2019 Application Form Applications cannot be accepted until 1 November 2018 when full details of the 2019 race have been published. Title (Mr / Mrs, etc.) First Name Last Name Address Date of Birth (dd/mm/yyyy format) Daytime Telephone Evening Telephone Time Zone (GMT ±) Nationality Email Give names of friends and relations who are also applying I would like to take a companion YesNo Companion Name Companion Relationship I am prepared to help raise money for Community Action Nepal YesNo Charities supported You must give details of races which you have already completed giving year, distance, type of terrain, time and position (if known). We are particularly interested in off-road and endurance events. Separately give details of events planned for 2019.