CROATIA TROPHY 2012

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

# DARK FILDS ARE OBLIGATED # DUNKEL XXX IST MUS # TAMNA POLJA SU OBAVEZNA
Form for driver & codriver - Anmeldeblatt fur Fahrer und Beifahrer - Prijava za vozača i suvozača
SERVICE
Event: # Croatia Trophy 2012
Croatia trophy 2012 Adventure

CT 2012
oder#
CT 2012 ADVEN.

CT 2012
ilI#
CT2012 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 #
Telephone TEL Telefon
Mobil phone GSM GSM
Email Address: # E-MAIL # e-Mail #
Fax FAX Fax
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 telephone TEL Telefon
Co-Driver mobil phone GSM GSM
Co-Driver E-mail # E-MAIL # e-Mail #
Co-Driver fax FAX Fax
VEHICLE WAGEN VOZILO
Vehicle - licence plate No. KFZ Registracija
Vehicle - make MARKE Proizvoðaè
Vehicle - model TYP Model
Vehicle - year BAUJAHR Godina Proizvodnje
Vehicle - chassis No. 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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