Register Form -

Ranchi Adventure Wheelers

8th Wild Adventure Rally
Memories
Feel The Thrill
About Us

Bank Transfer

Name of Bank – Bank of India

Branch – Main Road, Ranchi

A/c Number – 490020110000807

IFSC Code – BKID0004900

Account Type – Current

Registration Form

Apply for

Number of Person Participating4 Person3 Person2 Person

ClassWARJHARKHANDTrident

Payment ModeUPI Payment- GPAY/PhonePe/PaytmBank Transfer- NEFT/IMPS/RTGS

FULL NAME *

FATHER'S NAME/HUSBAND'S NAME *

DATE OF BIRTH

T-shirt SizeSMLXLXXL

ADDRESS 10 / 180

ADDRESS 20 / 180

Street Address

City

State/Province

ZIP / Postal Code

PINCODE

BLOOD GROUPA+A-B+B-O+O-AB+AB-

Phone Number

DRIVER'S LICENSE #

Last 13 Digit of Driving License #

VALID TILL?

FMSCI LICENSE #

FMSCI License TypeOne EventNational

NAME OF THE KIN

RELATION WITH THE KIN?PARENTSPOUSECHILDSIBLINGFRIEND

ADDRESS OF THE KIN

MAKE(VEHICLE DETAILS)AudiBMWChevroletDatsunFiatForceFordHondaIsuzuJeepLand RoverMahindraMaruti SuzukiMercedes-BenzMiniMitsubishiMorris Garages (MG)NissanRenaultSkodaTata MotorsToyotaVolkswagenVolvoHyundaiOther

MODEL

REGISTRATION NUMBER

RTO/RTA

AB - JH01 -> "BE" <- 5481

NUMBER - JH01BE -> "5481" <-

CHASSIS NUMBER

ENGINE NUMBER

CUBIC CAPACITY

VEHICLE INSURANCE POLICY NUMBER

VEHICLE INSURANCE VALID TILL

RALLY INSURANCE COVER

Drivers license for all competitors

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FMSCI competition license for all competitors

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Passport size pics of all competitors

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Vehicles Registration book

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Vehicles Insurance

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Rally Insurance Cover

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AUTHORITY LETTER FROM OWNER IN CASE CAR IS NOT OWNED BY COMPETITOR THIS LETTER HAS TO BE ON A RS 10/- STAMP PAPER ATTESTED BY A MAGISTRATE

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Payment confirmation screenshot

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