Pre entry - KNMV Dutch Enduro Open Championship 2023 (ONK)

Naam / Name rider*

Voornaam / First Name Achternaam / Surname

Adres / Adresses*

Straat + huisnummer / Street + number Adresregel 2 / Adresline 2 Postcode / Zip code Stad / City Provincie / region Land

E-mailadres*

KNMV-relatienummer/KNMV membership number

Klasse / Class*

Inters E1 (till 250cc 2 & 4 stroke)
Inters E2/3 (up 255cc 4 stroke till 450cc 4 stroke & up 255cc 2 stroke & 455cc 4 stroke)

Rijnummer (voorkeur)/ riding number (preferred)*

Transpondernummer*

Deelname / Participate in*

Merk motor / Brand Motor bike*

Licentie via / License by FMNR - Federation*

Licentienummer / License number*

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

Toegestane bestandstypen: jpeg, jpg, pdf, Max. bestandsgrootte: 64 MB.

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

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