DUBAI INTERNATIONAL BAJA-SERVICE CREW

DUBAI INTERNATIONAL BAJA - SERVICE CREW

DIB Registration Form

1) Coordinator Name

Mobile No

Team or Competitor Name

Service Done For (Name Of Each Driver)

Group

Photo(Required)

Max. file size: 16 MB.

2) Crew/Personal Details

First Family Name

Photo(Required)

Max. file size: 16 MB.

Date Of Birth

Gender

Nationality

Passport No

Passport Copy(Required)

Max. file size: 16 MB.

Issue Date

Expiry Date

Mobile No

UAE Mobile No

Driving Licence No

Driving Licence Copy(Required)

Max. file size: 16 MB.

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Emergency Contact

Relationship

Mobile No

Website

Homepage Link

Instagram

link to the account

Facebook

link to the account

You Tube

link to the account

TikTok

link to the account

Twitter

link to the account

3) Crew No 2

Name

First Family Name

Photo(Required)

Max. file size: 16 MB.

Nationality

Gender

Date Of Birth

Passport No

Passport Copy(Required)

Max. file size: 16 MB.

Expiry Date

Issue Date

Driving Licence No

Driving Licence Copy(Required)

Max. file size: 16 MB.

Mobile No

UAE Mobile No

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Next Of Kin

Relationship

Emergency Telephone No

4) Crew 3

Name

First Family Name

Photo(Required)

Max. file size: 16 MB.

Nationality

Gender

Date Of Birth

Passport No

Passport Copy(Required)

Max. file size: 16 MB.

Issue Date

Expiry Date

FIA Licence No

Priority Driver

Issuing ASN

Driving Licence No

Driving Licence Copy(Required)

Max. file size: 16 MB.

Mobile No

UAE Mobile No

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Next Of Kin

Relationship

Emergency Telephone No

Entry In UAE

ATA Carnet No

Rental Car In UAE

5) Service Vehicle Details

Owner Name

Make

Model

Colour/CC

Year

Diesel/Petrol

Country Of Registration

Chassis No

Engine No

Service Vehicle Registration Document Copy(Required)

Max. file size: 16 MB.

Insurance Copy(Required)

Max. file size: 16 MB.

ENTRY FEES

Description	Cost (AED)	Cost (USD)
Vehicle Pass: Rally Plate No. (Compulsory to access Service Park). 200 (max.) liters of fuel included.	550	150
Crew Wristband (Max 4 per form)	310	85

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

Each Service Crew are under the full responsibility of the Team / Competitor who hires them.

Each Service Crew has complied with Article 50 of the 2024 FIA Cross-Country rally sporting regulations.

Each Service Crew has his own medical insurance and repatriation to participate in the event.

As Team Manager representing the Competitor or as Competitor, I exonerate the FIA, the EMSO, the Organizers and officials, their employees, officers and agents from any and all liability for any loss, damage or injury, which I may incur in the course of the event. Furthermore, I undertake to indemnify and hold harmless the FIA, the EMSO, the Organizers and officials, their employees, officers and agents from and against any and all liability to third parties for any loss, damage or injury which I am jointly and severally liable. By signing this entry I confirm than the Service Crews have been informed about these points.

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