Online Entry 2024-25 2024-25 Abu Dhabi Baja Challenge Team Name( Enter name ONLY if you have an entrant licence issued by EMSO or another FMN/ASN ) Entrant License Number Entrant LicenseMax. file size: 8 MB.Competitor Name/Last name Nationality(Required) Date of Birth(Required) MM slash DD slash YYYY Gender(Required) Male Female Competition License Number(Required) Mobile Number(Required) Email(Required) Emergency Contact Name(Required) Relationship Emergency contact Number(Required) Instagram URLKindly add your Instagram profile Facebook URLKindly add your Facebook profile Co-Driver Name/ Family name(If Applicable) Co Driver Competition License(If Applicable) Competitor Racing HistoryVehicle Make(Required) Vehicle Model(Required) Vehicle Color(Required) Vehicle Type(Required) Motorcycle Quad Auto SXS Class of vehicleMoto Class(Required)450ccWomenJuniorVeteransOver 450MarathonQuadAdventureAuto Class(Required)T1T2T3T4SXS(Required)SXS PROSXS PRO -AmRacing Number – Motorcycle(Required)Racing Number must be from #2 to #99, Please choose 2 preferred racing numbers as per the below information. Numbers will be applied based on availability. Racing Number – Quad(Required)Racing Number must be from #102 to #199, Please choose 2 preferred racing numbers as per the below information. Numbers will be applied based on availability. Racing Number – Auto(Required)Racing Number must be from #202 to #299, Please choose 2 preferred racing numbers as per the below information. Numbers will be applied based on availability. Racing Number – SXS(Required)Racing Number must be from #302 to #399, Please choose 2 preferred racing numbers as per the below information. Numbers will be applied based on availability. Select Rounds(Required) Round 1, 12th of October 2024 (350 AED moto & quad, 750 AED auto & buggy) Registration Closes On 7th of Oct Round 2, 3rd of November 2024 (350 AED moto & quad, 750 AED auto & buggy) Registration Closes On 28th of Oct Round 3, 11th of January 2025 (350 AED moto & quad, 750 AED auto & buggy) Registration Closes On 6th of Jan Round 4, 12th Of April 2025 (350 AED moto & quad, 750 AED auto & buggy) Registration Closes On 7th of Apr Competition License(Required)Max. file size: 3 MB.Emirates ID(Required)Max. file size: 3 MB.Start Permission(required only for non-EMSO license holders)Max. file size: 3 MB.(Required) I, the undersigned take part in the Abu Dhabi Baja Challenge at my own risk. I exonerate from any and all liability for any loss, damage or injury, which I may incur in the course of the event and, furthermore, I undertake to indemnify and hold harmless from and against any and all liability to third parties for any loss, damage or injury for which I am jointly and severally liable, the FIA, the FIM,EMSO, the Organizers and officials, their employees, officers and agents. I understand that the ASN/FMN Stamp authorizing NON EMSO license holders to enter this competition or “Start Permission letter” from the ASN/FMN, which is issued to the competitors competition license, addressed to EMSO. Start Permission MUST confirm that both Medical and Repatriation insurance are valid in the UAE. By signing the entry, I authorise the organizer to use my image, Photo, or Video as well as that of my vehicle & to publish my tracking position to the public during Abu Dhabi Baja Challenge.
