vrnjaČka banja · 2020. 8. 28. · accommodation form auto-moto association of serbia address: 18,...
TRANSCRIPT
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ACCOMMODATION FORMAUTO-MOTO ASSOCIATION OF SERBIAAddress: 18, Ruzveltova str. Serbia, 11000 Belgrade
Web site: www.serbiarally.rs
E-mail: [email protected]
Team
Name Frst Name
Country Fax Number
Mobile e-mail
VRNJAČKA BANJA
Double Room Arrival Date Departure Date
Single Room Arrival Date Departure Date
Double Room Arrival Date Departure Date
Single Room Arrival Date Departure Date
Double Room Arrival Date Departure Date
Single Room Arrival Date Departure Date
Double Room Arrival Date Departure Date
Single Room Arrival Date Departure Date
Double Room Arrival Date Departure Date
Single Room Arrival Date Departure Date
E-mail: [email protected]
www.serbiarally.rs
53rdSERBIARALLY 2020
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ND53SERBIARALLY 2020
SEEDING INFORMATION(to be completed by competitor)
INDIVIDUAL ENTRY FORM (page 2)Driver name Car Group/Class
Current FIA Priority A Yes/No Current FIA Priority A Year
Current FIA Priority B Yes/No Current FIA Priority B Year
Current National Seeded Yes/No Current National Seeded Year
Title of any Championship won Year
Year Event Car GroupO/A
positionClass
positionNumber of Finishers
INTE
RN
ATI
ON
AL
NA
TIO
NA
LO
THER
DECLARATION OF INDEMNITY
I HEREBY DECLARE THAT I TAKE PART IN THE 52 .SERBIA RALLY AT MY OWN RISK. I WILL NOT HOLD THE ORGANISER, ITS OFFICIALS, THE AMSS OR THE FIA, RESPONSIBLE FOR ANY ACCIDENTS, INJURIES, DEATHS ECT. OCCURING DURING THE RALLY. I HAVE KNOWLEDGE OF AND UNDERTAKE TO FOLLOW ALL THE SERBIAN LAWS, REGULATIONS AND RULES GOVERNING THE EVENT, AS WELL AS INSTRUCTIONS AND DECISIONS OF THE STEWARDS OF THE MEETING.
ACKNOWLEDGEMENT AND AGREEMENT
BY MY SIGNATURE, I DECLARE THAT ALL THE INFORMATION CO NTAINED ON THE ENTRY FORM IS CORRECT AND THAT ACKNOWLEDGE AND AGREE IN FULL TO THE TERMS AND CONDITIONS OF THE ABOVE INDEMNITY AND THAT I ACCEPT ALL THE
TERMS AND CONDITIONS RELATING TO MY PARTICIPATION IN THIS EVENT.
ASN Stamp* Signature of Competitor Signature of 1st Driver Signature of Co-driver
*Or letter form the entrant's ASN authorising and approving the entryDATE ________________________________
PLEASE SEND YOUR ENTRY FORM TO RALLY HQ BEFORE CLOSING DATE OF ENTRIES18.09.2020 AT 20:00 HRS
(THE ORIGINAL FORM MUST REACH THE ORGANIZER NOT LATER THAN 26TH SEPTEMBER 2019)e-mail:
website:
http://serbiarally.rs
tel: +381 69 870 29 69
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