Formulir Pendaftaran Jr(2)
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FORMULIR PENDAFTARAN KFC JUNIOR RALLY CHAMPIONSHIP 2009
ENTRANT
DRIVER
NAVIGATOR
Nama Team/Entrant Nama Manager Nama Kecil Tanggal Lahir Provinsi / daerah Alamat Alamat Koresponden Telepon Kantor Telepon Rumah No. Mobile Phone No. Fax Alamat e-mail No. Kartu Ijin Start No. Entrant Lisensi No. SIM
DETAIL KENDARAAN Merk Model Tahun Pembuatan Group/ Kelas No. Homogolation
No. Reg./ Polisi cc No.Chassis No.Mesin Warna
PENDAFTARAN Putaran Pendaftaran KFC JUNIOR RALLYCHAMPIONSHIP 2009
3
4
2 WD
4WD
Pendaftaran KELAS KHUSUS
Kategori Pendaftaran Memasang Stiker Iklan Panitia Kwitansi No.
J
S Entrant Ya
Professional 2WD 4WD Privateer Tidak
ENTRANT
DRIVER
NAVIGATOR
Nama Team/Entrant Nama Manager Nama Kecil Tanggal Lahir Provinsi / daerah Alamat Alamat Koresponden Telepon Kantor Telepon Rumah No. Mobile Phone No. Fax Alamat e-mail No. Kartu Ijin Start No. Entrant Lisensi No. SIM
DETAIL KENDARAAN Merk Model Tahun Pembuatan Group/ Kelas No. Homogolation
No. Reg./ Polisi cc No.Chassis No.Mesin Warna
PENDAFTARAN Putaran Pendaftaran KFC JUNIOR RALLYCHAMPIONSHIP 2009
3
4
2 WD
4WD
Pendaftaran KELAS KHUSUS
Kategori Pendaftaran Memasang Stiker Iklan Panitia Kwitansi No.
J
S Entrant Ya
Professional 2WD 4WD Privateer Tidak
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