FIA AUTO FORM

 

DUBAI INTERNATIONAL BAJA -FIA AUTO

DIB Registration Form

1) Competitor (Entrant) Details

Team Manager Name

MM slash DD slash YYYY

MM slash DD slash YYYY

MM slash DD slash YYYY

Max. file size: 16 MB.

 

Drop files here or

Max. file size: 16 MB.

     
    Address

     

    2)Vehicle Details

    Drop files here or

    Max. file size: 16 MB.

       
      Copy of Technical Passport, Vehicle Registration , Owner No Objection Certificate

      3) Driver Details

      Name

      MM slash DD slash YYYY

      MM slash DD slash YYYY

      MM slash DD slash YYYY

      Address

       

      Drop files here or

      Max. file size: 16 MB.

         
        Photo,Passport,Driving Licence,FIA Licence

        4) Co-Driver Details

        Name

        MM slash DD slash YYYY

        MM slash DD slash YYYY

        MM slash DD slash YYYY

        Address

         

        Drop files here or

        Max. file size: 16 MB.

           

          ENTRY FEES

          (For conditions, refer to Rally Guide / Auto SR)

          Category DISCOUNT (Up to Oct 15th) CLOSING DATE (Nov 15th)
          UAE (Ultimate, Challenger, Stock) AED 5,499 AED 7,299
          OVERSEAS (Ultimate, Challenger, Stock) USD 2,799 USD 3,699
          UAE SSV AED 4,199 AED 5,499
          OVERSEAS SSV USD 2,299 USD 2,999
          UAE NATIONAL AUTO AED 2,899 AED 3,799

          Above Entry fee to increase 60% if you choose "No Advertising"

          BANK TRANSFER IN AED for UAE and GCC Entrees BANK TRANSFER IN USD for OVERSEAS Entrees

          Account Name: EMIRATES MOTORSPORT ORGANIZATION

          Account Number: 1015664780801 (AED Account)

          IBAN: AE43 0260 0010 1566 4780 801

          Swift Code: EBILAEAD

          Bank Name: Emirates-NBD

          Bank Address: PO BOX 777 Baniyas Rd. Deira Dubai, UAE

          Account Name: EMIRATES MOTORSPORT ORGANIZATION

          Account Number: 102 5664 7808 02 (USD Account)

          IBAN: AE51 0260 0010 2566 4780 802

          Swift Code: EBILAEAD

          Bank Name: Emirates-NBD

          Bank Address: PO BOX 777 Baniyas Rd. Deira Dubai, UAE

          Please email a copy of your bank transfer to Rocelle@emso.ae

          UAE Rules concerning Medical expenses and hospitalization

          It is important for all Competitors to fully understand the situation with regards to medical expenses according to the UAE Rules. In the event that "you," the registered Competitor, have an accident during the event that requires medical attention in a hospital, the following procedure needs to be followed:

          • On release from the hospital, any Medical costs need to be settled by you or a third party before leaving the hospital.
          • The EMSO is not responsible for any settlement of the Hospital bills.

          In case of an accident, a claim form will be sent to you or a third party by email, which needs to be completed and sent to the EMSO along with the complete Hospital report and receipt.

          Once received and verified, these documents are forwarded onto our Insurance Company Partner for review and reimbursement process.

          Please note that there is an excess applicable to all insurance claims.

          By signing this entry form, you fully understand the above, and you confirm all medical costs will be settled by you or a third party before leaving the hospital.

           

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