Entry Form Drivers

Please complete your entry information below


First name

*

Prefix

Last name

*

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 GENERAL INFORMATION

Picture of yourself



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Gender

*

Date of birth

*

Nationality

*

*Other nationality

Email

Phone number

Phone number in case of emergency

*

Relation to emergency contact

*

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 LICENSE INFORMATION

License number

*

License nationality

*

*Other license nationality

Copy 2019 license (Front & Back side)



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Authorisation ASN



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 GENERAL DATA PROTECTION REGULATION

Because of the new General Data Protection Regulation which came in force at 25 May 2018, we need your permission that we are allowed to collect and use your personal information for the described purposes in our privacy statement.

 

Select the link below to view our privacy statement:

PRIVACY STATEMENT - CREVENTIC (24H SERIES)

Personal data

*

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