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Application
Registration form for mountain climbing activities
Note: Registration Form for Mountain Climbing of Mt. Muztagta and Skiing Meeting in Xinjing of China
Name Gender Male Famale Age
Height Weight Blood type
ID number Native place Postcode
Phone Mobile phone E-mail
Occupation Address
Contact means in case of emergency
Emergency contact person Relation
Phone of emergency contact person Address
International Personnel
Passport number Date of departure
Issue date Birthplace
Place of issue Abode
Experience in climbing and outdoor exercise
Medical history and drug allergy history Please answer the following questions honestly
Have you suffered cold injury? Do you understand first aid?
Have you suffered acrophobia? Do you smoke?
Have your back and lap been injured? Do you wear contact lens?
Have you suffered asthma respiratory disease? Have you suffered bone fracture?
If you do not involve the above questions, please honestly add the information on your health
List of personal devices
Notes: Please honestly fill out personal information, personal climbing experience, personal medical history, list of personal devices; in the case of concealing information and inaccurate information, we have the right to refuse you to participate in mountaineering.
 
 
 
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