PARTICIPANT ENTRY FORM

COMPETITOR
(Attach Photo)

PIT CREW
(Attach Photo)

PARTICIPANT NAME : Entry for (tick one):

2W:D 4W:D
ADDRESS:

PIT CREW NAME :

BLOOD GROUP (Participant)

Entry for (tick one):

BLOOD GROUP (Pit Crew)

ADDRESS:
OPEN:D CUP:D

TEVMOBILE No. RES. FMSCI LIC.

EMAIL ADDRESS :
-- _ _ - _ _ _ _ _ __________________
8 IK E SHA RE WITH : I
CLASS CODE:
CATEGORY WITH CODE

DETAILS OF THE VDtlCLE (AU HEADINGS ARE COMPULSORY)

MAK E & MODEL : CUBIC CAPACITY (CC)

NO. OF CYLINDERS : CATEGORY WITH CODE

REGISTRATION NO. CHASSIS NO.

I I
ENGINE NO.
I
EMERGENCY CONTACT NUMBER

The entry form will be accepted only if the details are duly filled and accompanied by the followingdocuments and fees.

Copy of car/bike R C book

Copy of riding/ drivinglicense

3 passport size photographs of competitors & DD Name : "IBCIS Pvt Ltd"

2 passport size photographs of pit mechanic

FMSCI competition license (Application forms available at www.fmsci.in)

Blood group certificate

Indemnity Bond is mandatory to be carried by participants in favor of "ACES OF SPEED" (Organizers)

Authority letter from owner if vehicle not on Riders/Drivers name

Personal Accident lnsurane policy of RsA,00,000 valid for Motor sports-Recommended/Not Mandatory
Entry Fess Amount : By Cash/DD No.: Date: Receipt No.:

I •••
Promoted By Approved By Official Magazine Partner

EL...ITc OC:T/\Nc INC:.

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The Federation at Motor Sports Clubs at India
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