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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
ENTRY FEES *

                         Type Of Entry




Until 20th March 2017

Until 27th March 2017


Overseas Entries



US $ 3,700

US $ 4,500

Gulf Entries



QAR 8,200

QAR 9,800

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 Documents Below, such as:

1. FMN Authorization Letter/s (No Objection Letter)

2. Payment Proof of the Entry Fees 

ASN Authorisation - Copy of Entrant’s Competition Licence if the competitor is not one of the driversupload
Upload
Payment Proof Attachement - 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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