4576 | NORTHERN TALENT CUP

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Team information

Team *

Team name

Workshop Address details

Workshop Post Code

Workshop City

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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

Team Vehicles

Vehicle 1

Vehicle Type *

Dimensions in meters:

Lenght *

Width *

Plate number: *

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	Vehicle 2
1	Vehicle Type * Dimensions in meters: Lenght * Width * Plate number: *
1	Vehicle Type * Dimensions in meters: Lenght * Width * Plate number: *

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Administrative information

Company Invoicing Details

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Legal Form

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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

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Delegate's Name

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

Delegate's ID Number

Bank details

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Account Holder Email *

IBAN *

SWIFT/BIC *

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City *

Bank Postal code *

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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 Riders born between January 1st, 2006, and March 28th, 2011 for Full Season 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 2024? * Education * (School, Occupation and any specific Motosports Education) Id / Passport Paspoort-Casper-redacted-2011-2027.png File name: Paspoort-Casper-redacted-2011-2027.png File size: 1 MB Licence IMG_3537.jpg File name: IMG_3537.jpg File size: 171 KB Starting Permission signal-2025-03-02-150137_002.jpeg File name: signal-2025-03-02-150137_002.jpeg File size: 170 KB
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 Riders born between January 1st, 2006, and March 28th, 2011 for Full Season 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 2024? * 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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Applicant 4576