Rally Mongolia 2023 - PRE REGISTRATION FORM
Items marked with "必須" in red background are required items.
■ ENTRY TYPE
MOTO
AUTO
SXS
CAMION
PRESS
Team MANAGER
MECHANIC
■ NAME
■ NAME
■ BORN ON (Birth day)
■ BORN ON (Birth day)
■ SEX
FEMALE
MALE
■ BLOOD TYPE
■ BLOOD TYPE
■ E-MAIL
■ E-MAIL
■ E-MAILの確認用
■ ADDRESS
■ ADDRESS
■ ZIP/POSTAL CODE
■ ZIP/POSTAL CODE
■ NATIONALITY
■ NATIONALITY
■ PROFESSION
■ PROFESSION
■ TEL NO (Mobile)
■ TEL NO (Mobile)
■ TEL NO (Home)
■ TEL NO (Home)
■ Fax NO
■ Fax NO
■ Face photo
Please attach a scanned or photographed page of your face photo. File size is 1MB.
■ Face photo
Please attach a file by clicking the [ファイル選択] button
This field is required.
■ International Driving License No.
■ International Driving License No.
■ International driving license image
Please attach a scanned or photographed page of your International driving license. File size is 1MB.
■ International driving license image
Please attach a file by clicking the [ファイル選択] button
This field is required.
■ Passport No.
■ Passport No.
■ Passport image
Please attach a scanned or photographed page of your passport. File size is 1MB.
■ Passport image
Please attach a file by clicking the [ファイル選択] button
This field is required.
■ Co driver
AUTO CAMION SXS class only.
■ NAME (Co)
■ NAME (Co)
■ BORN ON (Co)
■ BORN ON (Co)
■ SEX (Co)
FEMALE
MALE
■ BLOOD TYPE (Co)
■ BLOOD TYPE (Co)
■ E-MAIL (Co)
■ E-MAIL (Co)
■ E-MAIL (Co)の確認用
■ ADDRESS (Co)
■ ADDRESS (Co)
■ ZIP/POSTAL CODE (Co)
■ ZIP/POSTAL CODE (Co)
■ PROFESSION (Co)
■ PROFESSION (Co)
■ NATIONALITY (Co)
■ NATIONALITY (Co)
■ TEL NO (Mobile) (Co)
■ TEL NO (Mobile) (Co)
■ TEL NO (Home) (Co)
■ TEL NO (Home) (Co)
■ FAX NO (Home) (Co)
■ FAX NO (Home) (Co)
■ Face photo (Co)
Please attach a scanned or photographed page of your face photo. File size is 1MB.
■ Face photo (Co)
Please attach a file by clicking the [ファイル選択] button
This field is required.
■ Passport No. (Co)
■ Passport No. (Co)
■ Passport image (Co)
Please attach a scanned or photographed page of your passport. File size is 1MB.
■ Passport image (Co)
Please attach a file by clicking the [ファイル選択] button
This field is required.
■ International Driving License No. (Co)
■ International Driving License No. (Co)
■ International driving license image (Co)
Please attach a scanned or photographed page of your International driving license. File size is 1MB.
■ International driving license image (Co)
Please attach a file by clicking the [ファイル選択] button
This field is required.
■ TEAM ENTRY
■ TEAM ENTRY
Check here if you are entering as a team
■ TEAM NAME
■ TEAM NAME
■
VEHICLE
■ MAKER
■ MAKER
■ MODEL
■ MODEL
■ DISPLACEMENT
■ DISPLACEMENT
■ ENGINE TYPE
petrol (Gasoline) engine
diesel engine
■ MESSAGE
■ MESSAGE
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