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Full registered Name:

Registered Date of Birth:

Application Id:

Assigned bib number:

Race category:Select Race Category25K

Registered email id:

Reason to surrender your bib:

I, hereby, declare that I am willingly surrendering my bib for Tata Steel Kolkata 25K and would like to receive refund of application fees paid after deduction of bib surrender processing fees of INR 250. I relinquish all rights and benefits arising out of my confirmed application in Tata Steel Kolkata 25K.

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