This form should be filled out only by individual riders.

    FEDERATION

    NAME

    SURNAME

    ADDRESS

    POSTCODE

    CITY

    MOTOCLUB

    SIGN DATE

    I AUTHORIZE THE PROCESSING OF MY PERSONAL DATA CONTAINED IN THE REGISTRATION FORM BASED ON ART.13 OF D.LGS.196/2003 AND ART. 13 GDPR (EU REGULATION)

    RIDER

    NAME

    SURNAME

    CLASS

    NATIONALITY

    TELEPHONE

    LICENSE No

    ID. | PASSPORT N.o

    AGE

    EMAIL

    MOTORCYCLE

    BRAND

    MODEL

    CC

    MOTOR

    YEAR MODEL

    FRAME NUMBER

    SHOCK ABSORBERS

    (SIZE EYE TO EYE)

    CLASS (DETAIL WHICH IS PRETENDED) PLEASE ALSO CHECK THE REGULATION ISDE VINTAGE UPDATED:

    A - CLASSIC 75 (Manufactured un l 1975):

    B - CLASSIC 79 (Manufactured un l 1979):

    C - CLASSIC 83 (Manufactured un l 1983):

    X - EVO 1986 (Manufactured un l 1986):

    OPEN 1991 (Manufactured un l 1991):

    PLEASE ADD PICTURES BELOW

    LEFT

    RIGHT

    FRAME NUMBER

    LICENSE PLATE

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