rally FORMS

Soukromý odkaz na přihlášku pro jezdce

Welcome!

You are in the event application Bohemia Rally Mladá Boleslav 2025. The application is divided into individual parts, each part serving for another purposes and it also has a different deadline by which this section can be edited. Po vyplnění a odeslání přihlášky vám přijde na uvedenou kontaktní e-mailovou adresu potvrzovací e-mail s adresou pro editaci/doplnění údajů. All the documents, such as a technical card, etc., are generated from the above data, so if you fill in all the data, you will no longer need to re-write this data, we will have it available.

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Mistrovství České republiky v rally historických automobilů

Basics

Contact e-mail

Billing information

ID Zadané IČO neexistuje

VAT number

Company name / Name

Street

City

ZIP Code

Races *

Championship of the Czech Republic in the Historical Car Rally

Participants deadline for editing:

Team name

Address

Streat, house number

City

ZIP Code

Stát

Cell phone

E-mail

Driving licence no.

Country of registration

Part. type

Driver deadline for editing:

First name

Last name

Birth date

Cell phone (car)

Cell phone

E-mail

Driver's license number

Driving licence no.

Země vydání

Address

Streat, house number

City

ZIP Code

Stát

Co-driver deadline for editing:

First name

Last name

Birth date

Cell phone (car)

Cell phone

E-mail

Driver's license number

Driving licence no.

Země vydání

Address

Streat, house number

City

ZIP Code

Stát

Car deadline for editing:

Class / Category / Group *

Championship of the Czech Republic in the Historical Car Rally

Brand

Model

Year of manufacture

Homologation no.

Volume (cm3)

Registration mark

Číslo karoserie (VIN)

Engine no.

Tech. Passport no.

Registration country

Please name the attachments to make it clear what they contain. If you want to upload multiple attachments at once, just select multiple files and choose to open.

List of required documents :

Mistrovství České republiky v rally historických automobilů

international Licences of Competitor
authorisation to compete abroad for Competitors with Licences issued by another ASN than the organising ASN
health insurance if both drivers
driving licences of both drivers
the consent of the vehicle owner, unless it is one of the crew members members Viz také member
car registration papers
car insurance papers
international Licences of Driver and Codriver

Attachments

Attachments to upload

Nahrávání souborů

Vybrat soubory

Priority deadline for editing:

FIA Priority

ASN Priority

Year of last FIA priority

Year of last ASN priority

Úspěchy 2024 a novější (rok, soutěž, vozidlo, skupina, umístění absolutní, umístění ve třídě, počet klasifikovaných v cíli)

Úspěchy 2023 a starší (rok, soutěž, vozidlo, skupina, umístění absolutní, umístění ve třídě, počet klasifikovaných v cíli)

Reconnaissance vehicle deadline for editing:

Brand

Type

Color

Registration mark

Shakedown deadline for editing:

The participation fee is Kč.

Participation at shakedown

Total 0 Kč / 0 €

Special wishes in the service car park deadline for editing:

The organizer will allocate an area of 100 m2 for each competition vehicle of priority drivers and an area
80 m2 for each vehicle of other drivers.
The organizer will allow the crews to purchase more space in the service parking lot. The price for this service is 150 CZK per 1 m2.
Special requirements for the service area (location, enlargement of the area, connection of electricity, purchase of a commercial package, any other services) must be delivered to the organizer in writing together with the application. After the application deadline, any additional service request is charged at CZK 2,000 / € 90. It is strictly forbidden to damage the surface of the service parking lot in any way (drilling, nailing, painting, ...). Violation of this condition will result in a fine of CZK 5,000 and the elimination of the defect is required.

Reconnaissance vehicle
Reconnaissance vehicle (1 pc, without a Roadbook)	2000 Kč / 100 €		0 Kč / 0 €
Please enter the following information about the reconnaissance vehicle separated by a semicolon: Crew name, vehicle type and brand, registration mark and telephone number on which the crew of the reconnaissance car will be available throughout the competition.
		Total:	0 Kč / 0 €
Designation of person
Designation: Host (tag only)	250 Kč / 12 € / pc		0 Kč / 0 €
Označení Servis (včetně automobilu)	250 Kč / 12 € / pc		0 Kč / 0 €
Designation: Manager (car included)	250 Kč / 12 € / pc		0 Kč / 0 €
Designation: Host (car included)	250 Kč / 12 € / pc		0 Kč / 0 €
Designation: Host (tag only)	50 Kč / 3 € / pc		0 Kč / 0 €
		Total:	0 Kč / 0 €
Equipment
Extra road book	1000 Kč / 50 € / pc		0 Kč / 0 €
		Total:	0 Kč / 0 €
Packages
Komerční balíček (50 m2 navíc v servisním parkovišti, označení na vozidlo 1 x SERVIS, označení pro personál 2 x MECHANIK dále označení na vozidlo 4 x HOST* a označení osob 8 x HOST) (pouze pro MČR)	9000 Kč / 450 €		0 Kč / 0 €
		Total:	0 Kč / 0 €
Service space
Extra service area	150 Kč / 7 € / m2		0 Kč / 0 €
Chemical WC (1 pc)	2000 Kč / 100 € / pc		0 Kč / 0 €
Single cleaning	500 Kč / 25 € / pc		0 Kč / 0 €
Electricity	4000 Kč / 200 €		0 Kč / 0 €
		Total:	0 Kč / 0 €

Complementary wishes

Total 0 Kč / 0 €

Starting fee* deadline for editing:

Championship of the Czech Republic in the Historical Car Rally

Total 0 Kč / 0 €

Total to pay

0 Kč / 0 €

(Entry form is valid after paying the entry fee and providing the payment receipt.)
Bank: FIO Bank, BIC: FIOBCZPPXXX, Account no.: 2701567092, Sort Code: 2010, IBAN: CZ1520100000002701567092

I agree with the processing and recording of personal data pursuant to Act No. 101/2000 Coll., As amended, and the possible use of such data for other rallies in the Czech Republic.