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                                           Driver                                                                 Co-driver

Name + Given name                   

Street+ Number                         

Postal code - City                       

(Mobile) phone                           

e-mail                                      

Gender                              Male Female                                              Male Female

Date of birth                            

Nationality                              

Club                                       

Nr and type of licence              

Nr of driving licence                 

Car

Make                   Type

Year of construction                             Number plate 

Chassis number      Cylinder capacity  

 4x4 car                         yes no

 Turbo-charged car           yes no

 Competition tyres           yes no

 Standard road tyres        yes no

 Historic - car (before '86) yes no

WRC                              yes no

Kit Car                            yes no

Super 1600                     yes no

Super 2000                     yes no

Group A                          yes no

Group N                          yes no

Group R                          yes no

Group M                         yes no

Group S                          yes no

Group GT                        yes no

•    Record general ranking 2011 (rally & ranking)                                        Record class ranking 2011 (rally, class & ranking) 

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