FIA's SPORTSREGULATIV  - SIDE 16

APPENDIX 2 - ENTRY FORM FOR THE 2002 FIA FORMULA ONE WORLD CHAMPIONSHIP

THE APPLICANT

Full Company Name _______________________

Country Of Incorporation _______________________

Registration Number _______________________

Date Of Incorporation _______________________

Country Of Residence _______________________

Registered Office _______________________

Trading Address _______________________

Tel_______________________

Fax _______________________

E-mail _______________________

Directors _______________________

Team Principal _______________________

Team Manager _______________________

Authorised Representatives with sole power to bind the company _________________


CONSTRUCTORS DETAILS OF ENTRY

National Competitor Licence _______________________

Team Name _______________________(which must include the name of the chassis)


We, the Applicant, hereby confirm that we are a "constructor" within the meaning of schedule 3 of the 1998 Concorde Agreement. We hereby apply to enter the 2002 FIA Formula One World Championship and we undertake to participate in each and every event:

i) With the make of the car referred to below which we nominate for the purpose of Article 20 of the Sporting Regulations

Name of the Chassis _______________________

Make of the Engine_______________________

ii) With the drivers referred to below which we nominate for the purpose of Article 43(e) & 60 of the Sporting Regulations

Driver of the first car _______________________

Licence Number _______________________

Driver of the second car _______________________

Licence Number _______________________

(tick only if applicable)

[ ]* We wish to nominate the name of the driver of the first car subsequent to this application. For this purpose we expressly agree to be bound by the provisions of Article 43(e) of the Sporting Regulations.

[ ]* We wish to nominate the name of the driver of the second car subsequent to this application. For this purpose we expressly agree to be bound by the provisions of Article 43(e) of the Sporting Regulations.

We confirm that we have read and understand the provisions of the International Sporting Code, the 1998 Concorde Agreement (including its Schedules), the Formula One Technical Regulations and the Formula One Sporting Regulations. We agree to be bound by them (as supplemented or amended) and further we agree on our own behalf and on behalf of everyone associated with our participation in the 2002 FIA Formula One World Championship to observe them. We declare that we have examined this Entry Form and that the information given is true, correct and complete. Any changes must be notified to the FIA in writing within 7 days of such change in order for the reappraisal of the entry.


SIGNED BY TEAM MANAGER _______________________
(being a person duly authorised to sign for and on behalf of)

TEAM NAME _______________________

Date _______________________

TO BE COMPLETED BY THE FIA

Super Licence Number Driver n°1 _______________________

Super licence Number Driver n°2 _______________________

Date of Acceptance _______________________



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