AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) - Morac Adventure Park
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AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com Go Langkawi 6hr Endurance Race 6 Hour Endurance Race – 14th– 15th November 2020 Regulations 1. Overview of Event The Go Langkawi 6hr Endurance Race 2020 is an international ranking race event that is held at Morac Adventure Park, Langkawi, organized under CIK-FIA Leisure Karting Guidelines and sanctioned by the Motorsports Association of Malaysia. All teams participating in the Go Langkawi 6hr Endurance Race 2020 automatically gain a worldwide ranking on the Sodi World Series platform. This race is the start of Morac Adventure Park’s endurance race series. This event is a private event run on a commercial ‘arrive and drive’ basis and open to entry by individuals and corporate groups using leisure karts supplied by the Morac Adventure Park, Langkawi. 2. Description of Event This is a 6 (Six) Hours Endurance race comprising of driving day time driving over a period of 2 days. Each team shall consist of 3 (three) to 6 (six) drivers. The price per team includes the usage of the in-house SODI SR4 karts, a full tank of fuel for the practice and competition, 2 brand new sets of tires to be used throughout the competition. All damages will be charged based upon the damage chart stated in Clause 22. The consumption of alcohol and any psychotropic substance is STRICTLY PROHIBITED during the event. Any driver or team member found consuming alcohol or illegal drugs and within the competition area will be removed from the circuit and the team excluded from the event. 2.1 Driver Regulations All drivers have to be above 150 cm in height. All drivers below the age of 18 years have to get a signed waiver certificate by a parent or guardian to be allowed to compete. All drivers with medical conditions have to inform the track doctor prior to starting the race. After an examination, it is on sole discretion of the doctor to give the driver an approval to race. No compensation or monetary reimbursement will be given to the registered participant if deemed unfit to drive. All drivers must be in possession of a current MAM competition licence valid for the event. One event licences can be applied for at the track on Saturday 14th November subject to a fee payable to the MAM. All MAM fees are payable directly to the MAM staff on duty and are separate from the entry fees which are payable to Morac Adventure Park. 3. Event Date 14th - 15th November 2020
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com *Morac Adventure Park reserves the right to change the date. 4. Status of Event This is a leisure karting event, and is sanctioned by the MAM (Motorsports Association of Malaysia). 5. Organizer Morac Adventure Park Lot 67, Pantai Cenang, Mukim Kedawang, 07000, Langkawi. Kedah. Tel: +6 04 955 2727 Fax: +6 04 955 3327 Email: info.amprex@gmail.com Web: www.moracadventurepark.com 6. Entries Call +60 4 955 2727 or Mobile +60 12 957 3327 to book your slot. 6.1 Entry Confirmation Entries will only be valid after: (a) The official entry and indemnity forms with all the drivers’ details are submitted to Morac Adventure Park, Langkawi fully completed. (b) All drivers MUST fill in and sign the indemnity and the entry forms individually. (c) A down payment of 50% has to be paid to Morac Adventure Park, Langkawi, on a first come first served basis. Until this down payment is received, the team entry is not confirmed. If the 100% payment is not received before the event, the entry will be rejected. (d) The 50% balance of the entry fee is to be paid at least five days prior to the race event entered. (e) The maximum number of starters for this event shall be 20 and the first 20 fully paid up entries will be considered firm. All other subsequent entries will be placed on the “wait list” in order of full payment and will be offered any free slots if available. The final decision on the acceptance of entries will be with Morac Adventure Park and their decision shall be final. Entries not accepted will be refunded the entry fees in full. 6.2 Entry Fees 6-hours Endurance Race - RM 4,000.00 per team Entry fee includes the following: (a) Sodi leisure kart fully equipped with engine, with a full tank of fuel and new tires (b) Practice – 1 new set of tires (4 pcs) (c) Qualifying – Use the tires from the Practice session (d) Race – 1 new set (4 pcs) and during the race 2 Front tires ONLY
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com (e) Fuel for the duration of the event 6.3 Entry Cancellation Should an entry be cancelled prior to three weeks in advance of the event then a full refund of the entry fee submitted will be made, less an administration fee of RM 1,000/- In case of any cancellation of entry within three weeks of the event, the penalty shall be RM 2,000 which will be deducted from the entry fee. Should, for whatever reason, Morac Adventure Park, Langkawi is forced to cancel an event then the event will be rescheduled and all entries received for it will be automatically transferred to the rescheduled event. 7. Provisional Event Program Saturday 14th November 2020 12:00 - 13:50 Registration/weight check/check driver’s equipment 14:00 - 15:00 Team and driver briefing / Drawing of lots for karts 15:30 - 17:30 Free Practice 17:50 - 18:20 Qualifying 18:40 - Official Qualifying results and Starting Grid 19:00 - Welcome dinner 8. Provisional Event Program Sunday 15th November 2020 09:00 - 09:10 Warm up 09:15 - 09:20 Pits Open 09:20 - 09:25 Form up of Starting Grid 09:25 - 09:50 Grid Walk + Photo Session 09:55 - 10:00 Start engines by Grid Marshals 10:00 - 16:00 Race Start 16:00 - 16:30 Official Results announcement 16:30 – 17:00 Podium Ceremony 9. Safety Equipment Any form of motor racing is dangerous and as a minimum the following safety equipment must be worn by all competitors. It will be sole right of the Organizers to determine whether any equipment used by a driver is safe and the driver is obligated to comply with any request to change. Refusal to do so will mean exclusion from the event. (a) Clothing of heavy material that fully covers the arms and legs. (b) Gloves that fully enclose all fingers are recommended. (c) A helmet that is accepted to be used on public roads. (d) Helmets must have a visor.
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com (e) Closed Shoes are compulsory. Slippers, sandals or half covered slip ons are prohibited. 10. Kart Damage or Failure In case of an incident or mechanical failure on the track the driver must make his/her way safely to the pits with the kart where the Morac Technical crew will endeavor to rectify the problem to the best of their ability. If, however the problem cannot be rectified the driver will have to withdraw from the race. There will be no replacement of kart or any major components. There will be no recovery of any karts broken down on the track during the race. Note: Drivers are not permitted to push a kart back to the repair area and are not permitted to carry parts to the disabled kart on the circuit to affect repairs. No compensation in time, laps or race fees will be given to teams who experience mechanical failure. 11. Refueling All karts will be refueled by the Organizer prior to the start of the qualifying and final race. During the race there will be 1 (one) FUEL STOP. The refueling stop is MINIMUM 1 MINUTE. The teams shall determine when they wish to carry out the fuel stop and inform the Chief Pit Marshal who will inform the team when a slot is available. All fuel tanks will be filled to the same capacity at the start of the race. Each team will be assigned 7 liter cans for refueling. During the time of refuelling, the driver has to vacate the Kart. 12. Pit Lane Behavior Drivers coming into the Pit Lane for a driver change, tire change or fuel stop shall do it without causing any incident. As there are a limited number of pits for pit stops, it shall be the responsibility of the Team Manager to ensure that there is an empty pit available when coming in. If all pits are occupied the incoming kart must queue at the end of the pit lane and wait until a pit is available. At all times karts coming in for a driver change or pit work must park fully in a bay on the left side of the pit lane and the right lane is to be kept clear for karts exiting or coming in for a fuel or tyre stop. Karts leaving their pits after a pit stop must ensure that they are not exiting in a dangerous manner or impeding a kart already on the right lane. Note that a kart not parked fully in a bay (i.e. with part of the kart outside the line) will be considered as creating an obstruction. Any obstruction to another kart whether deliberate or not will entail a severe penalty imposed by the Clerk of the Course. 13. Teams & Drivers (a) Two (2) categories Class 1 and Class 2 Class 1 is an OPEN CLASS
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com This is mainly for the experienced drivers. However, a less experienced team can opt to compete in this category if they choose to do so. Class 2 is a RESTRICTED CLASS This class is meant for drivers who are new to motor sports and are being issued a competition licence for the first time in this event. his category will be strictly monitored and if any driver/team competing in this category is found to be in breach of the license rule, the whole team will be DISQUALIFIED from the race. All drivers in this class must sign a declaration that they have NEVER previously been issued a competition license for any form of motor sports, two or four wheels. If the breach is discovered before the event the team may replace the driver without penalty but if it is discovered during or after the event, it will mean disqualification of the team from the event. (b) Every Team must take part in the Official Practice. 14. Driver Stint Limitations & Pit Stops (a) Maximum Driver Stint Time: Driving stints will be limited to 30 minutes as the Maximum Driver Stint Time. Total driving time per driver shall not exceed 40% of the total duration of the race. A driver CAN NOT take back to back stints. (b) Pit Stops: Drivers may come into the Pits at any time with no limit on the number of stops. The team manager has to manage the team pit stop strategy throughout the race. (c) Time Keeper: The official time keeper will keep a record of when the drivers sign in and out. The team manager has to ensure the drivers sign the team’s official Log in/ Log out sheet at the right time to avoid any penalties. (d) Driver Change: All the driver changes will be done in the pit lane. ONLY 2 PEOPLE (replacement driver plus one person) per team will be limited to be around the team’s pit box at the driver change time. ONLY 1 PERSON will be allowed to go to the pit wall to give signals, and only when the kart is passing. (e) Tire Change: All the tire changes will be done in the Tire Change Bay IN the Pit Lane. ONLY THE DRIVER will be permitted to be around the tire change bay during the tire change time. Tire changes will be carried out only by Morac Adventure Park crew and competing team members are not to get involved in the process. Tire change pit stop time will be 1 minute. During the time of tire change, the driver has to vacate the Kart. (f) Speed in Pit Lane:
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com All karts driving between the Pit Entry and Pit Exit cones, must do so at walking speed. Karts traveling above walking speed will be penalized. 15. Start Procedure The start of the race will be a Le Mans start. All teams are to adhere to the following race start procedure: (i) When all karts in formation, all kart engines will be started by Morac Adventure Park Pit Crew. Each Team to assign a spare driver to hold the kart during the start. He/she is NOT permitted to assist by pushing the kart at the start. (ii) Karts will be lined up in a row on the track in front of the pit wall at an angle and the drivers starting the race will stand on the opposite of the track facing their karts. (iii) On the waving of the “Start Flag” the drivers will run to their karts and start the race by being mindful of not causing any unwanted incident. (iv) No contact/bumping will be allowed at any time during the start and “jockeying” or bumping for position and will incur a penalty for “Dangerous Driving”. 16. Finish At the end of 6 (six) hours which will be shown on the track display, the Chequered Flag will be waved to the race leader as he/she crosses the Finish Line. To be classified as a Finisher, a kart must cross the Finish Line under its own power with the driver seated in the normal driving position, not more than three minutes after the fall of the Chequered Flag. As soon as the Chequered Flag has been shown to a driver at the end of the race, he/she must proceed directly, using only the authorised route, to the Parc Ferme. 17. Flags The following flag signals will be used and will be strictly enforced. (a) Stationary Yellow flag: A stationary yellow flag will be before an incident and any driver not slowing for a yellow flag or overtaking under a yellow flag will receive a penalty for causing unnecessary danger to others. A Green flag will be shown at the next post after the incident. (b) Waved Yellow: In case of any incident on the track where a kart is stationary and / or the track is blocked with debris or fluids, a waved yellow flag will be displayed before the incident. All karts must reduce speed dramatically and overtaking will not be allowed. Not reducing speed under these conditions will incur a severe penalty. Causing an accident while there is a waved yellow flag will entail instant disqualification. Racing speeds can only resume when the Green flag is displayed after the incident. Pit Entry will remain open when Yellow flags are shown. (c) Rain Procedures: In the event of rain, the Clerk of the Course will decide that on whether the race to continue or to be Red flagged. (d) Red Flag Procedure:
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com This is to indicate that the race has been SUSPENDED and all racing must stop. Once the Red Flag is displayed all karts shall proceed at walking pace to the pit lane, lining up behind one another in a single file on the right-hand side of the pit lane. In some cases, where there might be an incident, flood or obstruction on the main straight or corners leading onto the main straight, drivers must obey the instructions of the officials and stop where directed. Once stopped, Drivers shall leave the ballast weight in the kart, remove their DRIVER ID badge and place it in the kart seat. The drivers may then return to the pits and await instructions. NOBODY, except race officials, are allowed on the track or near the karts. Once the incident or rain conditions have been cleared/eased, the karts will be arranged in single file in order as per official timing count back of 1 lap prior to the Red Flag being shown. A countdown to resume the race will be announced and racing will start again only when the Green flag is shown to the leading kart after at least one formation lap with all karts running in a single file (e) Black and White Double Diagonal It warns the driver of unsportsmanlike conduct. Flag is used only once per competitor per race. and will be shown with the kart number on a signaling board. Repeated offence will result in the Black Flag being shown. (f) Black Flag: Shown motionless with a signaling board bearing a kart number at the Start / Finish line, on instructions from the Clerk of the Course. It instructs the driver to stop at the pits on the next lap and report immediately to the Clerk of the Course. This flag usually follows the Diagonal Black and White flag for a repeat offence. It usually means disqualification from the race. (g) Chequered Flag: End of Race. Slow down and return to the Pits. 18. Driver Behaviour The team manager will be responsible for the behaviour of all his/her team, including drivers and any other associated personnel. At all times he / she will be the person spoken to by the officials of the meet either with or without the presence of the driver. Should there be a breach of the safety rules or any unsporting behaviour on the race track, in the pits or in the paddock at any time, the team concerned will be penalized at the absolute discretion of the organizers. The penalties at the organizers disposal will include time penalties and the suspension of the right of individual drivers or even complete teams to participate in the event or the right to participate in any other events promoted by the organizers in the future. Participants are reminded that by the very nature of this event, there will be speed differentials on the track and that patience and respect for their fellow competitors will be required. This is an endurance event and short-term advantage is therefore of limited benefit. 19. Drivers Weight
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com All drivers will be weighed at the beginning of the event with racing gear, this includes the racing suit, boots and helmet. If a driver does not report for weigh in, he will not be permitted to drive. 20. Kart Ballast The minimum weight per driver for this race is 70kgs (i) 3 Driver Team Gross minimum weight for all 3 drivers - 210 kg. Ballast for every 10 kg short will be 2.5 kg. (ii) 4 Driver Team Gross minimum weight for all 4 drivers - 280 kg. Ballast for every 10 kg short will be 2.5 kg. (iii) 5 Driver Team Gross minimum weight for all 5 drivers - 350 kg. Ballast for every 10 kg short will be 2.5 kg. (iv) 6 Driver Team Gross minimum weight for all 6 drivers - 420 kg. Ballast for every 10 kg short will be 2.5 kg. The ballast weight will be placed in the assigned karts and will remain there until the end of the event. 21. Prizes At the end of the event and when the final results are announced prizes will be distributed to the teams as follows: CLASS 1 Champion Cash Voucher worth RM 4,000 2nd Place Cash Voucher worth RM 2,000 3rd Place Cash Voucher worth RM 1,000 CLASS 2 Champion Cash Voucher worth RM 4,000 2nd Place Cash Voucher worth RM 2,000 3rd Place Cash Voucher worth RM 1,000 22. Damages Damage to the kart and equipment during the course of the event will be charged to the team as follows:
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com Damages Charge Brake and LED lights RM 50 Front tires RM 70 Rear tires RM 90 Front Bumper or Front Fender RM 100 Rims and Tie Rods (each) RM 100 Side Fender RM 150 Steering Column RM 200 Stub Axle RM 230 Rear Bumper RM 250 Rear Axle RM 600 23. Penalties Note that during Stop / Start penalties, no driver change is permitted. Description Penalty 1 Disobeying Yellow Flag 30 seconds Stop / Start penalty 2 Excessive blocking or weaving 30 seconds Stop / Start penalty Not Adhering to the maximum 3 2 laps removed from total laps done driving time Stop / Start penalty or Penalty of up 4 Bumping / Contact to 1 lap removed at the discretion of the Clerk of the Course 5 Ignoring a black flag Team Disqualification Unsportsmanlike conduct to other 6 Team Disqualification drivers, officials or organizers 7 Breach of Class 2 regulations Team Disqualification 8 Late or missing Drivers’ Briefing 1 lap removed from total laps done 9 Dangerous driving 2 laps removed from total laps done
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com Offensive language, accusations verbal or written, or through any form of media; or any such 10 Team disqualification from the event behavior deemed to be bringing the championship or sport into disrepute Stop / Start penalty or Penalty of up 11 Poor conduct in Pit Lane to 1 lap removed at the discretion of the Clerk of the Course 12 Not complying with Start Procedure 1 lap removed from total laps done 24. Organizers Rights In order to continuously improve the organization of the SWS; SODIKART and Morac Adventure Park, Langkawi reserves the right to change without notice these SWS & MORAC ADVENTURE PARK REGULATIONS at any time. The corrected or amended Regulations will then be immediately posted on the SWS AND Morac Adventure Park websites and social channels and it is the responsibility of competitors to keep in touch with any changes. 25. Indemnity A separate form is to be signed by all the driver in every team. Motor sports is dangerous. and despite the organizers taking all reasonable precautions and ensuring that there are adequate safety and medical facilities, Motorsports Association of Malaysia, Morac Adventure Park, Amprex Langkawi Circuit Sdn Bhd, and SODIKART will not be held responsible for material or bodily harm that may be suffered by any drivers or their accompanying persons as part of their participation in Morac Adventure Park SWS 2020 race events held at Morac Adventure Park, Langkawi. Participants in SWS recognize and accept the risks associated with the practice of physical activity during racing and undertake to indemnify Motorsports Association of Malaysia, Morac Adventure Park, and SODIKART against all claims or costs arising out of or participating at any event organized by Morac Adventure Park, Amprex Langkawi Circuit Sdn Bhd and SODIKART. All participants are required to sign indemnities accepting the inherent risks prior to their taking part in an event. By doing so they are signing an undertaking that they are not suffering from any medical condition, either permanent or temporary, which could affect prejudicially their normal control of the vehicle with regard to the speeds likely to be attained during the event. The pit garages and pit lane are strictly non-smoking areas. No person under the age of 18 years old will be allowed beyond the yellow line that marks the limit of the pit garages. Participants with long hair must ensure that it is fully enclosed by the crash helmet or secured
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com in the race suit. Long hair trailing from bottom of the helmet will not be acceptable on the grounds of safety. 26. Protests This is a leisure competition and NO protests will be entertained.
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com Go Langkawi 6 hour Endurance Race 6 Hour Endurance Race – 14th - 15th November 2020 INDEMNITY FORM DRIVER’S DECLARATION I have read the Regulations and Additional Supplementary Regulations issued for the above meeting and agree to be bound by them. In consideration of the acceptance of the entry or of my being permitted to take part in this event, I agree to save harmless and keep indemnified Motorsports Association of Malaysia, Amprex Langkawi Circuit Sdn Bhd. Morac Adventure Park and SODIKART; the property owners, the meet sponsors and their respective officials, servants, representatives, agents and promoters from and against all action, claims, costs, expenses and demand in respect of death, injury, loss of or damage to the person or property of myself or my crew as the case may be, howsoever caused, arising out of or in connection with this entry or my taking part in this meeting and notwithstanding that the same may have been contributed to or occasioned by the negligence of the said bodies, their officials, servants, representatives or agents. I understand that should I at the time of this event be suffering from any disability whether permanent, temporary or otherwise which is likely to affect prejudicially my normal control of the vehicle, I may not take part unless I have declared such disability to the event Organizers. NAME OF DRIVER: ____________________________ SIGNATURE:__________________________ DATE: ___________ CLASS 2 DRIVER’S DECLARATION I, the abovenamed, declare that I have never previously been issued a motor racing competition license by any organization and that subsequent to this entry being accepted it is found that this is untrue, the Organizers may remove my entry and the results of my team from the event. NAME OF DRIVER: ____________________________ SIGNATURE:__________________________ INDEMNITY BY PARENT/GUARDIAN (To be signed if the Driver is below 18 years of age. Please show proof of age) In consideration of the above named driver being permitted to compete in this event, I, being the parent/ legal guardian save harmless and keep indemnified Motorsports Association of Malaysia, Amprex Langkawi Circuit Sdn Bhd. Morac Adventure Park and SODIKART; the property owners, the meet sponsors and their respective officials, servants, representatives, agents and promoters from and against all action, claims, costs, expenses and demand in respect of death, injury, loss of or damage to the person or property of myself or my crew as the case may be, howsoever caused, arising out of or in connection with this entry or my taking part in this meeting and notwithstanding that the same may have been contributed to or occasioned by the negligence of the said bodies, their officials, servants, representatives or agents. NAME OF GUARDIAN:___________________________ SIGNATURE:___________________ I/C or PASSPORT NO: __________________________ DATE: _____________
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com Go Langkawi 6 hour Endurance Race 6 Hour Endurance Race – 14th - 15th November 2020 ENTRY FORM This is the Official Entry Form for Go Langkawi 6 Hour Endurance Event. This is a leisure karting event and is organized following the CIK-FIA Leisure Karting Guidelines and sanctioned by Motorsports Association of Malaysia. DRIVER 1 DRIVER 2 Name:…………………………………………………………... Name:…………………………………………………………... Address: ……………………………………………………….. Address: ……………………………………………………….. …………………………………………………………………... …………………………………………………………………... Post code:…………………. City: …………………………… Post code:…………………. City: …………………………… Phone: …………………….. Fax: …………………………… Phone: …………………….. Fax: …………………………… E-mail: ………………………………………………………… E-mail: ………………………………………………………… Birth date (If under 18 years): ……………………………… Birth date (If under 18 years): ……………………………… MAM Licence Number: ……………………………………… MAM Licence Number: ……………………………………… DRIVER 3 DRIVER 4 Name:…………………………………………………………... Name:…………………………………………………………... Address: ……………………………………………………….. Address: ……………………………………………………….. …………………………………………………………………... …………………………………………………………………... Post code:…………………. City: …………………………… Post code:…………………. City: …………………………… Phone: …………………….. Fax: …………………………… Phone: …………………….. Fax: …………………………… E-mail: ………………………………………………………… E-mail: ………………………………………………………… Birth date (If under 18 years): ……………………………… Birth date (If under 18 years): ……………………………… MAM Licence Number: ……………………………………… MAM Licence Number: ……………………………………… DRIVER 5 DRIVER 6 Name:…………………………………………………………... Name:…………………………………………………………... Address: ……………………………………………………….. Address: ……………………………………………………….. …………………………………………………………………... …………………………………………………………………... Post code:…………………. City: …………………………… Post code:…………………. City: …………………………… Phone: …………………….. Fax: …………………………… Phone: …………………….. Fax: …………………………… E-mail: ………………………………………………………… E-mail: ………………………………………………………… Birth date (If under 18 years): ……………………………… Birth date (If under 18 years): ……………………………… MAM Licence Number: ……………………………………… MAM Licence Number: ……………………………………… I, the undersigned, being the Team Manager of the team named …………………………………………. herewith submit our entry for the above event and agree that we jointly and severally will abide by the regulations for this event and any additional regulations that may be issued whether verbal or otherwise. Name: ………………………………………….I/C No: ……………………… Signed: ………………………………
AMPREX LANGKAWI CIRCUIT SDN. BHD (1289077-D) Lot 67, Pantai Cenang, Mukim Kedawang, 07000 Langkawi. Kedah. Tel: +604-955 2727 / +604 955 3327 www.moracadventurepark.com (NOTE THAT THIS FORM IS NOT VALID WITHOUT THE INDEMNITY FORMS SIGNED BY THE DRIVERS)
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