FORGOT YOUR DETAILS?

Prijavni list

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Closing date for entries: 15 November 2023 - 24:00h.
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Krajnji rok za prijave: 15.11.2023. - 24:00h

Co-driver details can be delivered at the latest 25 November 2023 at Administrative checks.
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Detalji koji se odnose na suvozača mogu se dostaviti najkasnije do 25.11.2023. (verifikacija dokumenata).

FIRST DRIVER / VOZAČ

First Name – Ime
Last Name – Prezime
Date of birth – Datum rođenjaof appointment
date_range
Nationality – Nacionalnost
Address – Adresayour full name
Mobile phone - Mobilni telefon
Competitions licence No. - Vozačka licenca br. (if exists / ako postoji)
Issuing ASN – Nacionalni Savez (if exists / ako postoji)
Driving Licence No. – Vozačka dozvola br.
ID card or Passport # - Osobna ili putovnica br.
Country of issue - Zemlja izdavanja

CO – DRIVER / SUVOZAČ

First Name – Ime #2
Last Name – Prezime #2
Date of birth – Datum rođenja #2of appointment
date_range
Nationality – Nacionalnost #2
Address – Adresa #2your full name
Mobile phone - Mobilni telefon #2
Competitions licence No. - Vozačka licenca br. (if exists / ako postoji) #2
Issuing ASN – Nacionalni Savez (if exists / ako postoji) 2
Driving Licence No. – Vozačka dozvola br. #2
ID card or Passport # - Osobna ili putovnica br. #2
Country of issue - Zemlja izdavanja #2

VEHICLE DATA – PODACI O VOZILU

Make – Marka
Model
Engine Capacity – Zapremina cm3
Turbo
Registration plate No. (if exists) – Registracijski broj (ako postoji)
Trophy class / Trophy klasa
APPLY FOR SHAKEDOWN / PRIJAVLJUJEM SE ZA SHAKEDOWN

Please upload the photo of your rally car.
Molimo učitajte fotografiju vašeg rally automobila.
Max 4MB.

Photo/Fotografijaupload
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ENTRY FEE | ČLANARINA ZA NASTUP

Up to / do 15.11.2023.: 400,00 € (3.013,80 kn)
From / od 16.11.2023.: 600,00 € (4.520,70 kn)

The entry fee for junior drivers until 15 November 2023 (drivers under the age of 23) is 250.00 € (1.883,63 kn) or 350,00 € (2.637,08 kn) from 16 November 2023.
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Članarina za nastup za vozače juniore (vozači mlađi od 23 godine) iznosi 250.00 € (1.883,63 kn) do 15.11.2023. ili 350,00 € (2.637,08 kn) od 16.11.2023.

The entry fee for the Shakedown of 3 allowed passes is 100,00 € (753,45 kn).  There is a possibility of 2 additional passes with an additional fee of 50,00 € (376,73 kn). The Shakedown fee is payable in cash at the administrative checks on 25 November 2023 as a voluntary contribution to the event's organisation.
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Shakedown članarina za nastup od 3 dopuštena prolaza iznosi 100,00 € (753,45 kn). Postoji mogućnost 2 dodatna prolaza uz uplatu dodatne članarine za Shakedown nastup u iznosu od 50,00 € (376,73 kn). Shakedown članarina se plaća kao dobrovoljni prilog za organizaciju istog u gotovini na verifikaciji dokumenata 25.11.2022.

The fixed conversion rate of 7.53450 kn for 1.00 € is used, as determined by the Council of the European Union.
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Fiksni tečaj konverzije iznosi 7,53450 Kn za 1,00 €, a utvrdilo ga je vijeće Europske unije.



DECLARATION OF INDEMNITY (concerning competitor, driver, and co-driver)​
The entrant, driver, and co-driver, jointly with the service team and, severally acknowledge agree on the following personal and on behalf of each support person who will attend the rally:
1. To abide by and be bound by the codes and regulations of the 13 Rally Show Santa Domenica, held under Appendix A03 for Rally Show Manifestations 2023 issued by CCKF and Supplementary Regulations issued for the 13 Rally Show Santa Domenica 2023.
2. That motorsport is dangerous, and accidents causing death, bodily damage, disability, and property damage can and do happen. In consideration of the acceptance of this entry, we agree that neither the organizer AKK Sveta Nedelja and/or technical contractor AK Delta Timing-Zagreb nor their respective officers, servants, representatives, and agents and any other parties shall be under any liability for our death, nor any bodily injury, loss or damage which may be sustained or incurred by us as a result of participation at the 13 Rally Show Santa Domenica 2023, and to the fullest permitted by law agree to indemnity and hold harmless each of those parties.
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IZJAVA O ODRICANJU ODGOVORNOSTI (koja se odnosi na natjecatelja, vozača i suvozača)
Natjecatelj, vozač i suvozač zajedno s pratećom ekipom prihvaćaju i suglasni su sa sljedećim odredbama koje se odnose na 13. Rally Show Santa Domenica 2023.:
1. Upoznati smo i pridržavat ćemo se odredbi Posebnog pravilnika natjecanja 13. Rally Show Santa Domenica 2023. te odredbi Dodatka za Rally Show Manifestacije Pravilniku o autosportovima HAKS-a za 2023. g. 
2. Upoznati smo da je automobilski sport opasan i da nesreće mogu prouzročiti smrt, tjelesne povrede, štete na imovini te da prihvaćanjem ove prijave, nitko, niti organizator AKK Sveta Nedelja, niti AK Delta Timing-Zagreb kao tehnički izvoditelj natjecanja niti bilo koja službena osoba na natjecanju ne snosi odgovornost za smrt, tjelesne povrede, štete na imovini prouzročene našim sudjelovanjem na 13. Rally Show Santa Domenica

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Declaration/Izjava

GDPR and data management​
By accepting the privilian, by signing the Entry form for the 13 Rally Show Santa Domenica 2023, i.e. completing and sending the Online Entry form, I declare that all contained details are accurate and that I acknowledge and agree to the terms and conditions of the above declaration of indemnity as well as accepting the terms relating to my participation on this competition. 
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GDPR i obrada podataka
Prihvaćanjem privole, vlastoručnim potpisom Prijavnog lista za nastup na 13. Rally Showu Santa Domenica 2023., odnosno ispunjavanjem i slanjem e-Prijavnog lista, jamčim da su svi navedeni podaci točni te da u cijelosti priznajem i prihvaćam gore navedene uvjete odricanja odgovornosti navedenih osoba, kao i da prihvaćam uvjete koji se odnose na moje sudjelovanje na ovom natjecanju. Te da dobrovoljno i nedvosmisleno dajem svoj pristanak za prikupljanje i obradu svih navedenih osobnih podataka u svrhu provođenja predmetnog sportskog natjecanja.

GDPR and data management/GDPR i obrada podataka
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