KNMV Internationale Baansportwedstrijd

Naam / Name rider*

Voornaam / First Name Achternaam / Surname

Adres / Address*

Straat + huisnummer / Street + number Adresregel 2 / Address line 2 Postcode / Postal code Stad / City Provincie / Region Land / Country

E-mailadres*

KNMV-relatienummer / KNMV membership number

Klasse / Class*

Specials
125 Specials
250 Specials
Sidecars

Naam passagier / Name passenger*

Voornaam / First Name Achternaam / Surname

Rijnummer (voorkeur) / Racing number (preferred)*

Motormerk / Motorcycle brand*

Licentie via / License by FMNR - Federation*

Licentienummer / License number*

Upload Copy FNMR or FIM licence(s) (JPEG of PDF file):

Sleep bestanden hierheen of

Toegestane bestandstypen: jpg, jpeg, pdf, Max. bestandsgrootte: 256 MB.

Disclaimer: By sending in an entry form to participate in the KNMV Dutch Open Grass Track Championship competition each rider or team accepts any duties at an event regarding promotion of the competition. Each rider & passenger must have a valid licence from his/her federation to ride this competition (incl. starting permission). The rider or team is accepted only after receiving official notification from the KNMV (by e-mail). The KNMV is authorized to refuse riders or team a start.

KNMV | KNMV Internationale Baansportwedstrijd

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