(SERVICE or MEDIA) Vehicle

MustTeam Name

※英字表記

Driver ※Service Crewのエントリーを、先にして下さい

Must受付番号

※メールに記載されている、Service Crewの受付番号（ReceiptNumber）を入力してください。

ReceiptNumber 

MustName

※英字表記

Given Name（名） 

Surname（姓） 

必須お名前

姓 

名 

必須Eメール

※携帯メールアドレスは不可

必須運転免許証

No.

VEHICLE Detail

MustUsage

SERVICE

MEDIA

MustMaker

MustVehicle Model

MustMain Color

MustYear

MustRegistration No.

No.

MustFlame No.

No.

MustEngine No.

No.

MustAGREEMENT

1. 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.
2. 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.
3. 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 am agree.

Remarks