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ENTRY FORM - MOTO
ENTRANT*
Entrant Name
Competition Licence
Issuing FMN
AddressThis is the mailing address
P.O.Box
Country
Phone(Business)
Mobile
Fax
Tel No (Qatar)

Please enter the phone and fax numbers in international format (e.g +000 xxxx xxxx)

RIDER*
First Name
Family Name
Date Of Birth
Passport No.
Issued Date
Expiry Date
FIM Licence No
Issuing FMN
Int' Driving Licence No
AddressThis is the mailing address
P.O. Box
Phone No (Private)
Fax
Mobile No
Next In Kin
Relationship
Telephone No

Please enter the phone and fax numbers in international format (e.g +000 xxxx xxxx)

MOTORCYCLE / QUAD DETAILS *
Owner Name
Make
Model
Color
Engine CC
Registration No.
Chassis No
Engine No
DOCUMENTS UPLOADS *
Team Licenseupload
Upload
2017 FIM World championship Cross-Country Rallies licence (with starting permission) or 2017 FIM World championship Cross-Country Rally One event licenceupload
Upload
ID Card / Passport with Residence Visaupload
Upload
Driving licenceupload
Upload
Motorcycle Registration Papersupload
Upload
Written authorization to use the motorcycle if the competitor is not the owner.upload
Upload
Medical form completedupload
Upload
ENTRY FEES *

                         Type Of Entry




Until 15 March 2018

Until 05 April 2018


Overseas Entries



US $ 3,790

US $ 4,610

Gulf Entries



QAR 8,600

QAR 10,300

Tracking System Rental - €175.00

All entry fees must be paid by bank transfer, to the following bank 
account: Qatar Motor & Motorcycle Federation (QMMF) 
Bank name: Qatar International Islamic Bank          Branch: Main Branch, 
Grand Hamad Avenue, P.O.Box 664, Doha, Qatar. 
Account Number: 1111-410066-001 Swift Code: QIIBQAQA

Please attach your Payment Proof of the Entry Fee and Tracking system rental fee

Payment Proof Attachment - Entries will be countable as valid entry only if the payment proof is attachedupload
Upload
ACKNOWLEDGEMENT AND AGREEMENT *
I Agree

As per Art 60.5 of the FIM Sporting Code, the participant exonerates the FIM, the FMN, the organizers and the officials, their employees and officers and agents from any and all liability for any loss, damage or injury which he may incur in the course of an official meeting or the training thereof, except under the provisions of Article 110.3 thereinafter.

Furthermore, the participant undertakes to indemnify and hold harmless the FIM, the FMN, the organizers and officials, employees, officers and agents, from and against any and all liability to third parties for any loss, damage or injury for which he is jointly and severally liable.


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