Competitor | MOTO Entry
Must
Team Name
Youtube Channel
Rider
Must
Name
Given Name
Surname
Must
Gender
Male
Female
Must
Address
Zip Code
Must
Email Address
Must
Date of Birth
Must
Phone Number
Landline
Mobile
Must
Blood type
Please select one
A
B
O
AB
Please select one
+ (Positive)
- (Negative)
T-shirts Size
Please select one
S size
M size
L size
XL size
2XL size
3XL size
4XL size
5XL size
Must
Passport
No.
Date of Issue
Expiration Date
Must
Driving License
No.
Must
Emergency Contact
EC Name
Relation
EC Phone Number
Landline
Mobile
EC Email Address
MOTO Detail
Must
Class
M1 (~250cc)
M2 (251~700cc)
M3 (701cc~)
Must
Maker
Must
Vehicle Model
Must
Main Color
Must
Year
Must
Cubic cm
Must
Registration No.
No.
Must
Flame No.
No.
Must
Engine No.
No.
Must
AGREEMENT
I or we fully understand and agree with all the rules and regulations set by the official host of this Asia Cross Country Rally 2025 competition.
I or we, agree to indemnify and hold the governments of The Kingdom of Thailand and Kingdom of Cambodia, also their related government departments, the host, the official and supporting organizations of this competition, Asia Cross Country Rally Organizing Committee, Asian Rally Friendship Association, Sponsors and Promoters, its Officers, Agents and Employees, and Rally/events site owners harmless from any and all claims for loss or damage including personal injury or death I may suffer due to the participation in this car rally. I or we also agree to take full financial responsibilities if I cause an accident while participating in this competition, whether or not the negligence of the host or the rally officials contributed to the cause of the accident.
I or we understand that Asia Cross Country Rally Organizing Committee and official promotor FUNATIKO PTE.LTD.(Singapore) reserves all the rights to broadcast and publish all the audio-visual materials and pictures obtained during the competition through media for a consideration.
Please check the box if you understand the above information.
I am agree.
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