(An Associated Club of the Malayan Racing Association) APPLICATION FOR PROFESSIONAL / APPRENTICE JOCKEY LICENCE Under PART III Rule 9 and PART VI Rule 43 of the MRA Rules of Racing (This form should be completed in Full and in Block Letters) To : General Manager & Secretary Perak Turf Club I hereby submit my application for a Professional / Apprentice Jockey s licence and a non-refundable fee of RM265.00 (inclusive 6% GST). I accept that the Perak Turf Club has the absolute discretion to grant or refuse to grant a jockey s licence to me notwithstanding that I meet all the criteria and requirements of the granting of a jockey s licence. I also accept that my licence maybe withdrawn at anytime, at the discretion of the Perak Turf Club. SECTION I - PERSONAL PARTICULARS: Full Name : Name in Chinese Character : (For Chinese Applicant) Riding Name : NRIC No./Passport No. : (Underline Surname) Please attach One (1) colour photo here For Office Use Postal Address : Telephone/ Handphone : Email : Emergency contact number : Date of Birth : Citizenship : Marital Status : Number of Children : Revised as at 20 June 2017. Page 1 of 9
SECTION II - EDUCATION: For Office Use Name of School Year Qualifications SECTION III - RACING INDUSTRY EXPERIENCE: (You must attach testimonial(s) from former employer(s) and/or licensing records from licensing authority overseas as proof of your appointment as indicated below): From Year To Appointment Held (Please Specify) Name of Racing Authority Issuing The Licence (Please use a separate sheet if necessary) NO. OF RIDES AND WINNERS IN THE PAST THREE YEARS: Year No. of Rides No. of Wins No. of 2 nd Placings No. of 3 rd Placings Ranking Racing Authority Total Earnings MAJOR ACHIEVEMENT/S: Name of Race Year Name of Horse Ranking (Please use a separate sheet if necessary) Revised as at 20 June 2017. Page 2 of 9
SECTION IV - MAJOR DISCIPLINARY OFFENCES (OFFENCES THAT LED TO SUSPENSIONS / DISQUALIFICATION OF 3 MONTHS OR MORE): Date OFFENCES Period of Suspension / Disqualification (Please use a separate sheet if necessary) Have you been charged for any criminal offence and/or have pending criminal proceedings in any court of law? SECTION V - CURRENT FINANCIAL STANDING Do you or any of your immediate family own, lease or in any way have any interest in any racehorse registered with the Association? Are you the owner of or do you hold any interest in any racehorse? Are you an undischarged bankrupt? Revised as at 20 June 2017. Page 3 of 9
SECTION VI - PHYSICAL STATURE: Height : metres cm Weight : kgs Riding Weight : kgs Eyesight : vision without glasses as in medical report SECTION VII - CURRENT LICENSING AUTHORITY: Racing Authority to which reference is to be made for Clearance and Disciplinary Records: Name of Racing Authority : Address : Telephone : Fax : Have you ever had a licence disqualified, revoked, suspended, withdrawn, warned off, fined or refused by any Racing Authority? If yes, please give details. SECTION VIII - INFORMATION: Any information (including personal data and sensitive personal data) provided by the applicant may be held by the Perak Turf Club and/or the Malayan Racing Association in their computer records, and such information may be properly disclosed to other agencies registered to receive such information in connection with the management, regulation and integrity of horseracing and otherwise used or disclosed by the Perak Turf Club and/or the Malayan Racing Association in connection with the regulation of horseracing generally. Revised as at 20 June 2017. Page 4 of 9
SECTION IX - DECLARATION: 1. I acknowledge that when riding under the Rules of Racing, there is a very high risk of injury to me in comparison to other sporting activities and that such risk can come from other riders and horses. I accept that by taking part in horseracing under the Rules of Racing my physical safety could be endangered and that neither the Perak Turf Club and/or the Malayan Racing Association nor the organisers have a responsibility to assess the skill and experience of the riders and horses taking part. 2. If my application is granted, I undertake to make myself conversant with those Rules of Racing and Regulations that may be applicable to me. 3. I undertake to notify the Perak Turf Club or the Malayan Racing Association within 7 days if I am convicted of any criminal offence (other than motoring offences), or I become bankrupt. 4. I undertake to notify the Perak Turf Club or the Malayan Racing Association within 7 days of any change to my home address, registered mobile or home phone number. 5. The Perak Turf Club undertakes to consider this application in accordance with and subject to the Rules of Racing, Regulations and the criteria and procedures approved from time to time by the Perak Turf Club or the Malayan Racing Association. 6. I agree to be bound in all respects by the Rules of Racing and Regulations of the Malayan Racing Association and Perak Turf Club, as may from time to time be amended and/or added to. 7. I agree that, in the event I am suspended, I will not during the period of suspension ride in any race in any of the Associated Clubs in Singapore and Malaysia or in any other recognised overseas racing authority. 8. I agree that, in the event I am disqualified, I will not during the period of disqualification, i. ride in any race in any of the Associated Clubs in Singapore and Malaysia or in any other recognised overseas racing authority; and Revised as at 20 June 2017. Page 5 of 9
ii. seek any employment in any racing stable in any of the Associated Clubs in Singapore and Malaysia or in any other recognised overseas racing authority except with the written permission of the Committee of the Perak Turf Club or the Committee of Malayan Racing Association; and iii. enter any weighing room, stand, enclosure or racecourse in any of the Associated Clubs in Singapore and Malaysia or in any other recognised overseas racing authority except with the written permission of the Committee of the Perak Turf Club or the Committee of Malayan Racing Association. 9. I agree to accept as final the decisions made in accordance with the Rules of Racing and Regulations by the Committee of the Perak Turf Club or the Committee of the Malayan Racing Association or their duly appointed Stewards. 10. I agree not to seek any remedy available in law in a court of law in respect of anything done or omitted to be done under the Rules of Racing and Regulations until and unless I have exhausted all remedies provided by or under the Rules and Regulations in respect of anything done or omitted to be done. 11. I consent and authorise the Perak Turf Club and/or the Malayan Racing Association or its agents to make enquiries to, and ascertain from, all appropriate authorities whether there is anything known or shown on records which could be relevant to the decision to grant me a licence or not. Such authorities shall include, but are not limited to, credit reference agencies, Criminal Records Bureau and/or any police authority in other jurisdictions, and any Turf Authority in other jurisdictions. 12. Further, I hereby consent to and authorise such authorities to provide such information about me to the Perak Turf Club or the Malayan Racing Association. Revised as at 20 June 2017. Page 6 of 9
13. I confirm that I have disclosed any information known to me which might reasonably be said to be relevant to the consideration of my application and that I meet each criteria relevant to my application. I understand that if the Local Committee of the Perak Turf Club considers that I have knowingly omitted material information, it may reject my application. I further understand that the Local Committee reserves the right to factor any relevant information into the assessment of my suitability for a licence. During the currency of my licence, I undertake to notify the Perak Turf Club or the Malayan Racing Association immediately of any matter or change of circumstance, which could reasonably be said to be relevant to my position as a Licensed Jockey. 14. I accept that if any of the aforesaid declarations are found to be untrue or inaccurate, this would constitute sufficient grounds for the cancellation of my licence, and possible further disciplinary action. 15. To the best of my knowledge and belief, the foregoing particulars as completed in this Application Form are accurate and true. Name of Applicant Signature of Applicant & Date Name of Master Signature of Master & Date (Only applicable to application for Apprentice Jockey Licence) Revised as at 20 June 2017. Page 7 of 9
PERAK TURF CLUB S JOCKEY LICENSING CRITERIA 1. An applicant for a Club Licenced Jockey Licence must: i. have good riding and disciplinary records; ii. have satisfactory performance over the last three years; iii. produce a written recommendation by the Stipendiary Stewards; iv. pass a medical examination by a doctor approved by the Association; v. not have record of any criminal or bookmaking offences; vi. not exceed fifty-five (55) kilogrammes in riding weight; and vii. be not more than the age of sixty (60) years. 2. In addition to satisfying the criteria set out in Regulation 26.1, an applicant for a Jockey Licence must: a. be a citizen of either Malaysia or Singapore; b. hold or have held an Associated Club Licence or MRA Jockey Licence or an overseas Jockey Licence issued by a recognised overseas racing authority OR must be a graduate of a recognised Apprentice Training School and have served as an apprentice; c. satisfy the criteria of the respective Associated Club as may be determined from time to time: and d. have passed an examination on the MRA Rules of Racing set by the Stipendiary Stewards Notwithstanding that the criteria and requirements for the grant of a jockey licence set out in this form are intended to be compiled with by the applicants, applicants for a jockey licence who satisfy the criteria and requirements are not entitled, as of right, to a jockey s licence. The Associated Club has the absolute discretion to grant or refuse to grant a jockey s licence. Revised as at 20 June 2017. Page 8 of 9
PERAK TURF CLUB S APPRENTICE JOCKEY LICENSING CRITERIA 1. Apprentice Jockey Licensing Criteria.1 An applicant for an Apprentice Jockey licence must: (a) (i) have successfully completed an associated Club s Apprentice Jockey training programme with a training school approved by the Association and be issued with a certificate to this effect; or (ii) (iii) have successfully completed an Apprentice Jockey training programme with a training school and has a proven performance record; or hold, or be eligible to apply for, the equivalent of an Apprentice Jockey licence issued by an overseas racing authority and has a satisfactory riding and disciplinary record from an overseas racing authority; (b) (c) (d) (e) (f) (g) pass a riding competency test conducted by the Stipendiary Stewards; pass a test on the MRA Rules of Racing; be able to claim an allowance and his riding weight must not exceed fifty (50) kilogrammes; pass a medical examination; be between sixteen (16) years and before attaining the age of twenty-six (26) years when he or she commences apprentice jockey training; and be recommended by the Stipendiary Stewards..2 An applicant must not have record of any criminal or bookmaking offences..3 Subject to the discretion of the Local Committee under Regulation 27, an applicant must not have held an Apprentice Jockey licence for a period of more than an aggregate of five (5) years prior to the application. Notwithstanding that the criteria and requirements for the grant of an Apprentice Jockey licence set out in this form are intended to be compiled with by the applicants, applicants for an Apprentice Jockey licence who satisfy the criteria and requirements are not entitled, as of right, to an Apprentice Jockey s licence. The Associated Club has the absolute discretion to grant or refuse to grant an Apprentice Jockey s licence. Revised as at 20 June 2017. Page 9 of 9