Please fill in all fields

After completing all fields, please click on 'Send' to confirm your registration

After sending you will see the confirmation page

                                           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  

Division + Class          Division 1 B 

                                 Division 2

                                 Division 3 F   G I   

                                 Division 4 (Historic) H1  H2    H3 H4 H5   

                                 Division 5 (Historic) H6  H7    H8       


 

 

     Record general ranking 2017 (rally & ranking)                             Record class ranking 2017 (rally, class & ranking) 

1    .   

2    .    

3    .