Registration - Sibu International BASE Jump

Registration BASE Jump Participant

We would like to hear from you. Please send us a message by filling out the form below and we will get back with you shortly.

First Name

Last Name

National ID / Passport No

Phone

Address

City

State/Province

Zip/Postal

Country

Date of Birth

Age

Gender

ID Photo

Maximum upload size: 50MB

Total Jump for Skydive

Total Jump for BASEJUMP

T-Shirt Size

Do you have any of the medical conditions?

From

Depart

Time

Return

Time

Name Next Kin

First Name

Last Name

Next of Kin Contact No

Next of Kin Second Contact No

Payment on-site by cash

Payment Fees : USD70 (RM300).

reCAPTCHA