smartbangladeshrun.ekpay.gov.bd
Open in
urlscan Pro
146.190.82.112
Public Scan
URL:
https://smartbangladeshrun.ekpay.gov.bd/
Submission: On January 27 via api from US — Scanned from US
Submission: On January 27 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
<form id="land_form" novalidate="novalidate">
<div class="row" style="text-align: left">
<div class="col-md-4">
<div class="form-group">
<label for="race_category_id">Race Categories</label>
<select class="form-control-sm" name="race_category_id" id="race_category_id">
<option value="">Select One</option>
<option value="1">7.5 KM (Open for all)</option>
<option value="2">1 KM (Only for persons with disability)</option>
</select>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label for="name">Name</label>
<input type="text" class="form-control-sm" name="name" id="name" placeholder="Name">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label for="email">Email</label>
<input type="text" class="form-control-sm" name="email" id="email" placeholder="Email">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label for="phone">Phone No</label>
<input type="text" class="form-control-sm" name="phone" id="phone" placeholder="01*********">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label for="dob">DOB</label>
<input type="date" class="form-control-sm" name="dob" id="dob">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label for="gender">Gender</label>
<select class="form-control-sm" name="gender" id="gender">
<option value="">Select One</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Third_Gender">Third Gender</option>
</select>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<label for="blood_group">Blood Group</label>
<select class="form-control-sm" name="blood_group" id="blood_group">
<option value="">Select One</option>
<option value="A+">A+</option>
<option value="B+">B+</option>
<option value="AB+">AB+</option>
<option value="O+">O+</option>
<option value="A-">A-</option>
<option value="B-">B-</option>
<option value="AB-">AB-</option>
<option value="0-">0-</option>
</select>
</div>
</div>
</div>
<div class="row text-left mb-2">
<div class="col-md-6">
<div class="form-group rounded custom-border card-body custom-box">
<label class="d-block" for="identification_number">Personal Identification Number</label>
<div class="form-check d-inline mr-2">
<input checked="" name="identification_type" class="form-check-input" type="radio" value="nid" id="nid">
<label class="form-check-label" for="nid"> NID </label>
</div>
<div class="form-check d-inline mr-2">
<input name="identification_type" class="form-check-input" type="radio" value="passport" id="passport">
<label class="form-check-label" for="passport"> Passport </label>
</div>
<div class="form-check d-inline mr-2">
<input name="identification_type" class="form-check-input" type="radio" value="birth_certificate_no" id="birth_certificate_no">
<label class="form-check-label" for="birth_certificate_no"> Birth Certificate No </label>
</div>
<input type="text" class="mt-2 form-control-sm" name="identification_number" id="identification_number" placeholder="Personal Identification Number">
</div>
</div>
<div class="col-md-6">
<div class="form-group rounded custom-border card-body custom-box">
<label class="d-block" for="identification_number">T-Shirt size (size enlisted below)</label>
<div class="form-check d-inline mr-1">
<input checked="" name="size" class="form-check-input" type="radio" value="XS" id="XS_size">
<label class="form-check-label" for="XS_size"> XS </label>
</div>
<div class="form-check d-inline mr-1">
<input checked="" name="size" class="form-check-input" type="radio" value="S" id="S_size">
<label class="form-check-label" for="S_size"> S </label>
</div>
<div class="form-check d-inline mr-1">
<input checked="" name="size" class="form-check-input" type="radio" value="M" id="m_size">
<label class="form-check-label" for="m_size"> M </label>
</div>
<div class="form-check d-inline mr-1">
<input name="size" class="form-check-input" type="radio" value="L" id="l_size">
<label class="form-check-label" for="l_size"> L </label>
</div>
<div class="form-check d-inline mr-1">
<input name="size" class="form-check-input" type="radio" value="XL" id="xl_size">
<label class="form-check-label" for="xl_size"> XL </label>
</div>
<div class="form-check d-inline mr-1">
<input name="size" class="form-check-input" type="radio" value="2XL" id="2xl_size">
<label class="form-check-label" for="2xl_size"> XXL </label>
</div>
<div class="form-check d-inline mr-1">
<input name="size" class="form-check-input" type="radio" value="3XL" id="3xl_size">
<label class="form-check-label" for="3xl_size"> 3XL </label>
</div>
<div class="form-check d-inline mr-1">
<input name="size" class="form-check-input" type="radio" value="4XL" id="4xl_size">
<label class="form-check-label" for="4xl_size"> 4XL </label>
</div>
<table class="table table-bordered table-sm mt-2 mb-0 size-table" style="font-size: 14px;">
<tbody>
<tr>
<th>Size</th>
<th>Chest (Round)</th>
<th>Length</th>
</tr>
</tbody>
<tbody id="sizeTableBody">
<tr>
<td>M</td>
<td>40</td>
<td>28</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<div class="row text-left">
<div class="col-md-6">
<div class="form-group">
<label for="phone">Country</label>
<select class="form-control-sm select2-hidden-accessible" name="country_id" id="country_id" data-select2-id="select2-data-country_id" tabindex="-1" aria-hidden="true">
<option value="" data-select2-id="select2-data-2-921u">Select One</option>
<option value="1">Aland Islands </option>
<option value="2">Albania </option>
<option value="3">Algeria </option>
<option value="4">American Samoa </option>
<option value="5">Andorra </option>
<option value="6">Angola </option>
<option value="7">Anguilla </option>
<option value="8">Antarctica </option>
<option value="9">Antigua and Barbuda </option>
<option value="10">Argentina </option>
<option value="11">Armenia </option>
<option value="12">Aruba </option>
<option value="13">Australia </option>
<option value="14">Austria </option>
<option value="15">Azerbaijan </option>
<option value="16">Bahamas </option>
<option value="17">Bahrain </option>
<option value="18">Bangladesh </option>
<option value="19">Barbados </option>
<option value="20">Belarus </option>
<option value="21">Belgium </option>
<option value="22">Belize </option>
<option value="23">Benin </option>
<option value="24">Bermuda </option>
<option value="25">Bhutan </option>
<option value="26">Bolivia </option>
<option value="27">Bonaire, Sint Eustatius and Saba </option>
<option value="28">Bosnia and Herzegovina </option>
<option value="29">Botswana </option>
<option value="30">Bouvet Island </option>
<option value="31">Brazil </option>
<option value="32">British Indian Ocean Territory </option>
<option value="33">Brunei Darussalam </option>
<option value="34">Bulgaria </option>
<option value="35">Burkina Faso </option>
<option value="36">Burundi </option>
<option value="37">Cambodia </option>
<option value="38">Cameroon </option>
<option value="39">Canada </option>
<option value="40">Cape Verde </option>
<option value="41">Cayman Islands </option>
<option value="42">Central African Republic </option>
<option value="43">Chad </option>
<option value="44">Chile </option>
<option value="45">China </option>
<option value="46">Christmas Island </option>
<option value="47">Cocos (Keeling) Islands </option>
<option value="48">Colombia </option>
<option value="49">Comoros </option>
<option value="50">Congo </option>
<option value="51">Congo, The Democratic Republic of </option>
<option value="52">Cook Islands </option>
<option value="53">Costa Rica </option>
<option value="54">Cote d'Ivoire </option>
<option value="55">Croatia </option>
<option value="56">Cuba </option>
<option value="57">Curaçao </option>
<option value="58">Cyprus </option>
<option value="59">Czechia </option>
<option value="60">Denmark </option>
<option value="61">Djibouti </option>
<option value="62">Dominica </option>
<option value="63">Dominican Republic </option>
<option value="64">Ecuador </option>
<option value="65">Egypt </option>
<option value="66">El Salvador </option>
<option value="67">Equatorial Guinea </option>
<option value="68">Eritrea </option>
<option value="69">Estonia </option>
<option value="70">Ethiopia </option>
<option value="71">Falkland Islands (Malvinas) </option>
<option value="72">Faroe Islands </option>
<option value="73">Fiji </option>
<option value="74">Finland </option>
<option value="75">France </option>
<option value="76">French Guiana </option>
<option value="77">French Polynesia </option>
<option value="78">French Southern Territories </option>
<option value="79">Gabon </option>
<option value="80">Gambia </option>
<option value="81">Georgia </option>
<option value="82">Germany </option>
<option value="83">Ghana </option>
<option value="84">Gibraltar </option>
<option value="85">Greece </option>
<option value="86">Greenland </option>
<option value="87">Grenada </option>
<option value="88">Guadeloupe </option>
<option value="89">Guam </option>
<option value="90">Guatemala </option>
<option value="91">Guernsey </option>
<option value="92">Guinea </option>
<option value="93">Guinea-Bissau </option>
<option value="94">Guyana </option>
<option value="95">Haiti </option>
<option value="96">Heard and Mc Donald Islands </option>
<option value="97">Holy See (Vatican City State) </option>
<option value="98">Honduras </option>
<option value="99">Hong Kong </option>
<option value="100">Hungary </option>
<option value="101">Iceland </option>
<option value="102">India </option>
<option value="103">Indonesia </option>
<option value="104">Iran, Islamic Republic of </option>
<option value="105">Iraq </option>
<option value="106">Ireland </option>
<option value="107">Isle of Man </option>
<option value="108">Israel </option>
<option value="109">Italy </option>
<option value="110">Jamaica </option>
<option value="111">Japan </option>
<option value="112">Jersey </option>
<option value="113">Jordan </option>
<option value="114">Kazakstan </option>
<option value="115">Kenya </option>
<option value="116">Kiribati </option>
<option value="117">Korea, Democratic People's Republic of </option>
<option value="118">Korea, Republic of </option>
<option value="119">Kosovo (temporary code) </option>
<option value="120">Kuwait </option>
<option value="121">Kyrgyzstan </option>
<option value="122">Lao, People's Democratic Republic </option>
<option value="123">Latvia </option>
<option value="124">Lebanon </option>
<option value="125">Lesotho </option>
<option value="126">Liberia </option>
<option value="127">Libyan Arab Jamahiriya </option>
<option value="128">Liechtenstein </option>
<option value="129">Lithuania </option>
<option value="130">Luxembourg </option>
<option value="131">Macao </option>
<option value="132">Macedonia, The Former Yugoslav Republic Of </option>
<option value="133">Madagascar </option>
<option value="134">Malawi </option>
<option value="135">Malaysia </option>
<option value="136">Maldives </option>
<option value="137">Mali </option>
<option value="138">Malta </option>
<option value="139">Marshall Islands </option>
<option value="140">Martinique </option>
<option value="141">Mauritania </option>
<option value="142">Mauritius </option>
<option value="143">Mayotte </option>
<option value="144">Mexico </option>
<option value="145">Micronesia, Federated States of </option>
<option value="146">Moldova, Republic of </option>
<option value="147">Monaco </option>
<option value="148">Mongolia </option>
<option value="149">Montenegro </option>
<option value="150">Montserrat </option>
<option value="151">Morocco </option>
<option value="152">Mozambique </option>
<option value="153">Myanmar </option>
<option value="154">Namibia </option>
<option value="155">Nauru </option>
<option value="156">Nepal </option>
<option value="157">Netherlands </option>
<option value="158">New Caledonia </option>
<option value="159">New Zealand </option>
<option value="160">Nicaragua </option>
<option value="161">Niger </option>
<option value="162">Nigeria </option>
<option value="163">Niue </option>
<option value="164">Norfolk Island </option>
<option value="165">Northern Mariana Islands </option>
<option value="166">Norway </option>
<option value="167">Oman </option>
<option value="168">Pakistan </option>
<option value="169">Palau </option>
<option value="170">Palestinian Territory, Occupied </option>
<option value="171">Panama </option>
<option value="172">Papua New Guinea </option>
<option value="173">Paraguay </option>
<option value="174">Peru </option>
<option value="175">Philippines </option>
<option value="176">Pitcairn </option>
<option value="177">Poland </option>
<option value="178">Portugal </option>
<option value="179">Puerto Rico </option>
<option value="180">Qatar </option>
<option value="181">Republic of Serbia </option>
<option value="182">Reunion </option>
<option value="183">Romania </option>
<option value="184">Russia Federation </option>
<option value="185">Rwanda </option>
<option value="186">Saint Barthélemy </option>
<option value="187">Saint Helena </option>
<option value="188">Saint Kitts & Nevis </option>
<option value="189">Saint Lucia </option>
<option value="190">Saint Martin </option>
<option value="191">Saint Pierre and Miquelon </option>
<option value="192">Saint Vincent and the Grenadines </option>
<option value="193">Samoa </option>
<option value="194">San Marino </option>
<option value="195">Sao Tome and Principe </option>
<option value="196">Saudi Arabia </option>
<option value="197">Senegal </option>
<option value="198">Seychelles </option>
<option value="199">Sierra Leone </option>
<option value="200">Singapore </option>
<option value="201">Sint Maarten </option>
<option value="202">Slovakia </option>
<option value="203">Slovenia </option>
<option value="204">Solomon Islands </option>
<option value="205">Somalia </option>
<option value="206">South Africa </option>
<option value="207">South Georgia & The South Sandwich Islands </option>
<option value="208">South Sudan </option>
<option value="209">Spain </option>
<option value="210">Sri Lanka </option>
<option value="211">Sudan </option>
<option value="212">Suriname </option>
<option value="213">Svalbard and Jan Mayen </option>
<option value="214">Swaziland </option>
<option value="215">Sweden </option>
<option value="216">Switzerland </option>
<option value="217">Syrian Arab Republic </option>
<option value="218">Taiwan, Province of China </option>
<option value="219">Tajikistan </option>
<option value="220">Tanzania, United Republic of </option>
<option value="221">Thailand </option>
<option value="222">Timor-Leste </option>
<option value="223">Togo </option>
<option value="224">Tokelau </option>
<option value="225">Tonga </option>
<option value="226">Trinidad and Tobago </option>
<option value="227">Tunisia </option>
<option value="228">Turkey </option>
<option value="229">Turkish Rep N Cyprus (temporary code) </option>
<option value="230">Turkmenistan </option>
<option value="231">Turks and Caicos Islands </option>
<option value="232">Tuvalu </option>
<option value="233">Uganda </option>
<option value="234">Ukraine </option>
<option value="235">United Arab Emirates </option>
<option value="236">United Kingdom </option>
<option value="237">United States </option>
<option value="238">United States Minor Outlying Islands </option>
<option value="239">Uruguay </option>
<option value="240">Uzbekistan </option>
<option value="241">Vanuatu </option>
<option value="242">Venezuela </option>
<option value="243">Vietnam </option>
<option value="244">Virgin Islands, British </option>
<option value="245">Virgin Islands, U.S. </option>
<option value="246">Wallis and Futuna </option>
<option value="247">Western Sahara </option>
<option value="248">Yemen </option>
<option value="249">Zambia </option>
<option value="250">Zimbabwe </option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="select2-data-1-7ar9" style="width: 425px;"><span class="selection"><span class="select2-selection select2-selection--single"
role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-country_id-container" aria-controls="select2-country_id-container"><span class="select2-selection__rendered"
id="select2-country_id-container" role="textbox" aria-readonly="true" title="Select One">Select One</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span
class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
<div class="col-md-6">
<div class="form-group" id="showDivision">
<label for="division_id">Division</label>
<select class="form-control-sm" name="division_id" id="division_id">
</select>
</div>
<div class="form-group" id="showCityState" style="display: none">
<label for="city_state">City/State</label>
<input type="text" class="form-control-sm" name="city_state" id="city_state" placeholder="City/State">
</div>
</div>
</div>
<div class="row text-left">
<div class="col-md-6">
<div class="form-group">
<label for="emergency_contact">Emergency Contact</label>
<input type="text" class="form-control-sm" name="emergency_contact" id="emergency_contact" placeholder="Emergency contact number">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="present_address">Present Address</label>
<input type="text" class="form-control-sm" name="present_address" id="present_address" placeholder="Present address">
</div>
</div>
</div>
<table class="table-sm table-bordered mb-3" style="width: 100%; text-align: left">
<tbody>
<tr class="custom-table-heading text-white">
<th>SL No</th>
<th>Charge Name</th>
<th>Amount(TK)</th>
</tr>
<tr>
<td>1</td>
<td> Registration fee </td>
<td> 750.00 </td>
</tr>
</tbody>
</table>
<div class="row">
<div class="col-md-12 mt-2" style="">
<div style="background: #f6f9ff;box-shadow: rgba(60, 64, 67, 0.3) 0px 1px 2px 0px, rgba(60, 64, 67, 0.15) 0px 2px 6px 2px; border-radius: 5px">
<!--<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1" value="bKash">
<label class="form-check-label" for="inlineRadio1">bKash</label>
</div>-->
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" checked="" name="payment_instrument" id="inlineRadio1_bKash" value="bKash">
<label class="form-check-label" for="inlineRadio1_bKash"><img title="Bkash" alt="Bkash" src="https://smartbangladeshrun.ekpay.gov.bd/assets/img/bkash2.png" class="key_icon"><br></label>
</div>
<!--<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1" value="Nagad">
<label class="form-check-label" for="inlineRadio1">Nagad</label>
</div>-->
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1_Nagad" value="Nagad">
<label class="form-check-label" for="inlineRadio1_Nagad"><img src="https://smartbangladeshrun.ekpay.gov.bd/assets/img/nogad.png" class="key_icon"><br></label>
</div>
<!--<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1" value="Upay">
<label class="form-check-label" for="inlineRadio1">Upay</label>
</div>-->
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1_Upay" value="Upay">
<label class="form-check-label" for="inlineRadio1_Upay"><img src="https://smartbangladeshrun.ekpay.gov.bd/assets/img/upai.png" class="key_icon"><br></label>
</div>
<!--<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1" value="Rocket">
<label class="form-check-label" for="inlineRadio1">Rocket</label>
</div>-->
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1_Rocket" value="Rocket">
<label class="form-check-label" for="inlineRadio1_Rocket"><img src="https://smartbangladeshrun.ekpay.gov.bd/assets/img/rocket.png" class="key_icon"><br></label>
</div>
<!--<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" checked name="payment_instrument" id="inlineRadio1" value="NEXUS-DBBL">
<label class="form-check-label" for="inlineRadio1">NEXUS-DBBL</label>
</div>-->
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1_NEXUS-DBBL" value="NEXUS-DBBL">
<label class="form-check-label" for="inlineRadio1_NEXUS-DBBL"><img src="https://smartbangladeshrun.ekpay.gov.bd/assets/img/dbbl.png" class="key_icon"><br></label>
</div>
<!--<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1" value="AMEX-City">
<label class="form-check-label" for="inlineRadio1">AMEX-City</label>
</div>-->
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1_AMEX-City" value="AMEX-City">
<label class="form-check-label" for="inlineRadio1_AMEX-City"><img src="https://smartbangladeshrun.ekpay.gov.bd/assets/img/amex.png" class="key_icon"><br></label>
</div>
<!--<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1" value="MASTER-Brac">
<label class="form-check-label" for="inlineRadio1">MASTER-Brac</label>
</div>-->
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1_MASTER-Brac" value="MASTER-Brac">
<label class="form-check-label" for="inlineRadio1_MASTER-Brac"><img src="https://smartbangladeshrun.ekpay.gov.bd/assets/img/master.jpg" class="key_icon"><br></label>
</div>
<!--<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1" value="VISA-Brac">
<label class="form-check-label" for="inlineRadio1">VISA-Brac</label>
</div>-->
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="payment_instrument" id="inlineRadio1_VISA-Brac" value="VISA-Brac">
<label class="form-check-label" for="inlineRadio1_VISA-Brac"><img src="https://smartbangladeshrun.ekpay.gov.bd/assets/img/visa.jpg" class="key_icon" style="width: 45px; height: 30px"><br></label>
</div>
</div>
</div>
<div class="col-md-12 text-left mt-3">
<div class="form-check">
<input type="checkbox" class="form-check-input" id="checkTramsCondition">
<label class="form-check-label" for="checkTramsCondition">
<small class="text-muted"> I read and accept all the <a href="#" class="text-primary" id="showTermsAndConditionsModal">Terms and Conditions & Participation Disclaimer</a>
</small>
</label>
</div>
</div>
<div class="col-md-10"></div>
<div class="col-md-2 mt-2" style="float: right !important;">
<button type="submit" id="payBtn" disabled="" class="btn mt-2 pay-btn" style="float: right !important;"> Pay </button>
</div>
</div>
</form>Text Content
REGISTRATION FORM -------------------------------------------------------------------------------- Race Categories Select One 7.5 KM (Open for all) 1 KM (Only for persons with disability) Name Email Phone No DOB Gender Select One Male Female Third Gender Blood Group Select One A+ B+ AB+ O+ A- B- AB- 0- Personal Identification Number NID Passport Birth Certificate No T-Shirt size (size enlisted below) XS S M L XL XXL 3XL 4XL Size Chest (Round) Length M 40 28 Country Select One Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curaçao Cyprus Czechia Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo (temporary code) Kuwait Kyrgyzstan Lao, People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Serbia Reunion Romania Russia Federation Rwanda Saint Barthélemy Saint Helena Saint Kitts & Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & The South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkish Rep N Cyprus (temporary code) Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Select One Division City/State Emergency Contact Present Address SL No Charge Name Amount(TK) 1 Registration fee 750.00 I read and accept all the Terms and Conditions & Participation Disclaimer Pay Re-download Invoice Phone Number Search -------------------------------------------------------------------------------- Powered by PDF DOWNLOAD × SL Name Identification No Pdf Close TERMS AND CONDITIONS × PARTICIPATION DISCLAIMER: I accept that I am entering SMART BANGLADESH RUN 2024 entirely at my own risk. By sending my details for entering and taking part, I agree to the following disclaimer/warranty; I am medically fit to enter this event. I acknowledge that I am capable of safely competing in the event and I am not aware of any medical condition to the contrary. I understand that my participation in this event is at my own risk and I accept full responsibility for obtaining adequate skills to negotiate and avoid any potential hazard on the course. I shall comply with all the directions given on the registration form, confirmation letter, and pre-race briefing. A2i, ICT Division will not be liable for injury, loss, damage, and or death arising from my participation in this event. I waive any claims against A2i, ICT Division for (including but not limited to) any damage, loss, injury or death whether caused by my participation in this event or third parties who have also entered this event. Hereby I indemnify A2i, ICT Division against all liability for all injury, loss or damage arising out of or connected with any act or omission by me in the course of my participation in this event. This release shall extend to and include promoters, sponsors and the organizers of the event and their respective directors, partners, managers, officers, agents, contractors, employees and volunteers including medical and paramedical personnel appointed for the event and the statutory body or local authority having control over the land upon which the event will be conducted. I shall run within my abilities and will be responsible for any injuries caused by my negligent behavior resulting in injuries to others. I am fully responsible for my personal belongings at the event. Furthermore, I indemnify A2i, ICT Division against all liability for all injury is not responsible for my vehicle or the safety of my vehicle when parking and leaving it unattended for my participation in the event. I agree to display the sponsors’ stickers on my race kit, to wear the race bib and to allow the organizer and the sponsors to use photographs, video and any other cinematographic material of me taken during the event to advertise their products or to promote the event at no cost to the organizers and sponsors. I agree to wear the BIB number properly with my BIB number showing clearly at the finish line. I also agree that not wearing the bib properly as instructed by the organizer will and can hamper my timing for the event. Close