Applicant 3259

Application ID

Team information

Team *

Team name

Workshop Address details

Workshop Post Code

Workshop City

Workshop Country

Website

Phone number

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

Delegate's Name

If Legal Representative wants to assign a delegate for the Service Agreement:

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

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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 2023? * Education * (School, Occupation and any specific Motosports Education) Id / Passport Tom-Kuil-ID.jpg File name: Tom-Kuil-ID.jpg File size: 531 KB Licence kuil_2023_190000188.pdf File name: kuil_2023_190000188.pdf File size: 248 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 2023? * 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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