Registration formadmin2023-11-02T11:52:02+00:00 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1Entry fees2Team info3Race Vehicle4Driver details5Co-driver details6More7ImportantEntryEntry BAJA SVV *Driver and SSV / Pilote et SSV - 3.850,00 €Co-Driver / Co-pilote - 1.150,00 €BAJA MOTO / QUAD *Driver and SSV / Pilote et SSV - 2.650,00 €Layout THE FEE INCLUDES: • 5 days of competition in Morocco • Half-board accommodation includes 6 hotels nights • Prize giving party/dinner • Organisation public liability insurance • Tracks • A gift THE FEE DON'T INCLUDE: • The transfer of the competitors and the vehicle to the start of the event and return • The vehicle and its insurance • Medical repatriation insurance (compulsary) • Rental of the tracking system (400€) • Mechanical assistance • Fuel • Lunches • Drinks Total0,00 €Next - Team infoTEAM INFOTEAM INFOTEAM NAMENAME TEAM RESPONSIBLELayoutWe will participate in the following category:CROSS COUNTRY CATEGORYSSV OPENSSV SERIESQUADMOTOS ≤ 450CCMOTOS > 450CCIn addition to the category chosen, we would like to be registred in:TURBO (SSVs WITH TURBO)ATMOSPHERIQUE (SSVs WITHOUT TURBO)Previous - Entry feesNext -Race VehicleRACE VEHICLERACE VEHICLESIDE BY SIDE | SSVMOTORBIKE | MOTOQUAD | QUADLayoutREGISTER COUNTRYMANUFACTURERVEHICLE COLOURLICENSE PLATEMODEL DATE FIRST REGISTRATION File Upload Click or drag files to this area to upload. You can upload up to 10 files. When submitting your entry, we need copies of the following documents: For every vehicle: • Vehicle documents • Possible powers of attorney for the vehicle • Certificate of insurance valid for Morocco • We highly recommend to get a vehicle recovery insurance. Please pay attention to a good readability and that the data volume is as small as possible.Previous - Team infoNext - Driver detailsDRIVERDRIVING FOR WHICH COUNTRY?PersonSURNAMEDATE OF BIRTH SexMaleFemaleFIRST NAMEPLACE & COUNTRY OF BIRTH T-SHIRT SIZESMLXLXXLCONTACTAddressAddress Line 1CityState / Province / RegionPostal CodeSelect countryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryLayoutMOBILE PHONEEmailHOME TELEPHONEFACEBOOK ETCPASSPORTLayoutNATIONALITYDATE ISSUEDISSUED BY PASSPORT NOVALID TOMAROC ID MEDICAL (COMPULSARY) LayoutBLOOD TYPE ALLERGIESMEDICATION TAKENEMERGENCY CONTACT (COMPULSARY)LayoutSURNAMERELATIONSHIP (WIFE, PARENT)FIRST NAME EMERGENCY PHONE NO.Previous - Driver detailsNext - Co-driver detailsCo-Driver detailsDRIVING FOR WHICH COUNTRY?LayoutSURNAMEDATE OF BIRTHSEXMaleFemaleFIRST NAMEPLACE & COUNTRY OF BIRTHT-SHIRT SIZE SMLXLXXLContactAddressAddress Line 1CityState / Province / RegionPostal CodeSelect countryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPASSPORTLayoutNATIONALITYDATE ISSUEDISSUED BY PASSPORT NOVALID TOMAROC ID MEDICAL (COMPULSARY) BLOOD TYPE ALLERGIESMEDICATION TAKENEMERGENCY CONTACT (COMPULSARY)LayoutSURNAMERELATIONSHIP (WIFE, PARENT)FIRST NAME EMERGENCY PHONE NO.Previous - Co-Driver detailsNext - ImportantMoreMoroccan FRMSA licence fees to be paid directly to the FRMSA at the start. Please do not add this payment to your registration fees. LICENCES FRMSADRIVER - 150,00 €CO-DRIVER - 150,00 €PAYMENT PER VEHICLE *Price: 400,00 €RENTAL STELLA SYSTEM Previous - MoreNextWith the deposit payment please attach ligible copies of the following documents. Please send us these documents as PDF or image files to our e-mail address: ca@bajassvmorocco.com. Please pay attention to a good readability and that the data volume is as small as possible. For each car: Registration document Car insurance covering Morocco We highly recommend to get a vehicle recovery insurance. For each person: Passport (valid at least 3 months from date of rally start) Driving licence Medivac: race medical evacuation insurance PAYMENT TERMS: The payment of a € 1000 deposit per team validates the registration of a team in a category. The start number is given only when the full amount of the fees has been received, and attributed according to the date of receipt of the full payment. The balance must be paid within 30 days of the initial deposit. Scale of deductions in case of cancellation: 1000 € per team if cancelled before 15/08/2023 50% of the total fees if cancelled between 15/08/2023 and 15/09/2023 100% of the total fees if cancelled after 15/09/2023 CONTACT: Chris Armelin+44 7966 207715 or ca@bajassvmorocco.com BANK ACCOUNT: Carta Rallye Ltd.Barclays BankIBAN: GB13 BUKB 2090 5679 0356 77SWIFTBIC: BUKBGB22Previous - Driver detailsSubmit your registration
