Round - 5 of FMSCI Indian Rally Championship 2014

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1 40 t h K1000 Rally Round - 5 of FMSCI Indian Rally Championship st November 23 rd November 2014 Office Address Karnataka Motor Sports Club #64,2 nd Floor, Railway Parallel Road Kumara Park West Bangalore Ph /39 ;info@kmsc.org Website: Rally Headquarters FAIRFIELD MARRIOT, No:1/2, Golden Heights Building, 59th C Cross, 4th M Block, Rajajinagar, Behind Turtle Mall, Bangalore, Karnataka Phone: Round- 5 FMSCI INRC

2 CONTENTS 1. Introduction 3 2. Organization 4 3. Programme 7 4. Entries 8 5. Insurance Advertising Tyres Fuel Reconnaissance Administrative Checks Scrutineering, Sealing and Marking Other Procedures Identification of officials Prizes Final Checks Appendix 1 Itinerary Appendix 2 Reconnaissance Schedule Appendix 3 Competitor s Relation Officer Appendix 4 Compulsory Advertisement Appendix 5 Entry Form 24 Round- 5 FMSCI IRC

3 1. INTRODUCTION 1.1 The 40 th Karnataka 1000 (K-1000) RALLY is a round of FMSCI INDIAN RALLY CHAMPIONSHIP (IRC) 2014 and will be run in compliance with the International Sporting Code of the FIA (and its appendices), the General Prescriptions for rallies (4W) of The Federation of Motor Sports Clubs of India (FMSCI), the relevant Regulations concerning IRC championship or cup, these and bulletins issued by the FMSCI. The Federation of Motor Sports Clubs of India (FMSCI) is the ASN of FIA in India. Modifications, amendments and/or changes to these Supplementary Regulations will be announced only by numbered and dated bulletins (issued by Organizers or the Stewards). 1.2 Road Surface All Special Stages are GRAVEL. 1.3 Distance Total Distance of the rally is Km Total liaison Distance of the rally is Km Total SS Distance of the rally is Km 2. ORGANISATION 2.1 FMSCI Titles for which Rally Counts 2014 FMSCI IRC Champion Driver 2014 FMSCI IRC Champion Co-Driver 2014 FMSCI IRC Champion Team 2014 FMSCI IRC Champion Driver 2000 cc 2014 FMSCI IRC Champion Co-Driver 2000 cc 2014 FMSCI IRC Champion Team 2000 cc 2014 FMSCI IRC Champion Driver 1600 cc 2014 FMSCI IRC Champion Co-Driver 1600 cc 2014 FMSCI IRC Champion Team 1600 cc 2014 FMSCI 1600 cc Cup Winner Driver 2014 FMSCI 1600 cc Cup Winner Co-Driver 2014 FMSCI 1600 cc Cup Winner Team Round- 5 FMSCI IRC

4 2.2 Permit No. TBA/2014 IRC TBA/2014 IRC 2000 cc TBA/2014 IRC 1600 cc TBA/2014 FMSCI 1600 cc Cup 2.3 Organizer s Name Karnataka Motor Sports Club (KMSC) Permanent Secretariat: Karnataka Motor Sports Club #64,2 nd Floor, Railway Parallel Road Kumara Park West Bangalore Ph: /39 info@kmsc.in Website: Organizing Committee Mr. BharathRaj Mr. BhaskarGupta Mr. Shyam Gopinath Mr. Balakrishna J Mr. Mahendra Reddy Mr. Srikanth Mr. Shajan Daniel Mr. Sathyavrath Mr. Muthuswamy Mr. Bharath Prasad Mr. Chakrapani E.G. Mr. Ramesh Roy Mr. Jim Mr. Murali Mr. PraneethPerumal Mr. Shivu Shivappa Mr. Manish Rugta Mr. Vivek Bhatija Mr. Sathyapal Mr. Suresh Kumar Mr. UmaShankar Mr. Chidanand Murthy Mr. Mohnish Mr. Balakrishna J Mr. Vivek Padnis Mr. Bharath Prasad Mr. Uday Shah Mr. Gautham B S Round- 5 FMSCI IRC

5 Management Committee of KMSC Chairman President Vice President Secretary Joint Secretary Treasurer Member Member Member Member Member Member Mr.Bharath Raj Mr.Shivu Shivappa Mr.Shyam Gopinath Mr.Balakrishna J Mr.Manish Rungta Mr.Suresh Kumar Mr.Bhaskar Gupta Mr.PraneethPerumal Mr.Vivek Bhatija Mr. Sreekanth Mr. K V Sripathi Mr.Mahendra Reddy 2.5 Stewards of the Meeting Chairman of Panel TBA FMSCI Steward TBA FMSCI Steward TBA 2.6 FMSCI Observer & Delegates Observer Ramkumar Technical Delegate TBA 2.7 Senior Officials Chairman of the Meet Clerk of the Course Mr. Bharath Raj Mr.Praneeth Perumal Asst Clerk of the Course Mr. Bhaskar Gupta D A Round- 5 FMSCI IRC

6 Deputy Clerk of Course Secretary of the Meet Secretary to Stewards Chief Scrutineer Chief Safety Officer Chief Medical Officer Mr. Chidanand Mr. Sanjay BC Mr. UmaShankar Mr. Shyam Gopinath Mr. Satyavrath Mr. Ramesh Roy Mr. Shriakanth V.S. Mr. Mohnish Mr. Shivu Shivappa Dr. Karthik Media Relations Officer Mr. Vivek Padnis Communication Chief Results Coordinator Mr. Satyapal Mr Raj Kumar Stage Commanders Mr. Sathyavarth M D Alpha (SS 2/5/8) Mr. Sanjya BC Beta (SS3/6/9) Mr. Umashankar Gamma (SS 4/7/10) Mr. Shyam Gopinath SSS (SS 1) Stage Safety Officers Mr. Rocky Alpha (SS 2/5/8) Mr. Sharan Shivayogi Beta (SS 3/6/9) Mr. Rahul Mahadev Gamma (SS 4/7/10) Mr. Adharsh SSS (SS 1) 2.8 HQ location At Permanent Secretariat Refer Art 2.3 of these regulations for Address & contact Details. Up to Wednesday, November 26 th, 2014 At Rally HQ, FAIRFIELD MARRIOT, Rajajinagar, Bangalore From : Hrs Thursday, November 20 th, 2014 Till: Hrs Monday, November 24 th, 2014 Round- 5 FMSCI IRC

7 3. PROGRAMME Entries are open up on publication of these regulations. Monday, November 17 th, Closing date of all entries Closing date of co-driver details. Tuesday, November 18 th, :00 Publication of Entry List Thursday, November 20 th, :00 Rally Office Opens Rally HQ, FAIRFIELD MARRIOT Official Notice Board Rally HQ, FAIRFIELD MARRIOT 10:00 Onwards Administrative Checks starts. Issuing of Road Book, Map & Rally Guide Collection of Material and Documents Collection of Competition Number Plates, Optional Advertising Stickers Registration of Reconnaissance vehicle. 20:00 Rally Office closes. Friday, November 21 st, :00 Rally Office opens Reconnaissance. (Last car expected to finish in Bangalore at 15:00 Hrs. Refer Appendix II of S.R.) 08:00 Pre-event vehicle scrutiny starts (Refer Article 11.1 of S.R.) Media Centre opens at FAIRFIELD MARRIOT 15:00 1 st Stewards Meeting, at FAIRFIELD MARRIOT 16:00 Publication of ceremonial Start Order Publication of Start List of Leg 1 - Section 1 (Reverse Order) Publication of Start List of leg 1 Section Compulsory Driver s Briefing Meeting at, FAIRFIELD MARRIOT Compulsory Pre Event Press Conference at FAIRFIELD MARRIOT 18:00 Start of Ceremonial Flag off Ceremony at ORION MALL Start of Leg1 Section 1 (SSS) at SSS Venue (Bangalore International Exhibition centre, (BIEC) 0th Mile, Tumkur Road, Madavara Post, Dasanapura Hobli, Bangalore , 21:30 Finish Of Leg 1 Section 1 at FAIRFIELD MARRIOT 22:00 Rally office closes 22:00 Media Centre closes. Saturday, November 22 nd, :00 Rally office opens. 05:30 Parc Ferme Closes for all classified cars at FAIRFIELD MARRIOT 06:30 Start of Leg 1, Section 2 11:00 Media Center Opens Round- 5 FMSCI IRC

8 20:30 Publication of Start list Leg 2 at FAIRFIELD MARRIOT Media Centre closes Rally Office closes. Sunday November 23 rd, :30 Rally Office opens Start of Leg Media Centre opens. 16:30 Podium Ceremony at FAIRFIELD MARRIOT 17:00 Post Event Press Conference at FAIRFIELD MARRIOT 17:00 Post event scrutinizing at FAIRFIELD MARRIOT 19:00 Provisional Final Classification Published at FAIRFIELD MARRIOT Media Centre Closes Rally Office Closes Monday, November 24 th, Rally Office open. 4. ENTRIES 4.1 Opening and Closing Dates Opening date for entries with the publication of these Regulations Final Closing date for entries Monday, November 17 th, 2014 at Hrs Final closing date for co-driver details Monday, November 17 th, 2014 at Hrs 4.2 Entry Procedure Those wishing to take part in the 40 th Karnataka 1000 Rally 2014 must send the enclosed entry form, duly completed, to the Permanent Secretariat at the address given in Art 2.3, prior to Hrs Monday, November 17th, If the entry is sent by facsimile or the original must reach the Organizers at the latest, two days after the final date for close of entries. 4.3 Number of Entrants accepted and classes The maximum number of entries shall be 40 cars. If more than 40 entries are received the organizers reserve the right to decide which entries will be accepted. Entries will be grouped into: A) IRC Up to 3500 cc (Including Turbo Factor) Group N & Group N4, Group R2B FMSCI License holders and other Asia Zone ASN License holder with points Others without points Round- 5 FMSCI IRC

9 FIA / FMSCI homologated cars Compete for Overall B) IRC 2000 cc Up to 2000 cc Group N, 2WD FMSCI License holders and other Asia Zone ASN License holder with points Others without points FMSCI homologated cars Compete for IRC 2000 Class & Overall C) IRC 1600 cc Up to 1600 cc FMSCI Group N, 2WD FMSCI License holders only FMSCI homologated cars Compete for IRC 1600 Class& Overall D) FMSCI 1600 cc Cup Up to 1600 cc Group N, 2WD FMSCI License holders only FMSCI homologated cars prior to 31st December 2007 Compete for IRC 1600 cc Cup & Overall 4.4 Entry Fees Entries Received before Monday, 17 th November, 1700 Hrs Championship With Optional Advertisement Without Optional Advertisement IRC 30,000/- 60,000/- IRC 2000 cc 22,000/- 44,000/- IRC 1600 cc 17,000/- 34,000/- FMSCI 1600 cc Cup 17,000/- 34,000/- Minimum 3 cars are required to form a class. Teams / Commercial entry - Rs 18,750/- per car additional. A team / Commercial entry can enter a maximum number of 4 cars only All entry and other fees are inclusive of Taxes applicable in India. The Entry fees specified include the following: Item Entrant Service Vehicle Plates 2 1 Round- 5 FMSCI IRC

10 Road Book 1 Service Manual 1 Route Map 1 Team passes 6 Guest Passes for SSS 6 Service Park Area (5.5 x 5.5 Metre Bay) Payment The entry fees can be paid either by Demand Draft in favor of Karnataka Motor Sports Club payable at Bangalore OR by Cash or by wire transfer. Bank Name State Bank of Mysore Current A/C No ISFC Code of Bank SBMY Branch Rajajinagar,Bangalore 4.6 Refunds Entry Fees will be refunded in full only: To Candidates whose entry has not been accepted. In the case of the Rally not taking place. The Organizers may refund 50% of the entry fee to those competitors who, for reasons of Force Majeure (duly accepted by the organizing committee), were unable to start in the Rally. 5. INSURANCE 5.1 Description of Insurance Cover Cover provided by FMSCI with permit. Officials: All officials connected with the event are covered under Group Insurance Policy for Personal Accident for Rs. 5,00,000/- with Rs. 1,00,000/- medical expenses extension per person. (Maximum 100 No). Competitors: All competitors participating in the event are covered under Group Insurance Policy for Personal Accident for Rs. 5,00,000/- with Rs. 1,00,000/- medical expenses extension per person. (Maximum 150 No). Public Liability: Insurance for Rs. 50,00,000/-, which adequately covers any Liability incurred during the running of the event for injury to Third Persons or Damage to Public Property has been taken. Additional Insurance taken by Organizer Round- 5 FMSCI IRC

11 Public Liability: Insurance for Rs. 50,00,000/-, which adequately covers any Liability incurred during the running of the event for injury to Third Persons or Damage to Public Property has been taken. 5.2 In the event of an accident the competitor or his representative must notify the next radio point if on a special stage OR the Clerk of the Course in writing within 4 hours if during a transport / liaison section. He must provide full details including the names and addresses of those involved and any witnesses. 5.3 The competing cars must carry Rally Cover Insurance valid for 21 st, 22 nd & 23 rd November The Service and Reconnaissance Vehicles, even those bearing Special Plates by the Organizers may never be considered as Official Participants in the Rally. They are therefore not covered by the Insurance Policy of the Rally and will remain the sole responsibility of their owners. 6. ADVERTISING 6.1 Advertising is permitted on the car, including the roof. Advertising on windows is prohibited with the exception of a maximum 10 cm wide strip on the upper part of the windscreen and rear window. 6.2 Competitors are allowed to affix any kind of advertisements on their car provided that. It is authorized by the National Laws and FMSCI Regulations. It is not likely to cause any offense. It is not Political or religious in nature. It does not encroach upon the space reserved for plates & competition number. 6.3 Optional Advertising is as per Appendix 5 Space for the Organizer s advertisement must be reserved on the car, unless the higher entry fees as per Art. 4.4 are paid. 7. TYRES 7.1 Tyres Specified for use during the rally All tyres shall confirm to Appendix IV of FMSCI General Prescriptions. 8. FUEL FREE as per Art 9.1 of the 2014 FMSCI Technical Regulations for 4 wheelers. 9. RECONNAISSANCE 9.1 Procedure for Registration Round- 5 FMSCI IRC

12 Crews must report to Rally Headquarters for registration prior to commencing reconnaissance. They must submit details of the reconnaissance car. Each crew will be issued with two vehicle identification cards which must be displayed on the top of the co-driver s side of the front windscreen and on the co-driver s rear side window during reconnaissance, and a pass valid for up to TWO passages over each special stage. This pass must be carried in the reconnaissance vehicle, shown to and endorsed by an official at the start and finish of each special stage during reconnaissance. 9.2 Specific and /or National Restrictions For all competitors reconnaissance will be carried out in accordance with the FMSCI 2014 General Prescriptions with a maximum of 2 passes over every stage in accordance with the reconnaissance schedule given in Appendix II Reconnaissance outside the schedule will be considered a very serious offence and will be reported to the Stewards who may apply sanctions Reconnaissance will be conducted strictly in accordance with the published schedule. No late entry into a stage for reconnaissance will be permitted Maximum speed allowed on all special stages during reconnaissance is 45 Kph except Super Crews must have the vehicle headlamps switched on while traveling on special stages during reconnaissance Crews are only permitted to enter a special stage from the start points shown in the road book and will NOT under any circumstances drive in a direction opposite to that of the rally, unless instructed by an official of the event Crews must stop at the Start and Finish (and other locations where instructed) of the stage where rally official will endorse the crew s reconnaissance pass card. 10. ADMINISTRATIVE CHECKS 10.1 To be presented at Documentation Entrants License Driver and Co-Drivers Competition Licenses Driver & Co-Drivers Driving Licenses Vehicle Registration Papers Special Rally Insurance Three recent identity photos (4 cm x 4 cm each) of Driver and Co-Driver Details Concerning Reconnaissance Vehicle. Medical History form A letter of authority from the owner of the vehicle if the vehicle is not in competitors name Self attested Photocopy of PAN card. COMPETITORS ARE REQUIRED TO HOLD ADMINISTRATIVE CLEARANCE PASS PRIOR TO SCRUTINEERING Round- 5 FMSCI IRC

13 10.2 Times/Schedule Place Rally Head Quarters, FAIRFIELD MARRIOT On Thursday, 20 th of November 2014 from 10:00 14:00 Hours Any competitor wishing to get his administrative checks done prior to above schedule shall contact Rally Secretary on Wednesday, November 19 th, 2014 during Permanent Secretariat timings. 11. SCRUTINEERING, SEALING AND MARKING 11.1 Location FAIRFIELD MARRIOT Time/Schedule Friday, November 21 st, 2014 Cars Time Cars Time :00 08: :45 09: :30 10: :15 11: :00 11: :45 12: :15 13: :00 13:45 Competing crews can send their vehicles for pre-event scrutiny with their representatives, who must be carrying an authorization letter from the Crew member Mud Flaps Mud flaps must comply with Art 7.7 of the 2014 FMSCI Technical Regulations for 4W. Missing or ineffective mud flap will incur a Rs. 1000/- per mud flap Windows Windows must comply with Art 11 of the FMSCI Technical Regulations for 4W Driver s Safety Equipment Competitor s helmets as per Art 13 & flame resistance clothing as per Art 14 of 2014 FMSCI Technical Regulations will be checked at Pre-event Scruitneering Noise level - Not Applicable 11.6 Special National Requirement Not Applicable Round- 5 FMSCI IRC

14 12. OTHER PROCEDURES 12.1 Ceremonial Start Ceremonial start Ceremony will be held on 21st November 2014 at ORION MALL, Yeshwanthpur Time: 18:00 Hrs. The competing crews must follow the instructions of officials during the Ceremonial Start ceremony. The competing crew should attend the Ceremonial Start ceremony in full rally trim. After the Ceremonial Start the competing crew will report directly to the SSS Parc ferme, at the BIEC, 10th Mile, Tumkur Road, Madavara Post, Dasanapura Hobli, Bangalore , which is km. away for the SSS which is starting at 19:00 Hrs Finish Procedure The crews must follow the instructions of officials during the podium finish ceremony. All cars will report to Finish Parc Ferme and remain there till Official final classification or instruction by Stewards of the meet. While the cars are between Podium Finish to Final Scruitneering location they will travel under Parc Ferme regulations and will be observed by marshals Permitted early check in Crews may check in early without incurring any penalty at following controls 1C (End of Leg 1 Section 1) 7C (SERVICE-OUT), 7D (End of Leg 1) and 10D (End of Leg 2) 12.4 Start Procedures Super Special stage procedures Cars will start in Reverse order in Super Special stage with time interval of 5 minutes between two cars Start Procedure of Special Stage A photocell will be placed 75 cm from the starting line will be used to detect the jump starts. Should the system fail, the start will be given as per Article 37.2 of 2014 FMSCI General Prescriptions Special Procedures Time cards will be Issued/changed/Collected during the rally at the following controls: Day 1 at TC O, 1C, Day 2 at TC 1D, 1F, 4A, 7A, 7E, Day 3 at TC 7F, 7H, 10A, 10D 12.6 Official Time used during the Rally Official time to be used during the rally will be that of GPS time (GMT Round- 5 FMSCI IRC

15 Hrs). This will be displayed at the Rally HQ. 13. IDENTIFICATION OF OFFICIALS The Post Chiefs and other marshals will be identified as follows. Safety Marshal Orange Vest Safety Officer Orange Vest with White Stripe and Text Post Chief Blue with white stripe and text Media Green Stage Commander Red with text Competitor Relation Officer Red Jacket or Red Tabard Medical White Radio Yellow with blue mark. Scrutineer Black 14. PRIZES 14.1 There is No separate Prize Giving Ceremony. The Podium will be a Champagne Shower ceremony only. Position First Second Third IRC IRC 2000 cc IRC 1600 cc FMSCI 1600 cc Cup Trophies are given for all prize winners Number Of Entries: 1 4 1st Prize Only Number Of Entries: 5 7 1st and 2nd Prizes Only Number Of Entries: 8 and above 1st, 2nd and 3rd Prizes 14.2 Tuner Trophies: Tuner of IRC Trophy Tuner of IRC 2000 cc Trophy Tuner of IRC 1600 cc Trophy Tuner of FMSCI 1600 cc CupTrophy 14.3 Star of Karnataka 1000 Award 1 st Pos : Trophy Round- 5 FMSCI IRC

16 15. FINAL CHECKS 15.1 Place FAIRFIELD MARRIOT Time Sunday, November 23 rd, 2014 at 17:00 hrs Representative of competitor service team is to attend Protest Fees The sum of protest fee set by the FMSCI is Rs. 15, 000/ If the protest requires the dismantling and re-assembly of different parts of a car, the protestor must lodge an additional deposit. The additional deposit for a protest involving a clearly defined part of the car (engine, transmission, steering, braking system, electrical installation, bodywork, etc.) Rs. 6000/ The expenses incurred for the work and by the transport of the car shall be borne by the claimant if the protest is unfounded, or by the competitor against whom the protest is lodged if it is upheld. If the protest is unfounded, and if the expenses incurred by the protest (Scrutineering, transport, etc.) are higher than the amount of the deposit, the difference shall be borne by the claimant. Conversely, if the expenses are less, the difference shall be returned. Note: all fees are inclusive of taxes applicable in India Appeal Fee The appeal fee is set by FMSCI as a sum of Rs. 80,000/- Rs. 40,000/- payable along with the intention to Appeal. Rs. 40,000/- payable along with the grounds of Appeal. Round- 5 FMSCI IRC

17 APPENDIX 1 - Itinerary Round- 5 FMSCI IRC

18 Round- 5 FMSCI IRC

19 Round- 5 FMSCI IRC

20 APPENDIX 2 Schedule of Reconnaissance SS No SS Distance In Km 2/5/ /6/ /7/ Friday, Nov 21 st, 2014 Opens Time of Closes 1 st Pass 06:30 07:15 2 nd Pass 9:00 9:45 1 st Pass 07:15 08:00 2 nd Pass st Pass 08:00 08:45 2nd Pass 10: SSS at BIEC SS No SS Distance In Km Friday, Nov 21 st, 2014 Opens Time of Closes 1st Pass 14:00 14:20 2nd Pass 14:20 14:40 Round- 5 FMSCI IRC

21 APPENDIX 3 - Competitor s Relation Officer Dr. BalaKrishna (BK) Mobile Number: ID: balakrishna.jayasimha@gmail.com Will be Present at Thursday, November 20 th 09:00 22:00 during collecting of material & documents, Fairfield Marriot Friday, November 21 st 06: at Service Park (Harenahalli) 13:00 14:30 at SSS Venue 15:00 16:00 at Stewards Meeting 16:15 16:45 at Drivers Briefing meeting 16: at Pre-Event Press Conference 17:30 18:30 at Ceremonial Start 19:00 20:00 at SSS Venue 20:30 21:30 at Parc Ferme Fairfield Marriot Saturday,November 22 nd 06:30 to 08:00 Start at Fairfield Marriot Parc ferme to Service Park at Harenahalli to Rally HQ Sunday,November 23 rd to Start at Fairfield Marriot Parc ferme 14:00 to 16:00 at Fairfield Marriot Parc Ferme Podium Finish at FAIRFIELD MARRIOT Post Event Press Conference Post Event Scrutinizing Rally HQ Round- 5 FMSCI IRC

22 APPENDIX 4 - Compulsory Advertisement C1 B1 B2 B3 B4 B5 B6 A1 A2 A3 A4 A5 A6 C1 Front door Panel 67 cm X 17 cm Roof Panel 50cm X 52cm Bonnet Panel 43cm X 21.5cm Rear Window Panel 30cm X 10cm 15cm X 14cm Side Window Panel 25cm(stroke width 25mm) TBA. T.B.A. T.B.A. T.B.A. TBA IMG Front Windscreen Compulsory Sticker Round- 5 FMSCI IRC

23 Appendix 5 Entry Form 40 th Karnataka 1000 Rally A Round of 2014 FMSCI Indian Rally Championship IRC 2000 cc IRC 1600 cc FMSCI 1600 cc Cup ENTRY FORM Entrant / Competitor First Driver Co-Driver Entrant Name Name (FMSCI License) Date of birth Nationality (as License) Blood Group Communication Address Telephone (business) Telephone (private) Mobile Fax Address PAN FMSCI INRC Reg.No. Competition License No Issuing ASN Driving License No. Country of issue Make Model Year of Manufacture Group / Class Homologation No. Special Rally Cover Insurance Number Details of the Car Registration No. Capacity cc Chassis No. Engine No. Predominant Color Company Valid From Valid Till Name of Tuner Round- 5 FMSCI IRC

24 Sl. Championship Entry Fees (with Optional Advertising) 1 Indian Rally Championship (IRC) INR 30,000 INR 60,000 2 IRC 1601 cc upto 2000 cc INR 22,000 INR 44,000 3 IRC upto 1600 cc INR 17,000 INR 34,000 4 FMSCI Cup 1600 cc INR 17,000 INR 34,000 Entry Fee (without Optional Advertising) Team / Commercial Entry : INR 18,750/- (Additional per car). A team or commercial entry may consist of maximum of 4 cars only. For this entry form to be valid, it must be accompanied by the appropriate entry fees, a receipt for the full amount paid to the organizers, a bankers draft in the name of in favor of Madras Motor Sports Club, payable at Chennaior by Cash. Seeding Information FIA Priority A Year : FIA Priority B Year : FMSCI Seed A FMSCI Seed B Declaration & Indemnity I/We hereby make an application to participate in the above mentioned rally and certify that the particulars of my vehicle as given overleaf are correct, that I/We have read the issued by Organisers for the said rally and agree to be bound by any of the International Sporting Code of the FIA, the General Prescriptions for 4W, Sporting Regulations and Championship Regulations of FMSCI; as well as the undertaking on this entry form. I have read the Regulations issued for this event and agree to be bound by them. In consideration of the acceptance of this entry, I agree to save harmless and keep indemnified the Government, the FMSCI, the Organisers, the FIA and their officials, the Sponsors, agents, representatives, employees and all persons assisting them in this event and all owners and tenants of private property traversed by this event, from and against all actions, claims, cost, expenses and demands in respect of death or injury to myself or any other person or persons or loss or damage to any property including the car concerned in this event and test, if any or otherwise howsoever and not withstanding that the same may have been contributed or occasioned by the negligence of the Organiser and their official, agents, representatives, employees and all persons assisting them in this event. The indemnity shall be binding on my heirs, executors and legal representatives. I declare that the drivers posses the standard competence necessary for an event of this type to which this entry relates, also that the vehicle entered is suitable and rally-worthy for the event. I agree and undertake to abide by the rules and regulations framed for this event including the conditions precedent set out herein and all other rules and regulations, which may hereinafter be framed. Finally I/We hereby acknowledge that I / We am / are fully conversant with the risk and dangers of Motor Sports in general and this rally in particular which I/WE assume hereby. Place : Date : Signature of the Entrant Signature of the Driver Signature of the Co-Driver Name, address& Signature of the witness: Round- 5 FMSCI IRC

25 1) 2) 40 th Karnataka 1000 Rally A Round of 2014 FMSCI Indian Rally Championship IRC 2000 cc IRC 1600 cc FMSCI 1600 cc Cup Media Information Driver Co-Driver Name Place Date of Birth Team Championship Titles INRC Debut INRC Wins Website Career Highlights Favorite Motorsport Icon Hobby Any other Signature of the Driver Signature of the Co-Driver Round- 5 FMSCI IRC

26 Round- 5 FMSCI IRC

27 Document Check List Copies to be attached with entry form and originals to be produced during Administrative checks. Entrants License Competition Licenses - Driver and Co-Driver Driving Licenses - Driver & Co-Driver P A Insurance policy - Driver & Co-Driver Three recent photographs - Driver & Co-Driver Self attested copy of PAN card - Driver & Co-Driver Vehicle Registration Papers Vehicle Insurance Papers Vehicle Special Rally Insurance Letter of authority from the owner of the vehicle (for vehicles not owned by competitor) Completion of all details on entry form Cheque / DD / Money transfer / Cash Receipt No Entry Fee Payment Details Round- 5 FMSCI IRC

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