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[]
[]
[]
[]
["Qassim Rally 12-14/10/2022 رالي القصيم ",{"$nulls":9},"   "]
[]
[" When complete, please upload it on :"]
["www.saudi-championship.com/asir-rally",null,null,"the original copy, signed, via ASN at administrative check day"]
[]
["Entrant / Competitor أسم المشارك"]
[]
[]
["ASN Stamp",null,null,"Insert Photo",null,"Insert Photo",null,"Insert Photo"]
[null,null,null,"1 digital",null,"1 digital",null,"1 digital"]
[null,null,null,"OR",null,"OR",null,"OR"]
[null,null,null,"send",null,"send",null,"send"]
[null,null,null,"4 original",null,"4 original",null,"4 original"]
[null,"ENTRANT / الفريق",null,"Driver / السائق",null,"Co Driver / الملاح ",null,"2nd Co Driver (T5 only)"]
["1st Name",{"$nulls":8},"الاسم الأول"]
["Family Name",{"$nulls":8},"اسم العائلة"]
["Date of Birth",{"$nulls":8},"تاريخ الميلاد"]
["Nationality",{"$nulls":8},"الجنسيه"]
["Male/Female",{"$nulls":8},"الجنس (ذكر / انثى)"]
["Passport No",{"$nulls":8},"رقم جواز السفر"]
["Issue date",{"$nulls":8},"تاريخ الإصدار"]
["Expiry date",{"$nulls":8},"تاريخ انتهاء الصلاحية"]
["FIA License No",{"$nulls":8},"رخصه FIA"]
["Issuing ASN",{"$nulls":8},"إصدار asn"]
["Driving Lic No",{"$nulls":8},"رقم رخصة القيادة"]
["Int Driving Lic No",{"$nulls":8},"رقم رخصة القيادة الدولية"]
["Tel No",{"$nulls":8},"رقم الهاتف"]
["Mobile No",{"$nulls":8},"رقم الجوال"]
["Fax No",{"$nulls":8},"رقم الفاكس"]
["E-Mail Address",{"$nulls":8},"عنوان البريد الكتروني"]
["Address",{"$nulls":8},"عنوان"]
["Street",{"$nulls":8},"الشارع"]
["City",{"$nulls":8},"المدينة"]
["Zip/Post Code",{"$nulls":8},"الرمز البريدي/البريد"]
["Country",{"$nulls":8},"البلد"]
["No Tel KSA",{"$nulls":8},"هاتف في السعودية"]
["Next of Kin",{"$nulls":8},"هاتف القريب ذو علاقة"]
["Relationship",{"$nulls":8},"العلاقة"]
["Tel No",{"$nulls":8},"رقم الهاتف"]
["I, the undersigned take part in the  Rally at my own risk. I exonerate the FIA, the SAMF, the Organizers and officials, their employees, officers and agents from any and all liability for any loss, damage or injury, which I may incur in the course of the event. Furthermore, I undertake to indemnify and hold harmless the FIA, the SAMF, the Organizers and officials, their employees, officers and agents from and against any and all liability to third parties for any loss, damage or injury which I am jointly and severally liable."]
["Signature                          التوقيع"]
["Vehicle Details","معلومات عن السيارة"]
["Owner","المالك",null,null,null,"Entry Fees (for full list of conditions, refer to regulations)"]
["Make","النوع",null,null,null,"Saudi "]
["Model","موديل",null,null,null,"Car",null,"6,000.00",null,"6,000.00"]
["Color","اللون",null,null,null,"Truck",null,"6.500.00",null,"6.500.00"]
["Year","السنه"]
["cc","السعة",null,null,null,"GCC"]
["Petrol/Diesel","بنزين / ديزل",null,null,null,"Car ",null,"6,000.00",null,"6,000.00"]
["Registration No,","رقم اللوحة",null,null,null,"Truck",null,"6.500.00",null,"6.500.00"]
["Country of Regn.","البلد التسجيل"]
["Chassis No","رقم الشاسي",null,null,null,"Overseas"]
["Engine No","رقم المحرك",null,null,null,"Car",null,"10,000.00",null,"10,000.00"]
["Class (T1/T2/T3/T4/T5)","الفة تي 5/4/3/2/1",null,null,null,"Truck",null,"10,000.00",null,"10,000.00"]
[]
[" Saudi Automobile & Motorcycle Federation\n\n\n\n",null,null,"  الاتحاد السعودي للسيارات والدراجات النارية",null,null,null," When transfer confirmation,"]
[" National Commercial Bank",null,null,"  البنك الاهلي التجاري",null,null,null," please upload it on :"]
["Account Number (IBAN)",null,null,"  رقم الحساب (الايبان) ",null,null,null,"www.saudi-championship.com/asir-rally"]
["    SA0310000022361184000100"]