CROATIA TROPHY 2013

Entry form for Driver and Co-Driver
Anmeldeblatt fur Fahrer und Beifahrer
Prijava za vozača i suvozača

# ALL FILDS ARE OBLIGATED # SVA POLJA SU OBAVEZNA

Form for driver & codriver - Anmeldeblatt fur Fahrer und Beifahrer - Prijava za vozača i suvozača
SERVICE
Event: # Croatia Trophy 2013
Croatia trophy 2013 Adventure

CT 2013
oder#
CT 2013 ADVEN.

CT 2013
ilI#
CT2013 ADVEN.

DRIVER DATA FAHRER VOZAĆ
Name: # VORNAME# Ime #
Surname # NACHNAME# Prezime #
Date of birth GEBURTSTAG Datum Roðenja
Blood type BLUTGRUPE Krvna Grupa
Passport No. # PASSNUMMER # Vozaćka Dozvola #
Street # STRASSE # Ulica i Broj #
City # ORT # Grad #
State # STAAT # Država #
Mobil phone GSM GSM
Email Address: # E-MAIL # e-Mail #
CO-DRIVER BEIFAHRER SUVOZAČ
Co-Driver Name # VORNAME # Ime #
Co-Driver Surname # NACHNAME # Prezime #
Co-Driver Date of birth GEBURTSTAG Datum Roðenja
Co-Driver blood type BLUTGRUPE Krvna Grupa
Co-Driver passport No. # PASSNUMMER # Vozaèka Dozvola #
Co-Driver street # STRASSE # Ulica i Broj #
Co-Driver city # ORT # Grad #
Co-Driver state # STAAT # Država #
Co-Driver mobil phone GSM GSM
Co-Driver E-mail # E-MAIL # e-Mail #
VEHICLE WAGEN VOZILO
Vehicle - licence plate No. KFZ Registracija
Vehicle - make MARKE Proizvoðaè
Vehicle - model TYP Model
VIN FAHRGESTELLNUMMER Broj Šasije
Vehicle - ccm MOTORLEISTUNG Kapacitet Motora
Vehicle - weight GEWICHT Težina
Vehicle - lenght LANGE Dužina
Tyres REIFEN GUME
Tyres - make/model MARKE / TYP Proizvođač / Model
Tyres - size GROESSE Veličina
Front winch FOERDERE SEILWINDE PREDNJE VITLO
Front winch - make MARKE Proizvođač
Front winch - model TYP Model
Rear winch -   HINTERE SEILWINDE STRAŽNJE VITLO
Rear winch - make MARKE Proizvođač
Rear winch - model TYP Model
   
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