- all the fields which have * symbol are mandatory -
Team name
Club name
Name *
Birth date *
Nationality *
Address *
Country * - Te rog alege o opțiune -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople 's Republic of ChinaRepublic of ChinaChristmas IslandCocos(Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea - BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNagorno - KarabakhNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandTurkish Republic of Northern CyprusNorthern MarianaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor - LesteTogoTokelauTongaTransnistria PridnestrovieTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsIsle of ManUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabwe
City *
ID Card/Passpot No. *
Driving licence No. *
Racing licence No.
Blood type *
Mobile phone number that will be in use during the race *
Email Address *
Emergency contact phone and name *
T-shirt size * - Te rog alege o opțiune -SMLXLXXL
- only for team participation -
Name
Birth date
Nationality
Address
Country - Te rog alege o opțiune -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople 's Republic of ChinaRepublic of ChinaChristmas IslandCocos(Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea - BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNagorno - KarabakhNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandTurkish Republic of Northern CyprusNorthern MarianaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor - LesteTogoTokelauTongaTransnistria PridnestrovieTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsIsle of ManUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabwe
ID Card/Passpot No.
Driving licence No.
Blood type
Mobile phone number that will be in use during the race
Email Address
Emergency contact phone and name
T-shirt size - Te rog alege o opțiune -SMLXLXXL
Assistance team* no1 person2 persons3 persons4 personsmore
Assistance vehicle* nocarvanmotorhometrailer
Tent* nostandard 3x4mbigger
Owner's name according to vehicle's registration document *
Vehicle plate No *
Vehicle insurance No *
Vehicle model and manufacturer's name *
Engine capacity cc *
FIA Passport number
Group * - Te rog alege o opțiune -PROFESSIONALOPEN (available only for AUTO and SSV, not for MOTO)PROMO/DISCOVERY
Class - available only for PROFESSIONAL Group - Te rog alege o opțiune -FIA T1.1FIA T1.2FIA T1.3FIA T1.4FIA T2.1FIA T2.2FIA T3.1FIA T3.2FIA TE PFIA T3 STH.1TH.2TH.3TH.4SSV.1SSV.2SSV.3R.1R.2MotoQuad
Engine fuel:* PetrolDiesel
Accommodation * no1 single room1 double roommore
Food: breakfast, lunch, dinner * noyes
Photo package * noyes
Additional request:
DECLARATION STATEMENT / DECLARATIE*
ENGLISH: I declare that I fully understand and know General Regulations and Supplementary Regulations of this event. I declare that I read and I understand the Particular Rules 4V Rally Raid. I declare that in no case I will claim from event Organizers or FRAS (Romanian Motorsport Federation) any compensation that may result as physical, material or moral damage that may occur by my participation to this event. I fully understand that in this event I may face situations with danger and I declare that I accept the consequences. I declare that I will be using, for the entire period of the event, all necessary safety equipment (helmet, harness and fire proof clothing. I also declare that I am responsible for GPS - Tracker kit that Organization will install to my vehicle and I will compensate it in case of loss or damage by my fault. I declare that all above written are true.
ROMANA: Declar că am înteles pe deplin si cunosc reglementările generale si regulamentele suplimentare ale acestui eveniment sportiv. Declar ca am citit si am inteles reglementarile din Regulamentul Particular 4V Rally Raid. Declar că, în nici un caz, nu voi pretinde de la Organizatori sau FRAS (Federatia Romana de Automobilism Sportiv) orice compensatie care ar putea rezulta ca urmare a unor daune fizice, materiale, daune morale, care pot să apară prin participarea mea la acest eveniment sportiv. Înteleg pe deplin că pe parcursul acestui eveniment ma voi putea confrunta cu situatii cu pericol si declar că accept consecintele rezultate din aceasta participare. Declar că pe toata perioada competitiei voi respecta regulamentele de siguranta si voi utiliza echipamentele de siguranta necesare si obligatorii (cască, centuri de siguranta, combinezon si incaltaminte rezistente la foc), de asemenea declar că sunt responsabil pentru Baliza GPS instalata in masina de competitie sau masinile de asistenta si voi compensa organizatorul în cazul de pierdere sau deteriorare din vina mea a acesteia. Declar că toate datele inscrise si prezentate in prezentul formular sunt adevărate.
We, driver and co-driver accept this terms and conditions / Noi, pilot si co-pilot, am luat la cunostinta si acceptam aceste termene si conditii:* YES/DANO/NU