Registration

Driver

Name *

First

Last

Photo

Blood Group *

Father's Name *

Address *

Mobile No. *

Email Id *

Emergency contact details (Name/ Relations/Mobile number)

Name and Signature (Upload)

Co-Driver

Name *

First

Last

Photo

Blood Group *

Father's Name *

Address *

Mobile No.

Email Id *

Emergency contact details (Name/ Relations/Mobile number)

Name and Signature (Upload)

Details Of Car

Make *

Model *

Registration No *

Single Line Text *

Engine no *

Chassis no *

Cubic Capacity (CC) *

Fuel used *

Disclaimer *

I accept

I hereby confirm that I have obtained all necessary insurances relating to myself, my vehicle and the passengers in my vehicle. I hereby confirm that the Organisers shall have no liability towards me and hereby forever discharge the Organisers of and from all actions, causes of action, suits, debts, obligations, claims and demands whatsoever which I have or hereafter can, shall, or may have. I understand that the consumption of alcohol, narcotic, psychotropic and other similar substances are not permitted and I agree to be excluded from the event if found, during the actual running of the event, to have consumed any of the above.

Name