sukan Ekuestrian Negeri Sarawak’s Rules and Regulations. I declare that the information I
provide on this Application Form is true and correct.
Please take note : Supplying false, incorrect or misleading information may lead to disqualification from being a member of Ekuestrian Sarawak.
Membership Fee: RM30.00 for registration
Annual Subscription fee: RM12.00 per year
Cheques/Money Order/Cash payable to: Persatuan Sukan Ekuestrian Negeri Sarawak.
Name: ……………………………………………………………………………………………………
Date of Birth: ……………………………………………………………………………………………………
IC / Passport Number (if any):…………………………………………………………………………………………
Address: ……………………………………………………………………………………………………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
Postcode: ……………………………………………………………………………………………………
Telephone: …………………………… E Mail : …………………………………………………………
School Name and Address : …………………………………………………………………………………………….
Signature : ………………………………………………………………….. Date : ………………………………….
(This part is to be filled by the applicant’s parent/legal guardian)
I …………………………………………………………………….. (full name) the parent/legal guardian agree to let the
named applicant to join any riding/non-riding activities/programs or taking part in the activities/programs organized by
PSENS & Sarawak Pony Club. I declare that this information is true and correct.
Full Name: ……………..……………………… Signature: ……………………… IC No :……………………
Please complete & return this Membership Application Form, accompanied by your recent passport size photos (2 pcs), a photocopy of your IC or
birth certificate and RM42..00 (Cash/Cheque/Money Order) Membership Fee payable to the “Persatuan Sukan Ekuestrian Negeri Sarawak”.
PSENS reserved the right to accept or to reject any application. Unsuccessful application will be notified and fees (membership registration & annual
subscription) will be refunded in full.
Persatuan Sukan Ekuestrian Negeri Sarawak Tel : 019-8770074 E-Mail: ekuestrian.sarawak@gmail.com
Sarawak Equestrian Sports Association
RM2.00 / form