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RIDER REGISTRATION

For further preparation we need some information from you.

PARTICIPANT

First Name

Last Name

E-Mail

Race Licence Number (If required by your class)

Driving Licence Number

Birth Date

Nationality

Passport Number

Blood Type

EMERGENCY CONTACT

Name

E-Mail

Phone

Relationship

MOTORCYCLE

Required if you use your own motorcycle

Owner

Number Plate

Chassis Number

Brand, Model, Year

Insurance Company

UPLOAD

Passport

Upload File

Image of Document (Max 15MB)

Driving Licence

Upload File

Image of Document (Max 15MB)

Race Licence

Upload File

Image of Document (Max 15MB)

Vehicle Registration

Upload File

Image of Document (Max 15MB)

Vehicle Insurance

Upload File

Image of Document (Max 15MB)

Notes

I have read and accept the general terms and conditions (GTC).

Read

I have read and accept the privacy policy.

Read

Thanks! We will get in contact with you shortly.

NOMADAS ADVENTURE

© 2022 by Nomadas Adventure GmbH

Terms and Conditions

CONTACT

Nomadas Adventure GmbH
Höfen 8
5643 Sins

Schweiz

E-Mail: info@nomadasmoto.com

Phone: +41 76 583 91 80

INSTAGRAM

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