Applicant 3112

Team information

Team *

Team name *

Workshop Address details *

Workshop Post Code *

Workshop City *

Workshop Country *

Website

Phone number *

Email *

Team manager *

Team Manager Name / Surname *

Team Manager Mobile Phone Number *

Team Manager Email *

Email address for Race Direction Notifications during events *

Press officer *

Press Officer Name/Surname *

Press Officer Mobile Phone Number *

Press Officer Email *

Team vehicles *

Parking Support Vehicle Trailer (17m x 2.5m) + Plate Number *

Parking Support Vehicle Truck (10m x 2.5m) + Plate Number *

Parking Support Vehicle Van (6m x 2m) + Plate Number *

Other

Administrative information

Company Invoicing Details

Company name / Full Name *

Legal Form *

Legal Representative Name/Surname (in case of individual, repeat full name) *

ID Number of legal Representative *

Administrative Contact Name/Surname (in case of individual, repeat full name) *

TAX / VAT Number or ID Number *

Company Email *

Company Legal Address / Home Address *

Company City *

Postal Code *

Company Country *

If Legal Represenative wants to assign a delagete for the Service Agreement
Delegate's Name

Delegate's ID Number

Bank details

Account Holder Name/Surname *

Account Holder Email *

IBAN *

SWIFT/BIC *

Bank Entity *

Bank Address *

City *

Bank Postal code *

Select Bank Country *

Rider information

Add Rider

1	Applicant's First name * Applicant's Surname * Application type * Start Number (option 1) * Chose from 2 to 99 Start Number (option 2) Chose from 2 to 99 Start Number (option 3) Chose from 2 to 99 Transponder number Models allowed: MyLaps X2 Pro+ or MyLaps X2 Car/ Bike with direct power upgrade Birth Date Place of Birth * Nationality * Gender * Height * Height must be in cm Weight * Must be in kg and undressed Helmet Size Languages * Document of Identification * ID / Passport Number * National Federation * Home Phone Number * Mobile Phone Number * Email * Address Details * Post Code * City * Country * Rider Web Page Sponsors Instagram Twitter Facebook Does the applicant own a motorcycle? * Has the applicant ever participated in races? * At what age did you first start riding motorcycles? How many years of racing experience does the applicant have? * What championships has the applicant taken part in during 2022? * Education * (School, Occupation and any specific Motosports Education) Id / Passport ID_Richard-Irmscher.pdf File name: ID_Richard-Irmscher.pdf File size: 425 KB Licence Lizenz.jpg File name: Lizenz.jpg File size: 62 KB Starting Permission File name: File size:
1	Applicant's First name * Applicant's Surname * Application type * Start Number (option 1) * Chose from 2 to 99 Start Number (option 2) Chose from 2 to 99 Start Number (option 3) Chose from 2 to 99 Transponder number Models allowed: MyLaps X2 Pro+ or MyLaps X2 Car/ Bike with direct power upgrade Birth Date Place of Birth * Nationality * Gender * Height * Height must be in cm Weight * Must be in kg and undressed Helmet Size Languages * Document of Identification * ID / Passport Number * National Federation * Home Phone Number * Mobile Phone Number * Email * Address Details * Post Code * City * Country * Rider Web Page Sponsors Instagram Twitter Facebook Does the applicant own a motorcycle? * Has the applicant ever participated in races? * At what age did you first start riding motorcycles? How many years of racing experience does the applicant have? * What championships has the applicant taken part in during 2022? * Education * (School, Occupation and any specific Motosports Education) Id / Passport File name: File size: Licence File name: File size: Starting Permission File name: File size:

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