CIPUTRA GOLFPRENEUR JUNIOR WORLD CHAMPIONSHIP 2025

June 10 - 12, 2025

Damai Indah Golf - PIK Course

Online Registration Form

I wish to participate in the CIPUTRA GOLFPRENEUR JUNIOR WORLD CHAMPIONSHIP 2025 at Damai Indah Golf - PIK Course.

Download Terms of Competition

Player Profile

Full Name

Place of Birth

Date of Birth

Gender

Male
Female

Divisions

BOYS - (age 13 - 18 year old)
BOYS - DEVELOPMENT C - (age 10 - 12 year old)
GIRLS - (age 13 - 18 year old)
GIRLS - DEVELOPMENT C - (age 10 - 12 year old)

Handicap/H'cap Index

NIK / Passport No.

Passport Expiry Date
(for non-Indonesian players only)

Club / Association

Country Represented

Nationality

Player Contact Information

Address

Email

Mobile Phone

By clicking the submit button below, I hereby agree to and accept the Terms and Conditions of the tournament and I certify that the information provided in this form is complete, true and correct.