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FEDERATION INTERNATIONALE DE L'AUTOMOBILE

2010 WRC CUP FOR TEAMS

REGISTRATION FORM

THE APPLICANT (Team name)

Full name of Company or

Legal body entering the Team

Country of residence

Address

Tel

Fax

E-mail

Team name and address

(If different from the above – see WRC Art.9.2.6)

Tel

Fax

E-mail

Team Manager (if applicable)

Tel

Mobile:

Fax

E-mail

Authorised representative(s) Title

with sole power to bind the entrant Title

Title

DETAILS OF REGISTRATION

National competition issued by

Licence number of Entrant

Name of Entrant

(As mentioned on the licence)

In accordance with Article 9.2.3 of the 2010 FIA World Rally Championship Sporting Regulations, my 7 Nominated Rallies are:

1. 10-14 February Swedish Rally (S) (

2. 03-07 March Corona Rally Mexico (MEX) (

3. 31 March - 03 April Jordan Rally WRC (HKJ) (

4. 05-09 May Rally of New Zealand (NZ) (

5. 27-30 May Vodafone Rallye de Portugal (P) (

6. 28 July – 31 July Rally Finland (FIN) (

7. 18-22 August ADAC Rally Deutschland (D) (

8. 08-12 September Rally Japan (J) (

9. 29 Sept. – 03 Oct. Rallye de France (F) (

10. 10-14 November Rally of Great Britain (GB) (

(Please tick the 7 relevant boxes corresponding to your 7 Nominated Rallies, including 2 out of Europe)

I confirm that I have read and understood the provisions of the International Sporting Code, the Technical Regulations applicable to the group of cars participating in the 2010 FIA WRC Cup, the 2010 FIA World Rally Championship Sporting Regulations. I agree to be bound by them (as supplemented or amended) and furthermore I agree on my own behalf and on behalf of everyone associated with my participation in the 2010 FIA World Rally Championship Cup to observe them. I declare that I have examined this Registration Form and that the information given is true, correct and complete.

FOR THE APPLICANT:

SIGNED BY (SIGNATURE)

(PRINT NAME OF THE PERSON SIGNING)

Being a person duly authorised

to sign for and on behalf of

(PRINT FULL NAME OF APPLICANT)

Date

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