Competitors Mobile Number (include country code if NOT Australia) *
Your answer
Competitors Street Address *
Your answer
Competitors Suburb *
Your answer
Competitors State (Overseas Country) *
Your answer
Competitors Postcode / Zip Code *
Your answer
Competitors FIA / CAMS Licence Number (Overseas Competitors refer to Sup Regs Art 1.5.5) *
Your answer
Competitors FIA / CAMS Licence Expiry Date *
MM
/
DD
/
YYYY
Drivers First name *
Your answer
Drivers Last Name *
Your answer
Drivers Email address *
Your answer
Drivers Phone Number (must be drivers) *
Your answer
Drivers Street Address *
Your answer
Drivers Suburb *
Your answer
Drivers State *
Your answer
Drivers Postcode / ZipCode *
Your answer
Drivers FIA / CAMS Licence Number (Overseas Competitors refer to Sup Regs Art 1.5.5) *
Your answer
Drivers FIA / CAMS Licence Expiry Date *
MM
/
DD
/
YYYY
Drivers FIA / CAMS Licence Type *
Your answer
Drivers Emergency Contact Name (Must be able to make a medical decision on your behalf in an emergency) *
Your answer
Drivers Emergency Contact Mobile Number *
Your answer
Car Make *
Your answer
Car Model *
Your answer
Year of Manufacture *
Your answer
Make of Engine *
Your answer
Engine Capacity (cc's) *
Your answer
CAMS Log Book Number (if issued to vehicle)
Your answer
Roll Cage / Safety Cage Fitted *
Date you will be arriving at SMSP *
MM
/
DD
/
YYYY
I understand the Team Manager and Driver are required to attend Document checks at SMSP in October 2019 and sign the CAMS Disclaimer before permission to race will be given *