Competitor | AUTO Entry
Must
Team Name
Youtube Channel
Driver
Must
Name
Given Name
Surname
Must
Gender
Male
Female
Must
Address
Zip Code
Must
Email Address
Must
Date of Birth
Must
Phone Number
Landline
Mobile
Must
Blood type
Please select one
A
B
O
AB
Please select one
+ (Positive)
- (Negative)
T-shirts Size
Please select one
S size
M size
L size
XL size
2XL size
3XL size
4XL size
5XL size
Must
Passport
No.
Date of Issue
Expiration Date
Must
Driving License
No.
Must
FIA Competition License
No.
Issue ASN (Country)
Must
Emergency Contact
EC Name
Relation
EC Phone Number
Landline
Mobile
EC Email Address
Co-Driver #1
Must
Name
Given Name
Surname
Must
Gender
Male
Female
Must
Address
Zip Code
Must
Email Address
Must
Date of Birth
Must
Phone Number
Landline
Mobile
Must
Blood type
Please select one
A
B
O
AB
Please select one
+ (Positive)
- (Negative)
T-shirts Size
Please select one
S size
M size
L size
XL size
2XL size
3XL size
4XL size
5XL size
Must
Passport
No.
Date of Issue
Expiration Date
Must
Driving License
No.
Must
FIA Competition License
No.
Issue ASN (Country)
Must
Emergency Contact
EC Name
Relation
EC Phone Number
Landline
Mobile
EC Email Address
Must
Additional Co-Driver
Do not add
Add (applicable to 4-door competition vehicles only)
Co-Driver#2
Must
Name
Given Name
Surname
Must
Gender
Male
Female
Must
Address
Zip Code
Must
Email Address
Must
Date of Birth
Must
Phone Number
Landline
Mobile
Must
Blood type
Please select one
A
B
O
AB
Please select one
+ (Positive)
- (Negative)
T-shirts Size
Please select one
S size
M size
L size
XL size
2XL size
3XL size
4XL size
5XL size
Must
Passport
No.
Date of Issue
Expiration Date
Must
Driving License
No.
Must
FIA Competition License
No.
Issue ASN (Country)
Must
Emergency Contact
EC Name
Relation
EC Phone Number
Landline
Mobile
EC Email Address
VEHICLE Detail
Must
Class
Group T1 Modified Cross-Country Cars
Class
T1.1 : 4x4 Petrol
T1.2 : 4x4 Diesel
T1.3 : 4x4 Electric
T1.4 : 4x2 Petrol
T1.5 : 4x2 Diesel
T1.6 : 4x2 Electric
Group T2 Series Cross Country Cars
*Prepare Homologation Paper.
Class
T2.1 : Petrol
T2.2 : Diesel
Homologation No.
Homologation No.
Group T2A Series Cross Country Cars
*Maker Catalogue or Maker Homepage copy.
Class
T2.1A : Petrol
T2.2A : Diesel
Group T3 Improved Cross-Country Cars (Lightweight)
Class
T3.1 : T3
T3.2 : T3
(Light weight)
Group T4A Truck
Class
T4A: Small Truck
Must
Maker
Must
Vehicle Model
Must
Main Color
Must
Year
Must
Cubic cm
Must
Turbo or SuperC.
Turbo
SuperC.
None
Must
Registration No.
No.
Must
Flame No.
No.
Must
Engine No.
No.
Tire Maker
Must
AGREEMENT
I or we fully understand and agree with all the rules and regulations set by the official host of this Asia Cross Country Rally 2025 competition.
I or we, agree to indemnify and hold the governments of The Kingdom of Thailand and Kingdom of Cambodia, also their related government departments, the host, the official and supporting organizations of this competition, Asia Cross Country Rally Organizing Committee, Asian Rally Friendship Association, Sponsors and Promoters, its Officers, Agents and Employees, and Rally/events site owners harmless from any and all claims for loss or damage including personal injury or death I may suffer due to the participation in this car rally. I or we also agree to take full financial responsibilities if I cause an accident while participating in this competition, whether or not the negligence of the host or the rally officials contributed to the cause of the accident.
I or we understand that Asia Cross Country Rally Organizing Committee and official promotor FUNATIKO PTE.LTD.(Singapore) reserves all the rights to broadcast and publish all the audio-visual materials and pictures obtained during the competition through media for a consideration.
Please check the box if you understand the above information.
I or we agree.
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