appendices to the general competition ... - motorsport …

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APPENDIX 1COMPETITION LICENCES

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In the event of a conflict the following priority will apply:International Events: FIA Yearbook, CIK Regulations, MI GCR's, MI Appendices

National Events: MI GCR's, MI Appendices, FIA Yearbook

RIAC / Motorsport Ireland (MI)All references to RIAC in the

context of Motorsport will be taken to include the title “Motorsport Ireland” or its abbreviation “MI”

34 Dawson Street, Dublin 2

Telephone 01 - 677 5628Fax 01 - 671 0793

www.motorsportireland.come-mail: [email protected]

APPENDICES TO THE GENERAL

COMPETITION RULES

REGULATIONS ANDDEFINITIONS

Content New Reference Page

GETTING STARTEDGETTING STARTEDIssue of Competition Licences Appendix 1 4Scrutiny Requirements Appendix 2 21Guide to Safety Requirements - DELETED 1.1.13 Appendix 3 35Advice Purchase & Care Helmets Appendix 4 36Helmet Standard Labels Appendix 5 37Competition Numbers and Advertising Appendix 6 42Competitors Personal Accident Insurance Appendix 7 44Circuit Flag Signals Appendix 8 46Calendar of Events Appendix 9 47Affiliated Clubs & Other Useful Contacts Appendix 10 49Warning Signs Appendix 11 52

AWARDSGeneral Conditions Championships Appendix 15 54Billy Coleman Award Appendix 16 57Sexton Trophy Appendix 17 59Jimmy Millard Trophy Appendix 18 66Ivan Webb Memorial Trophy Appendix 18 60Hawthorn Trophy Appendix 19 62List of Awards & Records Appendix 20 63 RALLYINGOrganisation of Stage Rallies Appendix 25 79Warning Signs Appendix 26 103Safer Spectating Appendix 27 109Insurance for Rally Drivers Appendix 28 111Regulations for Stage Rallies Appendix 29 113Rally Car Classes and Specifications Appendix 29.1 125Regulations for Rally Sprints Appendix 30 134Regulations for National Tarmac Champ Appendix 31 136Regulations for National Forestry Champ Appendix 32 141Regulations for Navigation Trials Appendix 33 145Regulations for Navigation Trial Champ Appendix 34 158Regulations for Endurance Trials Appendix 35 161Junior Rally Series (MIJRS) Appendix 36 173

RACINGRegulations for Racing Appendix 40 176General Racing Class Sporting Regulations Appendix 41 185ASK Supercar Regulations Appendix 42 188Motorsport Ireland GT Championship Appendix 43 190Future Classics Racing Series Sporting Regulations Appendix 44 192Formula Vee Sporting Regulations Appendix 45 195MI National Formula Ford 1600 Championship Appendix 46 198Formula Sheane Sporting Regulations Appendix 47 200Fiesta Zetec Series Appendix 48 201Fiesta Junior Zetec Series Appendix 48.1 203Historic Car Racing Regulations Appendix 49 205MI Sports Car Racing Championship Regulations Appendix 50 207Mondello Ford Fiesta ST 2004-2008 Series Appendix 51 209Touring Cars Regulations Appendix 52 212Ginetta Junior Ireland Regulations Appendix 53 216Boss Ireland Formula Libre Regulations Appendix 54 218SEAT Supercup Ireland Regulations Appendix 55 221Open Endurance Series Appendix 56 225

DIGITAL MOTOR RACINGDigital Motor Racing Appendix 60 229

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CONTENTS

Content New Reference Page

KARTINGNational Kart Regulations Appendix 70 234

OTHER MOTORSPORT DISCIPLINESOrganisation of Hillclimbs & Sprints Appendix 80 261Hillclimb Sprint Championship Regs Appendix 81 265Rallycross Championship Regulations Appendix 82 269Stockhatch RX Technical Regulations - DELETED Appendix 83.1 276Junior Rallycross Technical Regs Appendix 83.2 277RX150 and JB Buggies Technical Regs - DELETED Appendix 83.3 281Honda Civic Technical Regulations - DELETED Appendix 83.4 282Autocross Appendix 85 283(MI) Autocross National Championship Regs Appendix 85.1 283National Autocross Championship Information Appendix 85.2 2885 Star Catering Championship Appendix 85.3 290Autocross Non-Championship Regulations Appendix 86 293Autocross Single Seater Regulations Appendix 87 296Sporting Trial Regulations Appendix 88 3004x4 Championship Regulations Appendix 89 305Autotest Hewison Championship Regs Appendix 90 309Autotest, Multi Venue and Autosolo Appendix 91 313Midget Car Racing Regulations Appendix 92 315

OFFICIALS & ORGANISATIONOffiicials Licences Appendix 100 320Committee Structures Appendix 101 326Terms of Reference for Committees Appendix 102 333Standing Orders of Motorsport Commission Appendix 103 335Guidelines re Officials Expenses Appendix 104 337Safety Criteria for Permanent Circuits Appendix 105 338Safety Criteria for Temporary Venues Appendix 106 340Criteria for Licensed Coaching Venues Appendix 107 342Rescue Unit Minimum Equipment Spec Appendix 108 344Pre-Hospital Emergency Care Servicesat Motorsport Ireland Permited Events Appendix 109 346Constitution - IMF Appendix 110 355Motorsport Publicity and Press Appendix 121 358General Code of Conduct Appendix 122 360Code of Conduct for Children’s Sport Appendix 123 362Cookie Policy Appendix 124 374Data Protection And Privacy Policy Appendix 125 376Social Media Policy Of Conduct Appendix 126 377Event Permit & Insurance Charges Appendix 130 380Benevolent Fund Address Appendix 131 382Appendices Index 383

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CONTENTS

1.EU LICENCE: 1.1. VALIDITY:Motorsport Ireland Competition licences of the grade “National A” or “International” will be recognised throughout the EU in accordance with Article 20 of the FIA International Sporting Code and 1.2 below. Under a reciprocal agreement licences issued by MI will be deemed valid for all events run under Motorsport UK permits, as per rule H 26.1.5, in the United Kingdom provided the holder complies with all the requirements for the event.

1.2. AUTHORISATION: In order to avail of the facility provided for in 1.1 above, the permit for the event must contain the following declaration “National Event with Authorised Foreign Participation (NEAFP)”.

1.3. NON-IRISH CITIZENS: Motorsport Ireland will issue licences to a citizen of any other country represented within the FIA providing they can provide proof for their parent ASN that they are permanently resident within the Republic of Ireland and that their ASN has given its prior permission and has recovered any licence originally issued. ASN authorisation is required for each licensing year. MI office will apply for this permission if proof of permanent residency is provided. 2. LICENCE GRADES: The following Grades of licence will be issued by Motorsport Ireland:

2.1. INTERNATIONAL:To cover all International Events.

2.2. NATIONAL A:To cover all National Events run under the jurisdiction of any of the ASNs of the EU. Ref. 1.2 above.

2.3. NATIONAL B:To cover all National Events run under the jurisdiction of Motorsport Ireland with vehicle c.c. restrictions where applicable noted on the Licence Table Appendix 1 Article 11. This licence is also valid for Motorsport UK National B permitted events.

2.4. NAVIGATOR:To cover all National events run under the jurisdiction of any of the ASNs of the EU and all International Events run under the jurisdiction of Motorsport Ireland. “Navigator” grade licence holders are not entitled to drive at any time during an event.

2.5. Junior Kart licenses will be issued for Kart Racing and will cover all National events run under the jurisdiction of Motorsport Ireland and Motorsport UK and is valid only when accompanied by a Competitor Entrant Licence Ref. GCR Chapter 7.

Provisions and upgrade regulations as per Appendix 70 Section 12

2.6. Deleted.2.7. Deleted.

2.8. CLUBMAN JUNIOR.Junior Licences (14-16 years of age inclusive) will be issued for Autotests (excluding Multi-Venue Autotests which require IRDS), Sporting Trials, Midget Car Racing, 4x4 Production Vehicle Trials and Production Car Trials. It will cover all National events run under the jurisdiction of Motorsport Ireland. Licences (10-13 years of age inclusive) will be issued for Sporting Trials in accordance with Appendix 88.

2.9. JUNIOR SPEED.Junior Speed licences (14-16 years of age inclusive) will be issued for Grass and Loose Surface Autocross, Rallysprint, Rallycross and Hillclimb / Sprint events only. The Licence is valid for National events run under the jurisdiction of Motorsport Ireland and Motorsport UK (where applicable) and Motorsport UK permitted Single Venue Stage Rallies open to Junior Rally drivers in accordance with R45. In the case of Rallysprint and Motorsport UK permitted Single Venue Stage Rallies open to Junior Rally drivers in accordance with R45, the maximum cc. limit is restricted to 1000 c.c. In the case of Hillclimb / Sprint events this licence is only valid for use on Private property type courses / tracks. It is not Permissible for use on Hillclimb / Sprint events that are run on public roads. For Rallycross, Rallysprint and Hillclimb / sprint events this licence is valid only when accompanied by a Competitor Entrant Licence. Ref. GCR Chapter 7, 108.23.

2.10. JUNIOR RACE.Junior Race Licences (14-16 years of age inclusive) will be issued for Circuit Racing events only.The licence is valid only for the Ginetta Junior Ireland Series (see Appendix 53) or the equivalentMotorsport UK series and the Fiesta Junior Championship (see Appendix 48.1). This licence is valid only when accompanied by a Competitor Entrant Licence (GCR 108.2.3).

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REQUIREMENTS FOR THE USE OF COMPETITION LICENCES

2.11. JUNIOR RALLY: Junior Rally Licences (14+) will be issued for Forest Stage Rally events only. The Junior Rally Licence holder must be over the age of 14. The Junior Rally licence can be applied for by those who are under 19 years of age on 1st January in the year the licence is applied for. The Introduction to Motorsport Course (IMC) must have been completed.A Junior Rally licence holder must be accompanied by a Co-Driver over 23 years of age, who has achieved 5 multi stage event finishes as driver or co driver and who holds a full valid RTA licence. Should the driver not possess IRDS/BRDS cover, the Co-Driver must possess IRDS/BRDS cover and have the agreement of the vehicle owner to drive the road sections”

2.12 CLUBMAN A: This licence is an entry level licence which allows you to compete in autocross events with an engine limit of 1650cc.

2.13 Digital Race Licences

2.13.1 This licence allows an individual to take part in MI approved Digital virtual races.

2.13.2 An aptitude test is required to be passed for the issue of this licence

3. ROAD TRAFFIC ACT LICENCE.For Stage Rallies and Endurance / Navigation / Retrospective Trials, drivers Competition Licences will be issued only to holders of current full Road Traffic Act (RTA) Driving Licences. It will not be necessary to produce your Driving Licence when you are applying for a Competition Licence. Applicants are reminded that it is a breach of GCR No. 139.3 to make an incorrect or false statement on a Competition Licence Application Form and this may result in disqualification of the applicant. Refer to the Licence Table Appendix 1 Article 11 for RTA Licence Requirements.

4. EXPIRY DATE.Competition Licences will expire at the end of a 12 month period commencing on the first day of the month in which it became valid. For example, a licence validated on any day in the month of July, will expire on 30th June the following year. International licences expire on 31st December only.

5. SIGNATURE.A Competition Licence is not valid without the signature of the holder.

6. LICENCE APPLICATIONS. 6.1. RENEWAL FORMS.Renewal forms for Competition Licences will be available in December of the previous year.

6.2. CLUB MEMBERS.Members of affiliated clubs must have their applications stamped in the appropriate box by

that club. 6.3. NON-AFFILIATED CLUB MEMBERS.For applicants who are not a member of an affiliated club, there is a non-member fee of €250.00.

6.4. PHOTOGRAPHS.It is obligatory for all first-time applicants to supply one identification photograph of themselves with their application. The licence is not valid without the photograph of the holder.

6.5. MEDICAL REQUIREMENTS.All First Time applicants and competitors aged 45 and over intending to participate as drivers in Speed events including Races, Rallycross, Rallysprint, Autocross, Hillclimbs, Sprints, Karting, Midget Car Racing and all Rallies with Special Stage(s), must submit a completed Medical Self Declaration and Doctors Certificate in accordance with 6.5.1, 6.5.2 and 6.5.3 below.

6.5.1 MEDICAL SELF DECLARATION. The Medical Self Declaration must be completed annually, in full and signed by the applicant. If the applicant is under 18 years of age the declaration must also be signed by a parent or guardian.

6.5.2. DOCTORS CERTIFICATE.A Medical Examination must be carried out within 3 months of application by a doctor of medicine authorised to practice in the Republic of Ireland or the UK. The Doctor’s Certificate must be completed, STAMPED, and signed by a Doctor. If your Doctor does not have a stamp, their signature on an official letterhead or prescription page containing their name and qualifications must accompany the completed Doctors Certificate.

The following criteria apply:8-44 years inclusive - Doctor’s Certificate

required on first application only and there after the Medical Declaration will suffice.

45 years and over- Annual Doctor’s Certificate required including satisfactory results of a Stress related ECG, if applicable (ref 6.5.3)

Under certain medical circumstances, Motorsport Ireland reserves the right to request the applicant to submit more than one Doctors Certificate within the relevant period specified above.

6.5.3 CARDIOVASCULAR APTITUDE EXAMINATION:In accordance with the FIA International Sporting Code, Appendix L, Chapter 2, the following are required for all International Licence applicants:

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1. - An annual medical examination (Doctor’s Certificate). This examination must have been carried out less than 3 months before the application for a competition licence is submitted.

2. - For applicants under the age of 45, a 12 lead electrocardiogram (ECG) every two years.

3. - From the age of 45 years, or earlier if necessary, and every three years, a consultation with a cardiologist specialist will be requested. If this doctor deems it useful, depending on the possible symptoms and signs, he may ask for further investigations including a stress test.

6.6. ISSUE.Licences will be issued by post and should be applied for at least 14 days before they are required to ensure they are received in good time. If an applicant doesn’t receive the licence, after allowing for the processing and delivery time, MI should be notified in writing. If the notice is received by MI within 8 weeks of despatch of the licence by MI, a replacement will be issued. After 8 weeks has elapsed, the normal replacement charge will be levied in accordance with Article 7 below.

6.7. PRIORITY.Applications received after 12 noon on the 4th working day prior to competing in an event will be subject to a priority fee of €50.00 and a “Cover Note” will be issued by email. This service will only be considered if the priority fee of €50.00 has been submitted with the application.

6.8. FIRST TIME LICENCE APPLICATIONS. 6.8.1. AFFILIATED CLUB MEMBERS.Competition Licences will be issued to first time applicants at a special concessionary price of €50.00. Refer also to Art. 6.3., Art. 6.8.3. & Art. 10.6.8.2. Deleted.

6.8.3. NON-AFFILIATED CLUB MEMBERS.For applicants who are not a member of an affiliated club, there is a non-member fee of €250.00.

6.8.4. FIRST TIME RACE OR STAGE RALLY.Applicants for a first time Race or Stage Rally Driver licence must first purchase an “Introduction to Motorsport” Starter Pack at a cost of €10, which is available from the Motorsport Ireland Office. In addition applicants must also complete a licence form and successfully complete a Motorsport Ireland “Introduction to Motorsport Course” (IMC). Full details are available from the Motorsport Ireland Website (www.motorsportireland.com).

First time applicants for Competition Licences for Junior categories ( Junior Kart, Junior Speed, Junior Race and Junior Clubman) will be issued with licences free of charge.

7. REPLACEMENT.Applications for replacement of licences will only be accepted in writing accompanied by a fee of €35.00.

8. LAPSED LICENCES. 8.1. NATIONAL A. Deleted.

8.2. INTERNATIONAL.Lapsed “International Race C, Kart C, Speed” and “International Rally” Licence holders may be issued with the same grade Licence provided they were already the holders of an “International” grade licence in the previous 6 years. i.e. 2015-2020 inclusive. Otherwise, they may be issued with a “National A” grade licence whereby they must upgrade again in accordance with Article 9 below. See also Article 8.4 below.

8.3. INTERNATIONAL RACE OR KART B and INTERNATIONAL RACE OR KART A.Lapsed “International B” and “International A Race and Kart” Licence holders should refer to Article 4.4, Appendix “L” of the FIA International Sporting Code.

8.4 LICENCES HELD PRIOR TO 1986.Any person who last held a competition licence prior to 1986 may be issued with a “National A” grade licence, on condition that they can provide independent confirmation, by way of programme, results, newspaper, video or photograph, that they competed in the branch of the sport to which their application refers. Otherwise, they will be issued with the appropriate First Time Licence in accordance with Article 6.8 above.

9. UPGRADING OF LICENCES:9.1. REQUEST:A request for upgrading of Licence should be made in writing to Motorsport Ireland. You must ensure that you include copies of the official results with your request. Navigating in an event does not entitle the licence holder to an upgrading signature.

9.2. FEE:The up-grading fee will be the difference in cost plus €25.00.

9.3. UPGRADING REQUIREMENTS:Licences are divided into 5 specific categories - Race, Kart, Rally, Speed and Clubman. They may be upgraded as follows:

9.3.1. RACE.To upgrade a RACE category licence competitors may only use RACE event finishes and these must have been obtained within the 36 month period prior to application.National B to National A - 5 event finishes required National A to International C - 5 event finishes required

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Successful completion of a MI Introduction to Motorsport Course will count as 1 event finish for upgrading. Upgrades beyond International C will be in accordance with FIA requirements. 9.3.1.1 INTER-CATEGORY UPGRADES: STAGE RALLY National A or International to RACE National A - Completion of a MI Car Racing Extension Course required. SPEED National A to RACE National B - Completion of a MI Car Racing Extension Course Required. SPEED National A to RACE National A - 5 Additional Hillclimb or Rallycross finishes within the 36 month period prior to application and completion of a MI Car Racing Extension Course required.

SPEED International to RACE/KART National A - proof of 5 finishes in Hillclimb or Rallycross events within the 36 month period prior to application and completion of a MI Car Racing Extension Course required.KART National B to RACE National B - 5 Kart event finishes obtained on separate dates and within the 36 month period prior to application and completion of the MI car racing extension course required. CLUBMAN A to SPEED National A – 6 event finishes obtained within the 36 months prior to application.

9.3.2 RALLY: To upgrade a RALLY category licence competitors may only use STAGE RALLY event finishes as a driver and these must have been obtained within the 36 month period prior to application. For events of more than one day duration this will count as 2 event finishes.

National B to National A - 4 event finishes required National A to International - 4 event finishes required

Successful completion of a MI Introduction to Motorsport Course will count as 1 event finish for upgrading.

Navigator to International: For the purposes of competing in International events outside the jurisdiction of Motorsport Ireland, an “International” grade RALLY licence, restricted to co-driver only, may be issued subject to the approval of the Motor Sport Council (MSC) and provided the following conditions are met: (a) The applicant must be already a holder of a

current MI National Competition Licence.(b) The applicant must complete co-driver

upgrade application form L3. (c) The applicant must be the holder of a current

full RTA Driving Licence in accordance with Article 3 above.

(d) The applicant must submit a completed Medical to Motorsport Ireland in accordance with Article 6.5 above.

9.3.3. SPEED:To upgrade a SPEED category licence competitors may only use SPEED event finishes and these must have been obtained within the 36 month period prior to application. National B to National A - 6 event finishes required National A to International - 6 event finishes required. 9.3.4. KART:To upgrade a KART category licence, competitors may only use KART race event finishes and these must have been obtained within 36 month period prior to application. Only results obtained in finals will count. For International C licences, age restrictions will be in accordance with CIK requirements. Upgrades beyond International C will be in accordance with CIK requirements.Junior Kart to International C-Junior - 3 top 6 finisher required.Junior Kart to International C-Senior - 3 top 6 finishes required.National B to International C-Senior- 3 top 6 finishes required.

9.3.5. JUNIOR SPEED LICENCEUPGRADE TO JUNIOR RACE LICENCETo upgrade a JUNIOR SPEED licence to JUNIOR RACE licence - proof of 5 finishes in Rallycross within the 36 months period prior to application and completion of the MI Car Racing Extension Course required.

9.3.6. JUNIOR KART LICENCEUPGRADE TO JUNIOR RACE LICENCETo upgrade a JUNIOR KART licence to JUNIOR RACE licence - proof of 5 Kart finishes within the 36 months period prior to application and completion of the MI Car Racing Extension Course required. Probationary National A Licence. See Appendix 81 Article 4.

10. ONE EVENT LICENCES.These licences will be available for CLUBMAN category events ie. Sporting Trials, 4x4 Production Vehicle Trials, Production Car Trials, Midget Car Racing (Medical Required), specifically approved Autotest events (special safety requirements will apply) and for Navigators in Rallysprint events. These licences will cost €25.00 and may be obtained on the day from the event Secretary. An official event Entry Form must also be completed by the applicant and the appropriate entry fee also paid. 10.1. First Time licence applicants who have bought a One Event licence may, on the inclusion of their blue “competitors copy” receipt with their application, receive a €25.00 reduction in the cost of their FIRST full competition licence.

10.2. For all events where One Event licences are available, the same age requirements apply as for an annual competition licence.

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11. 2021 LICENCE CATEGORY TABLES.RACE LICENCES

SUITABLE FOR: CIRCUIT RACING

LICENCETRAININGREQUIRED

AGE RTA / IRDS DR CERTENGINE SIZE

LIMIT

INTERNATIONAL A / B /C

YES 16+ NO ANNUALLY NONE

NATIONAL A YES 16+ NO YES NONE

NATIONAL B YES 16+ NO YES 2000CC

JUNIOR RACE YES 14-16 NO YESCLASS

REGULATION

KART LICENCES

SUITABLE FOR: KART RACING



LIMIT

INTERNATIONAL A / B /C

NO 15+ NO ANNUALLYSEE APPENDIX

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INTERNATIONAL CJUNIOR

NO 6-14 NO ANNUALLYSEE APPENDIX

70

NATIONAL B NO 16+ NO YESSEE APPENDIX

70

JUNIOR KART NO 6-16 NO YESSEE APPENDIX

70

RALLY LICENCES

SUITABLE FOR: STAGE RALLIES



LIMIT

INTERNATIONAL YES 17+ YES ANNUALLY NONE

NATIONAL A YES 17+ YES YES NONE

NATIONAL B YES 17+ YES YES 1650CC

JUNIOR RALLY YES 14+ NO YES1000CC

(FORESTRY)

NAVIGATOR NO 16+ NO NO NONE

SPEED LICENCES

SUITABLE FOR: RALLYCROSS / RALLYSPRINT / SPRINT / HILLCLIMB / AUTOCROSS



LIMIT

INTERNATIONAL NO 16+ NO ANNUALLY NONE

NATIONAL A NO 16+ NO YES NONE

NATIONAL B NO 16+ NO YES SEE NOTE 1

JUNIOR SPEED NO 14-16 NO YESCLASS

REGULATION

NOTE 1: SUITABLE FOR RALLYCROSS UP TO 2050CC AND RALLYSPRINT / SPRINT / HILCLIMB / AUTOCROSS UP TO 1650CC

ROAD TRIALS LICENCES

SUITABLE FOR: NAVIGATION TRIALS / ENDURANCE TRIALS / RETROSPECTIVE TRIALS



LIMIT

ROAD NATIONAL B NO 17+ YES NOCLASS

REGULATION

CLUBMAN LICENCES

CLUBMAN A SUITABLE FOR: AUTOCROSS / MIDGET CAR RACING AND ANY CLUBMAN B CATEGORY

CLUBMAN B SUITABLE FOR: SPORTING TRIALS / AUTOTESTS / PRODUCTION CAR TRIALS / AUTOSOLOS / 4 X 4 TRIALS



LIMIT

CLUBMAN A NO 16+ NO YESCLASS

REGULATION

CLUBMAN B NO 16+ NO NOCLASS

REGULATION

CLUBMAN JUNIOR NO 14-16 NO NOCLASS

REGULATION

ALL COMPETITORS REQUIRE AN ANNUAL MEDICAL SELF DECLARATION

ALL COMPETITORS AGED OVER 45 YEARS OLD REQUIRE AN ANNUAL DOCTOR’S CERTIFICATE

ALL INTERNATIONAL COMPETITORS REQUIRE AN ANNUAL DOCTOR’S CERTIFICATE

ALL INTERNATIONAL COMPETITORS AGED UNDER 45 YEARS OLD REQUIRE A 12-LEAD ECG EXAM

ALL INTERNATIONAL COMPETITORS AGED OVER 45 YEARS OLD REQUIRE A CARDIOLOGIST

CLEARANCE FORM

ALL JUNIOR RACE / JUNIOR KART/JUNIOR SPEED LICENCES REQUIRE A COMPETITOR ENTRANT

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12. ORGANISING CLUB REQUIREMENTS FOR THE ISSUE OF ONE EVENT LICENCES.

12.1. One Event licences will be available for CLUBMAN category events ie. Sporting Trials, 4x4 Production Vehicle Trials, Production Car Trials, Midget Car Racing (Medical Required), specifically approved Autotest events (special safety requirements as listed in Appendix 90 will apply) and for navigators in Rallysprint events.

12.2. Clubs may buy booklets of 5 One Event licences from Motorsport Ireland (MI). These are to be paid for in advance and will cost €125.00 per booklet. Clubs may buy a maximum of 2 booklets at any one time (ie. 10 licences).

12.3. Clubs will be refunded for unused One Event licences on condition that the unused licences are returned to MI.

12.4. A competitor may buy a One Event licence on the day of the event for which it is required, from the organising club, at a cost of €25.00.

12.5. The Event Secretary must ensure that the applicant fully completes and signs the One Event licence. An official event entry form must also be completed by the applicant and the appropriate entry fee paid.

12.6. Each One Event licence has 3 parts which should be dealt with in the following way:12.6.1. The top white "MI Copy" remains in the booklet.12.6.2. The pink "Club Copy" should be removed and kept for the club's records. 12.6.3. The blue "Competitors Copy" should be removed and given to the competitor.This copy will entitle the competitor to receive a €25.00 reduction in the cost of their FIRST full competition licence in accordance with Article 10.1 above.

12.7. When all 5 licences have been issued, the booklet containing the 5 white MI copies must be returned to MI. No further One Event licence booklets will be issued to the club if there are outstanding returns which have not been made. 12.8. Motorsport Ireland and its Affiliated Clubs reserve the right to refuse to issue a One Event licence. (GCR 105).

13. SPECIAL LICENCE FOR DISABLED PERSONS FOR DRIVING IN EVENTS

13.1. With the exception of progressive or chronic illnesses which preclude the practice of motor sport (refer to 1.5. of Chapter II Appendix L of the

FIA Internat ional Sport ing Code) and disqualifying visual disorders ( refer to 1.3 Chapter II of Appendix L of the FIA International Sporting Code), any person with a acquired or congenital disability and who, in the opinion of Motorsport Ireland may not obtain a National driver’s licence, may obtain a National Licence for Disabled Drivers, if all the conditions stated below are fulfilled. This licence is not eligible for single seater car races.

13.1.1. Participation of competitors holding a National Licence for Disabled Drivers is subject to the agreement of the ASN of the country of the event and of the ASN that issued the licence.

13.1.2. The secretary of a meeting in which both disabled and non-disabled persons are competing should ensure that the rescue services are aware of the competition numbers of the cars of the holders of a licence for disabled persons.

13.2. Conditions of issue.the criteria of the awarding of this licence are evaluated on three levels: Medical, Sporting and Technical.

13.2.1. Medical Evaluation.The disabled driver, having applied for the licence, shall be evaluated by a physician appointed by Motorsport Ireland. For licence renewal, a completed Medical Declaration and Doctor ’s Certificate must be submitted on an annual basis.

13.2.2. Sporting Evaluation.If the evaluating physician agrees that the licence for disabled persons should be granted, the applicant must undergo a driving evaluation at a venue designated by Motorsport Ireland and be capable of attaining a performance equal to that of non-disabled drivers at the same level of competition. Applicants for a first time Race, Kart or Stage Rally Driver licence must successfully complete a Motorsport Ireland “Introduction to Motorsport Course (IMC)” in accordance with Article 6.8.4. of this Appendix. The applicant must provide his or her own vehicle for their evaluation or IMC course. Furthermore, and as appropriate, the capacity for extricating themselves as quickly as possible from their vehicle, in case of immediate danger (accident, fire etc.) shall be evaluated at the same time:

• The applicant must, from a sitting position in the type of car to be used, be able, alone, to extricate him or herself and move away from the car, whether the car is upright or on its side.

• In a prone position, they must be able to turn easily over both ways.

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13.2.3. Technical Examination.The applicant must obtain a competition Logbook for their vehicle, which must be examined by a Motorsport Ireland appointed Scrutineer. Any special modifications that have been made to the vehicle must be approved and recorded in the Logbook. If the vehicle has previously been issued with a Logbook, this must be returned to MI and the vehicle must undergo a new inspection. To avoid disappointment, vehicle inspection requests must be received by MI at least 4 weeks prior to any intended participation in competition.

13.2.4. When Motorsport Ireland has received the medical, technical and sporting evaluations, it will take the final decision as to the granting or denial of the licence.

13.2.5. The licence will be valid only for the vehicle for which the applicant was evaluated and if another vehicle is to be used, then an additional sporting evaluation and technical examination must be carried out for that vehicle.

14. SPECIAL LICENCE FOR DISABLED PERSONS FOR NAVIGATING IN NATIONAL RALLY EVENTS

14.1. This licence is reserved for persons physically disabled through injury or infirmity, including disqualifying visual disorders (excluding blindness), and for persons suffering from certain ailments that may be incompatible with the practice of motor sport. It allows participation in rally events as defined in Article 21 of the FIA International Sporting Code.

Under no circumstances does it allow the holder to drive a vehicle during the running of a competition.

The licence will be valid only for the vehicle in which the applicant was evaluated and if another vehicle is to be used, then an additional safety examination must be carried out for that vehicle.

14.2. Medical Evaluation.Evaluation of the applicant’s physical capabilities is required and the applicant must submit a completed Medical Self Declaration and Doctor’s Certificate on an annual basis.

14.3. Safety Evaluation.A timed evaluation of the applicant’s ability to exit the vehicle unaided will be carried out:

• The applicant must, from a sitting position in the type of car to be used, be able, alone, to extricate him or herself and move away from the car, whether the car is upright or on its side.

• In a prone position, they must be able to turn easily over both ways.

14.4. When Motorsport Ireland has received the medical and safety evaluations, it will take the final decision as to the granting or denial of the licence.

15. JUNIOR CLUBMAN LICENCE FOR SPORTING TRIALS (DRIVERS AGED 10 to 13 INCLUSIVE).

15.1. Sporting Evaluation Junior Clubman licence (cover note) for Sporting Trials shall be granted subject to the applicant satisfactorily completing an evaluation by a panel of three experienced persons, appointed by the Trials Commission. The evaluation will test the ability of the applicant to drive and control a Sporting Trials car and their knowledge of the rules and regulations of the sport.

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SPECIMEN FORM

34 DAWSON STREET

DUBLIN 2, D02 RF90

TEL.: 01-677 5628

FAX: 01-671 0793

[email protected]

MOTORSPORTIRELAND.COM

2020/2021 FIRST-TIME COMPETITION LICENCE FORM SECTION 1: PERSONAL DETAILS

TICK ONE LICENCE TYPE ONLY DATE OF PROPOSED FIRST EVENT: 1 JANUARY 2020 – 31 DECEMBER 2020 MOTOR CLUB: 1 JULY 2020 – 30 JUNE 2021

SURNAME FIRST NAME

DATE OF BIRTH - - NATIONALITY

ADDRESS TOWN

COUNTY EIRCODE

TEL. HOME TEL. MOB

EMAIL * FULL RTA DRIVING LICENCE IS MANDATORY FOR DRIVERS IN STAGE RALLIES AND NAVIGATION / ENDURANCE / RETROSPECTIVE TRIALS *

VALID RTA DRIVING LICENCE NO. EXPIRY

COMMUNICATIONS CONSENT: You must tick this box to receive Motorsport Ireland communications including news, updates, exclusive offers & renewal reminders. If you do not do so, we cannot email you.

PLEASE READ THE DECLARATION AND SIGN AND DATE BELOW

EASE READ THE DECLARATION AND SIGN AND DATE BELOW

I hereby apply for registration for the year 2020/2021 on the Competitors and Drivers Register of Motorsport Ireland and I undertake, if registered, to submit to and be bound by the International Sporting Code of the FIA and the General Competition Rules and Regulations of Motorsport Ireland, the Irish Anti-Doping Rules and any regulations supplementary thereto as may be imposed from time to time by Motorsport Ireland.

I have read and understood the terms of issue and I am a permanent resident of the Republic of Ireland and/or I am an Irish National and I do not hold a current Competition Licence from any other ASN. I hold an Irish passport or I will supply proof of permanent residency within the ROI every year

I hereby agree to abide by the guidelines and regulations contained in Motorsport Ireland’s General Code of Conduct, the Code of Conduct for Children’s Sport and Motorsport Ireland’s Social Media Policy.

Your Signature: Date: *If you are 17 or under, your parent or legal guardian must complete the box below* Parent’s/Guardian’s signature: Date:

F O R O F F I C I A L U S E O N L Y

FIRST TIME RACE & STAGE RALLY DRIVERS THIS BOX MUST BE STAMPED BY THE SCHOOL TO SHOW THAT YOU HAVE SUCCESSFULLY COMPLETED YOUR IMC COURSE

MI DATE RECEIVED

RECEIVED/MISSING/AMENDED R M Action A

CLUB STAMP MEDICAL DEC. DOCTOR CERT IRDS OTHER CC/CHQ/PO/CASH PAYMENT TOTAL

CLUB STAMP An additional €250 charge will be incurred without a club stamp or

email from your club to MI confirming your membership.

NON-CLUB MEMBERS MUST PAY FEE ON P4

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SPECIMEN FORM

SECTION 2: ANNUAL MEDICAL SELF DECLARATION

Please complete the following information:

NAME LICENCE NO.

DATE OF BIRTH DOCTOR’S NAME

DOCTOR’S ADDRESS DOCTOR’S PHONE

PLEASE ANSWER ALL QUESTIONS FROM SECTION A & SECTION B BELOW

IF YOU ANSWER “YES” TO ANY QUESTION IN THIS SECTION, GIVE DETAILS IN THE BOX PROVIDED

NO. SECTION A YES NO

A1 Are corrective lenses (contact lenses or glasses) required for driving? A2 Have you ever been refused life assurance for medical reasons? A3 Have you had any surgical procedures within the last 2 years? A4 Do you suffer from any allergies for which you take medication or otherwise? A5 Have you ever taken any substance shown in the World Anti-Doping Agency listings? [See wada-ama.org]

IF YOU ANSWER “YES” TO ANY QUESTION IN THIS SECTION, A VALID DOCTOR’S CERTIFICATE IS REQUIRED [P.3]

NO. SECTION B YES NO

B1 Do you have diabetes? [If yes, please ask your doctor to provide details in the box provided] B2 Do you have a physical problem with, or permanent difficulty in, using your arms or legs for driving? B3 Do you have any congenital abnormality of any limbs, or an amputation, or any other disability? B4 Have you ever had any disease or disorder of the eyes other than glasses or contact lenses? B5 Have you ever had heart disease or a heart disorder? B6 Have you ever suffered from a psychiatric illness, mental disorder or behavioural issue (including ADHD/depression)? B7 Have you ever had a head injury with concussion or unconsciousness? B8 Have you ever had dizziness, fainting fits, epilepsy or blackouts?

PLEASE READ THE FOLLOWING DECLARATION AND SIGN AND DATE BELOW

I hereby declare that all above and previous statements are true and accurate and I give permission to any hospital or medical practitioner to furnish information relating to my medical state to Motorsport Ireland. I give permission to Motorsport Ireland to digitally store my licence details and any medical records I provide them with. I undertake to advise Motorsport Ireland in writing without delay of any change in my state of health. APPLICANT’S SIGNATURE: DATE

PARENT/GUARDIAN SIGNATURE (IF AGED 17 OR UNDER): DATE

ADDITIONAL DETAILS:

SECTION 3: DOCTOR’S CERTIFICATE

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Page 3 of 4 SECTION 4. DO YOU NEED A MEDICAL? Applicants applying for International Licences: A medical examination must be carried out each year by a doctor less than 3 months before the application for an International Driver’s/Navigator’s licence is submitted. N.B. A cardiovascular aptitude examination must be carried out every two years: -‐ for competitors aged under 45, this must be a 12 –lead ECG; -‐ for competitors aged 45 and over, this must be a stress test ECG; Applicants aged 45 and over applying for National Race, Kart, Speed, Stage Rally Driving & Midget Car Racing Licences: -‐ You are required to submit a new Doctor’s Certificate from your doctor for each competition year. N.B. No ECG required. Applicants aged under 45 for National Race, Kart, Speed, Stage Rally Driving & Midget Car Racing Licences: -‐ If you HAVE previously provided a Doctor’s Certificate you are not required to submit one unless requested by MI. -‐ If you HAVE NEVER provided a Doctor’s Certificate to MI you are required to have your doctor complete section 5. SECTION 5. DOCTOR’S CERTIFICATE All medical examinations must be carried out by a doctor of medicine authorised to practice in the Republic of Ireland or in the U.K. To your doctor – Please ensure that ALL questions have been answered. Note that ANY missed or unanswered questions will require further information to be submitted by you. 1. Doctor’s name and qualifications:…………………………………………………………………………………………………………………………………………….… 1a. Doctor’s Medical Council Registration Number (or for UK, General Medical Council) …………………………………………….…………… 1a. Doctor’s practice stamp: 1b. Applicant’s FULL name ………………………………………………………………………….

Date of Birth:

Height (cm)/Weight (kg)

1 Are you the regular attendant of the applicant? YES NO 2 Is there any abnormality of the heart or cardiovascular system? If ‘Yes’, give details below. YES NO

3 Has the applicant ever suffered from epilepsy, seizures or any other neurological condition? If ‘Yes’, give details below. YES NO

4 Does the applicant have any physical abnormality or restriction of movement in the arms or legs? If ‘Yes’, give details below? YES NO

5 Is the patient’s blood pressure normal? If ‘No’, give details below? YES NO Vision – To be recorded in metric Snellen acuity: 6 Uncorrected (without corrective lenses) R / L / 7 Corrected (wearing corrective lenses if necessary) R / L / 8 Is there any ocular history of visual field loss? If ‘Yes’, give details below. YES NO 9 Are there any abnormalities on the colour vision (Ishihara) test? If ‘Yes’, give details below. YES NO 10 Has the applicant been immunised against tetanus in the past 10 years? YES NO

11 Is there any evidence of a physical or mental condition in the applicant’s medical history? If ‘Yes’, give details below

YES NO

12 Does the applicant require special medical supervision? If ‘Yes’, give details below. YES NO In view of the above stated results of my examination, I recommend that:

13 The applicant is physically and mentally fit to drive in Race, Kart, Speed and Rally events. (If ‘NO’ please complete Q14) YES NO

14 I recommend that the applicant be reviewed by the Motorsport Ireland Medical Panel YES NO The questions below are for competitors applying for an International Licence ONLY. Depending on age, a 12 lead or Stress Test ECG must be carried out every two years

15 Date when the ECG was performed? (the ECG is valid for two years) 16 Is the 12 lead resting ECG normal? (for International licence applicants aged UNDER 45) YES NO 17 Is the Stress Test ECG normal? (for International licence applicants aged 45 and OVER) YES NO

Doctor’s comments:

Doctor’s signature: Date of examination:

SPECIMEN FORM


THIS PAGE IS REQUIRED ONLY IN THE FOLLOWING CIRCUMSTANCES: IF YOU ARE A RACE / RALLY / SPEED / KART/ AUTOCROSS / MIDGET CAR APPLICANT WHO HAS NOT SUPPLIED A DOCTOR’S CERT BEFORE

ALL COMPETITORS AGED OVER 45 YEARS OLD WHO WISH TO ENTER A RACE / RALLY / SPEED / KART / AUTOCROSS / MIDGET CAR EVENT

IF YOU HAVE ANSWERED YES TO ANY “B” QUESTION ON PAGE 2

THIS PAGE MUST ONLY BE COMPLETED BY YOUR DOCTOR

APPLICANT’S NAME APPLICANT’S DATE OF BIRTH

DOCTOR’S NAME

DOCTOR’S MEDICAL COUNCIL REGISTRATION NUMBER (OR GENERAL MEDICAL COUNCIL FOR UK)

DATE OF EXAMINATION

DOCTOR’S PRACTICE STAMP DOCTOR’S SIGNATURE

NO. QUESTION [IF YES, TO ANY QUESTION EXCEPT C1, PLEASE PROVIDE DETAILS ON A DOCTOR’S LETTER] YES NO

C1 Are you the regular attendant of the applicant?

C2 Is there any abnormality of the heart or cardiovascular system?

C3 Has the applicant ever suffered from any neurological condition?

C4 Is there any physical abnormality or restriction of movement in the arms or legs?

C5 Does the patient show signs of abnormal blood pressure?

C6 Please record vision in metric Snellen acuity below.

Uncorrected left / right: / Corrected left / right: /

C7 Is there any ocular history of visual field loss?

C8 Are there any abnormalities on the colour vision (Ishihara) test?

C9 Has the applicant been immunised against tetanus in the past 10 years?

C10 Is there any evidence of a physical or mental condition in the applicant’s history?

C11 Does the applicant require special medical supervision?

C12 Is there a medical reason that the applicant should not compete in motorsport?

C13 Do you recommend that the Motorsport Ireland medical panel review this applicant?

ANY OTHER NOTES:

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Page 4 of 4

SECTION 6. LICENCE(S) YOU NEED • The licence year can run from 1st January 2018 to 31st December 2018 or from 1st July 2018 to 30th June 2019. • If you are applying for two or more categories of Licence at the same time, the total licence fee will be the cost of the most expensive one • The fees below are for members of clubs affiliated to Motorsport Ireland. Non-‐members pay double the licence fee. • If you do not hold an Irish passport you must supply MI with proof of permanent residency within the ROI every year, e.g. a utility bill

showing your name and full address, and authorisation is required from the governing body of Motorsport in your own country. • Please remember that you cannot apply for an Entrant Licence or an International Navigator licence with this form. Please use the

separate application forms available on the MI website. • Applicants must complete an Introduction to Motorsport Course (IMC) prior to being issued with any of the following licences: Race

Junior, Race National B, Stage Rally Junior, Stage Rally National B. • A Junior Rally licence is for forest stage rally events only. The holder must be accompanied by a current licence holder of the appropriate

grade who is currently registered on the IRDS database, over 23 years of age and has completed 10 stage rallies.

Please tick ONLY ONE box R to indicate the MAIN TYPE OF MOTORSPORT in which you intend to compete RACE/KART RALLY SPEED CLUBMAN

¨ Kart Racing ¨ Special Stage Rallying ¨ Rallycross ¨ Sporting Trials ¨ Circuit Racing ¨ Historic Stage Rallying ¨ Rallysprint ¨ 4x4 Trials ¨ Navigation Trials ¨ Sprint ¨ Midget Car Racing ¨ Retrospective Trials ¨ Autocross ¨ Autotest ¨ Endurance Trials ¨ Hillclimb

2018 FIRST TIME LICENCE CATEGORIES Please indicate the licence/s you wish to apply for by tickingü the appropriate boxes

LICENCE CATEGORY CODE FEE LEVY ü LICENCE CATEGORY CODE FEE LEVY ü Car and Kart Racing Navigation/Endurance/Retrospective (Road) Trials & Special

Stage Rallies (Stage Rally) RACE STAGE RALLY

National B (16+) 024 €40 €50 National B (17+) See Note 2 027 €40 €100 Junior Race (14-‐16) 177 FREE €0 Junior (16+) See notes above 191 €40 €0

Nat. A Navigator (16+) STAGE 028 €40 €100 KART ROAD (for Navigation, Endurance & Retro Trials ONLY)

National B (16+) 172 €40 €50 Road National B (17+) See Note 2 036 €40 €50 Junior Kart (12-‐16) 025 FREE €0 Nat. B Navigator (16+)

NOT STAGE 192 €40 €50

Cadet Kart (8-‐12) 026 FREE €0 Sporting/4x4/Production Vehicle Trials, Midget Car Racing, Autotest, Multi-‐Venue Autotests & Autosolos

MiniKart (6-‐8) 005 FREE €0

Rallycross, Rallysprint, Sprint, Hillclimb & Autocross SPEED CLUBMAN

National B (16+) 029 €40 €50 National B (16+) See Note 2 030 €40 €50 Junior Speed (14-‐16) See Note 1 042 FREE €0 Junior (14-‐16) See Note 1 031 FREE €0

Notes: 1. A Junior SPEED Licence is not applicable for Hillclimb & Sprint Events. A Junior Clubman is only suitable for Sporting Trials 2. IRDS Insurance is required in order to drive in Rallies, Navigation, Endurance & Retrospective Trials or Multi Venue Autotests.

ADDITIONAL FEES

COVER NOTE 021 € 25.00 In extreme cases & at the sole discretion of MI Cover Notes may be provided.

DUPLICATE 103 € 20.00 + LEVY

This applies in the case of a licence replacement or if a new licence category is added during the competition year (requests will be accepted in writing only).

NON-‐MEMBER SUPPLEMENT 023 € 40.00 This applies if you are not a member of a club

SECTION 8. PAYMENT OPTIONS

*Cheque and Postal Orders are to be made payable to ‘Motorsport Ireland’* Cheque / Postal Order / Cash / Debit or Credit Card for the amount: € (Licence) & € (Levy)

Cardholder’s Name: Signature: VISA or MASTER Card Number: Expiry Date: CVV No.

!!!! !!!! !!!! !!!! !!!! !!!

SPECIMEN FORMLICENCES WITH MULTIPLE CATEGORIES ARE ONLY CHARGED FOR THE SINGLE MOST EXPENSIVE CATEGORY PLUS ANY ADDITIONAL COSTS THAT APPLY

CATEGORY CODE FEE x LICENCE NOTES

RACE Race licences can only be issued to those who have attended racing school. Your Doctor must complete the Doctor’s Certificate in Section 3 You must be at least 16 years old to hold a Nat. B licence Junior licences are for drivers aged 14-16 years old. Junior licences must be accompanied by a valid Competitor Entrant licence (separate form available).

NATIONAL B 024 €50

JUNIOR 177 FREE

KART Your Doctor must complete the Doctor’s Certificate in Section 3. Junior licences are for drivers aged 6-16 years old. Junior licences must be accompanied by a valid Competitor Entrant licence (separate form available).


JUNIOR 025 FREE

RALLY Rally licences can only be issued to those who have attended rally school. Your Doctor must complete the Doctor’s Certificate in Section 3 You must be at least 17 years old to hold a Nat. B licence. You must be at least 16 years old to hold a Navigator licence (No doctor’s cert. required unless you have answered YES to any “B” question on page 2). A Junior rally licence is for forest stage rally events only and is for drivers aged over 15 years old. A National B licence requires a valid RTA driving licence and a completed IRDS form.


NAVIGATOR 028 €50

JUNIOR 191 FREE

SPEED Your Doctor must complete the Doctor’s Certificate in Section 3 You must be at least 16 years old to hold a Nat. B licence Junior licences are for drivers aged 14-16 years old. This category allows you compete in Rallycross, Rallysprint, Autocross, Sprint and Hillclimb events.


JUNIOR 042 FREE

ROAD TRIALS Road National B requires a valid RTA driving licence and a completed IRDS form. (No doctor’s cert. required unless you have answered YES to any “B” question on page 2). This category is only for Drivers in Navigation, Endurance and Retro trials. You may navigate in stage rallies with this licence. NATIONAL B 036 €50

CLUBMAN Clubman A allows you to compete in Autocross up to 1650cc, Midget Car Races and any events below. Your Doctor must complete the Doctor’s Certificate in Section 3 for Clubman A. Clubman B allows you to compete in Sporting Trials, 4x4 Trials, Production Vehicle Trials, Autosolos, Autotests and Multi-Venue Autotests. (No doctor’s cert. required unless you have answered YES to any “B” question on page 2). Junior licences are for drivers aged 14-16 years old.

CLUBMAN A 130 €50

CLUBMAN B 030 €50

JUNIOR 031 FREE

ADDITIONAL CHARGES Non-member fees must be paid if you are not a member of an M.I. affiliated club. MI Membership is a separate entity to MI affiliated clubs and is not valid as a club stamp. Cover note fees apply for late applications which need to be processed quickly. Duplicate licence fees must be paid in the case of lost licence cards.

NON-MEMBER FEE 023 €250

COVER NOTE 021 €50

DUPLICATE 103 €35

FIRST-TIMERS’ CHECKLIST HOW MANY MI EVENTS DO YOU INTEND TO ENTER?

PHOTO PLEASE SUPPLY NUMBERS FOR CATEGORIES IN WHICH YOU WILL COMPETE

CLUB STAMP CIRCUIT RACING RALLYSPRINT

RTA DETAILS* KART RACING AUTOCROSS

TRAINING STAMP* STAGE RALLYING SPRINT

MEDICAL DECLARATION HISTORIC RALLYING HILLCLIMB

DOCTOR’S CERTIFICATE* NAVIGATION TRIALS SPORTING TRIALS

PAYMENT FORM ENDURANCE TRIALS MIDGET CAR RACING

IRDS FORM* RALLYCROSS AUTOTEST

*REQUIREMENT DEPENDENT ON LICENCE CATEGORY

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SPECIMEN FORM

34 DAWSON STREET DUBLIN 2, D02 RF90

TEL.: 01-677 5628 FAX: 01-671 0793

[email protected] MOTORSPORTIRELAND.COM

2020/2021 COMPETITION LICENCE RENEWAL FORM SECTION 1: PERSONAL DETAILS

COMPETITION LICENCE NUMBER: TICK ONE LICENCE TYPE ONLY DATE OF PROPOSED FIRST EVENT: 1 JANUARY 2020 – 31 DECEMBER 2020 MOTOR CLUB: 1 JULY 2020 – 30 JUNE 2021 (National only)

SURNAME FIRST NAME

DATE OF BIRTH - - NATIONALITY

ADDRESS TOWN

COUNTY EIRCODE

TEL. HOME TEL. MOB

EMAIL * FULL RTA DRIVING LICENCE IS MANDATORY FOR DRIVERS IN STAGE RALLIES AND NAVIGATION / ENDURANCE / RETROSPECTIVE TRIALS *

VALID RTA DRIVING LICENCE NO. EXPIRY

COMMUNICATIONS CONSENT: You must tick this box to receive Motorsport Ireland communications including news, updates, exclusive offers & renewal reminders. If you do not do so, we cannot email you.

PLEASE READ THE DECLARATION AND SIGN AND DATE BELOW

I hereby apply for registration for the year 2020/2021 on the Competitors and Drivers Register of Motorsport Ireland and I undertake, if registered, to submit to and be bound by the International Sporting Code of the FIA and the General Competition Rules and Regulations of Motorsport Ireland, the Irish Anti-Doping Rules and any regulations supplementary thereto as may be imposed from time to time by Motorsport Ireland.

I have read and understood the terms of issue and I am a permanent resident of the Republic of Ireland and/or I am an Irish National and I do not hold a current Competition Licence from any other ASN. I hold an Irish passport or I will supply proof of permanent residency within the ROI every year

I hereby agree to abide by the guidelines and regulations contained in Motorsport Ireland’s General Code of Conduct, the Code of Conduct for Children’s Sport and Motorsport Ireland’s Social Media Policy.

Your Signature: Date: *If you are 17 or under, your parent or legal guardian must complete the box below* Parent’s/Guardian’s signature: Date:

F O R O F F I C I A L U S E O N L Y

FIRST TIME RACE & STAGE RALLY DRIVERS THIS BOX MUST BE STAMPED BY THE SCHOOL TO SHOW THAT YOU HAVE SUCCESSFULLY COMPLETED YOUR IMC COURSE

MI DATE RECEIVED

RECEIVED/MISSING/AMENDED R M Action A

CLUB STAMP MEDICAL DEC. DOCTOR CERT IRDS OTHER CC/CHQ/PO/CASH PAYMENT TOTAL

CLUB STAMP An additional €250 charge will be incurred without a club stamp or

email from your club to MI confirming your membership.

NON-CLUB MEMBERS MUST PAY FEE ON P4

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SPECIMEN FORM

SECTION 2: ANNUAL MEDICAL SELF DECLARATION

Please complete the following information:

NAME LICENCE NO.

DATE OF BIRTH DOCTOR’S NAME

DOCTOR’S ADDRESS

DOCTOR’S PHONE

PLEASE ANSWER ALL QUESTIONS FROM SECTION A & SECTION B

IF YOU ANSWER “YES” TO ANY QUESTION IN THIS SECTION, GIVE DETAILS IN THE BOX PROVIDED AT THE END OF THIS PAGE

NO. SECTION A YES NO

A1 Are corrective lenses (contact lenses or glasses) required for driving? A2 Have you ever been refused life assurance for medical reasons? A3 Have you had any surgical procedures within the last 2 years? A4 Do you suffer from any allergies for which you take medication or otherwise? A5 Have you ever taken any substance shown in the World Anti-Doping Agency listings? [See wada-ama.org]

IF YOU ANSWER “YES” TO ANY QUESTION IN THIS SECTION, A VALID DOCTOR’S CERTIFICATE IS REQUIRED [P.3]

NO. SECTION B YES NO

B1 Do you have diabetes? [If yes, please ask your doctor to provide details in the box provided] B2 Do you have a physical problem with, or permanent difficulty in, using your arms or legs for driving? B3 Do you have any congenital abnormality of any limbs, or an amputation, or any other disability? B4 Have you ever had any disease or disorder of the eyes other than glasses or contact lenses? B5 Have you ever had heart disease or a heart disorder? B6 Have you ever suffered from a psychiatric illness, mental disorder or behavioural issue (including ADHD/depression)? B7 Have you ever had a head injury with concussion or unconsciousness? B8 Have you ever had dizziness, fainting fits, epilepsy or blackouts?

PLEASE READ THE FOLLOWING DECLARATION AND SIGN AND DATE BELOW

I hereby declare that all above and previous statements are true and accurate and I give permission to any hospital or medical practitioner to furnish information relating to my medical state to Motorsport Ireland. I give permission to Motorsport Ireland to digitally store my licence details and any medical records I provide them with. I undertake to advise Motorsport Ireland in writing without delay of any change in my state of health. APPLICANT’S SIGNATURE: DATE

PARENT/GUARDIAN SIGNATURE (IF AGED 17 OR UNDER): DATE

ADDITIONAL DETAILS:

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THIS PAGE IS REQUIRED ONLY IN THE FOLLOWING CIRCUMSTANCES: ALL INTERNATIONAL LICENCES (VALID JAN-DEC ONLY) - UNDER 45 YEARS OLD: MUST UNDERTAKE 12-LEAD ECG AND HAVE DOCTOR ANSWER QUESTIONS D1/D2 - OVER 45 YEARS OLD: MUST PROVIDE CARDIOLOGIST CLEARANCE FORM (AVAILABLE SEPARATELY)

IF YOU ARE A RACE / RALLY / SPEED / KART/ AUTOCROSS / MIDGET CAR APPLICANT WHO HAS NOT SUPPLIED A DOCTOR’S CERT BEFORE

ALL COMPETITORS AGED OVER 45 YEARS OLD WHO WISH TO ENTER A RACE / RALLY / SPEED / KART / AUTOCROSS / MIDGET CAR EVENT

IF YOU HAVE ANSWERED “YES” TO ANY QUESTION IN SECTION B ON P.2

THIS PAGE MUST ONLY BE COMPLETED BY YOUR DOCTOR

APPLICANT’S NAME APPLICANT’S DATE OF BIRTH

DOCTOR’S NAME

DOCTOR’S MEDICAL COUNCIL REGISTRATION NUMBER (OR GENERAL MEDICAL COUNCIL FOR UK)

DATE OF EXAMINATION

DOCTOR’S PRACTICE STAMP DOCTOR’S SIGNATURE

NO. QUESTION [IF YES, TO ANY QUESTION EXCEPT C1, PLEASE PROVIDE DETAILS ON A DOCTOR’S LETTER] YES NO

C1 Are you the regular attendant of the applicant?

C2 Is there any abnormality of the heart or cardiovascular system?

C3 Has the applicant ever suffered from any neurological condition?

C4 Is there any physical abnormality or restriction of movement in the arms or legs?

C5 Does the patient show signs of abnormal blood pressure?

C6 Please record vision in metric Snellen acuity below.

Uncorrected left / right: / Corrected left / right: /

C7 Is there any ocular history of visual field loss?

C8 Are there any abnormalities on the colour vision (Ishihara) test?

C9 Has the applicant been immunised against tetanus in the past 10 years?

C10 Is there any evidence of a physical or mental condition in the applicant’s history?

C11 Does the applicant require special medical supervision?

C12 Is there a medical reason that the applicant should not compete in motorsport?

C13 Do you recommend that the Motorsport Ireland medical panel review this applicant?

NO. ECG FOR INTERNATIONAL APPLICANTS [UNDER 45 YEARS OLD] YES NO

D1 Is there any problem indicated by the 12 lead resting ECG?

D2 Date when the ECG was performed (the ECG is valid for two years):

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Page 4 of 4

SECTION 6. LICENCE(S) YOU NEED • International licences expire on the 31st December of the year for which they are issued.

The licence year can run from 1st January 2018 to 31st December 2018 or from 1st July 2018 to 30th June 2019 for national licences ONLY. • If you are applying for two or more categories of Licence at the same time, the total licence fee will be the cost of the most expensive one • The fees below are for members of clubs affiliated to Motorsport Ireland. Non-‐members pay double the licence fee. • If you do not hold an Irish passport you must supply MI with proof of permanent residency within the ROI every year, e.g. a utility bill

showing your name and full address, and authorisation is required from the governing body of Motorsport in your own country. • Please remember that you cannot apply for an Entrant Licence or an International Navigator licence with this form. Please use the

separate application forms available on the MI website. • Applicants must complete an Introduction to Motorsport Course (IMC) prior to being issued with any of the following licences: Race

Junior, Race National B, Stage Rally Junior, Stage Rally National B. • A Junior Rally licence is for forest stage rally events only. The holder must be accompanied by a current licence holder of the appropriate

grade who is currently registered on the IRDS database, over 23 years of age and has completed 10 stage rallies. Please tick ONLY ONE box R to indicate the MAIN TYPE OF MOTORSPORT in which you intend to compete

RACE/KART RALLY SPEED CLUBMAN ¨ Kart Racing ¨ Special Stage Rallying ¨ Rallycross ¨ Sporting Trials ¨ Circuit Racing ¨ Historic Stage Rallying ¨ Rallysprint ¨ 4x4 Trials ¨ Navigation Trials ¨ Sprint ¨ Midget Car Racing ¨ Retrospective Trials ¨ Autocross ¨ Autotest ¨ Endurance Trials ¨ Hillclimb

2018 LICENCE RENEWAL CATEGORIES Please indicate the licence/s you wish to apply for by tickingü the appropriate boxes. LICENCE CATEGORY CODE FEE LEVY ü LICENCE CATEGORY CODE FEE LEVY ü

Car and Kart Racing Navigation/Endurance/Retrospective (Road) Trials & Special Stage Rallies (Stage Rally)

RACE STAGE RALLY International A 001 €210 €50 International R See Note 2. 012 €140 €100 International B 002 €175 €50 National A See Note 2. 013 €115 €100 International C 003 €140 €50 National B (17+) See Note 2. 014 €110 €100 National A 004 €115 €50 Junior (16+) See notes above 191 €40 €0 National B (16+) 005 €110 €50 Nat. A Navigator (16+) STAGE 015 €110 €100 Junior Race (14-‐16) 178 €55 €0 ROAD (for Navigation, Endurance & Retro Trials ONLY)

Kart Racing ONLY National B (17+) See Note 2. 039 €110 €50 Nat. B Navigator (16+)

NOT STAGE 193 €110 €50

KART Rallycross, Rallysprint, Sprint, Hillclimb & Autocross International A 009 €210 €50 SPEED International B 010 €175 €50 International 016 €140 €50 International C 011 €140 €50 National A 017 €115 €50 National B (16+) 173 €110 €50 National B (16+) 018 €110 €50 Junior Kart (12-‐16) 007 €55 €0 Junior (14-‐16) See Note 1. 046 €55 €0 Cadet Kart (8-‐12) 008 €55 €0 Sporting/4x4/Production Vehicle Trials, Midget Car Racing,

Autotest, Multi-‐Venue Autotests & Autosolos MiniKart (6-‐8) 006 €55 €0

Notes: CLUBMAN 1. A Junior SPEED Licence is not applicable for Hillclimb & Sprint

Events. A Junior Clubman Licence is applicable only for Sporting Trials

National B (16+) See Note 2. 019 €110 €50

2. Drivers in Rallies, Navigation, Endurance & Retrospective Trials or Multi Venue Autotests require IRDS Insurance.

Junior (14-‐16) See Note 1. 020 €55 €0

ADDITIONAL FEES

COVER NOTE 021 € 25.00 In extreme cases & at the sole discretion of MI Cover Notes may be provided. UPGRADE 022 € 10.00 This applies when event finishes for an upgrade are provided. Please also

include your current competition licence and the difference in the licence fees.

DUPLICATE 103 € 20.00 (+LEVY)

This applies in cases of a licence replacement or if a new licence category is added during the competition year (requests will be accepted in writing only).

NON-‐MEMBER SUPPLEMENT

023 € This applies if you are not a member of a club. The extra fee = licence fee.

SECTION 8. PAYMENT OPTIONS *Cheque and Postal Orders are to be made payable to ‘Motorsport Ireland’* Cheque / Postal Order / Cash / Debit or Credit Card for the amount: € (Licence) & € (Levy) Cardholder’s Name: Signature: VISA or MASTER Card Number: Expiry Date: CVV No.

!!!! !!!! !!!! !!!! !!!! !!!

SPECIMEN FORM

SECTION 4: LICENCE OPTIONS LICENCES WITH MULTIPLE CATEGORIES ARE ONLY CHARGED FOR THE SINGLE MOST EXPENSIVE CATEGORY PLUS ANY ADDITIONAL COSTS THAT APPLY

CATEGORY CODE FEE x LICENCE NOTES

RENEW PREVIOUS 000 N/A Ticking this box will renew your licence exactly as you held it before, with costs outlined below.

RACE Race licences can only be issued to those who have attended racing school. Upgrades to Nat. A / Int. C must provide 5 Race finishes from the last 36 months. Upgrades to Int. B and beyond are subject to FIA requirements. International licences are valid from January to December only. See Section 3 for medical requirements. You must be at least 16 years old to hold a Nat. B licence or higher. Junior licences are for drivers aged 14-16 years old. Junior licences must be accompanied by a valid Competitor Entrant licence (separate form available).

INTERNATIONAL A 001 €240 INTERNATIONAL B 002 €240 INTERNATIONAL C 003 €240

NATIONAL A 004 €130 NATIONAL B 005 €115

JUNIOR 178 €50

KART Upgrades to Int. C must provide 3 Kart race finishes in the top 6 from the last 36 months. Upgrades to Int. B and beyond are subject to CIK requirements. International licences are valid from January to December only. See Section 3 for medical requirements. Junior licences are for drivers aged 6-16 years old. Junior licences must be accompanied by a valid Competitor Entrant licence (separate form available).

INTERNATIONAL A 009 €240 INTERNATIONAL B 010 €240

INT. C - SENIOR 011 €240 INT. C - JUNIOR 111 €240

NATIONAL B 173 €115 JUNIOR (6-16) 007 €50

RALLY Rally licences can only be issued to those who have attended rally school. Upgrades to Nat. A / Int. must provide 4 Rally finishes from the last 36 months. International licences are valid from January to December only. See Section 3 for medical requirements. You must be at least 16 years old to hold a Navigator licence. A Junior rally licence is for forest stage rally events only for drivers aged over 15 years old. National B or higher at least 17 years old, requires a valid RTA driving licence and a completed IRDS form.

INTERNATIONAL 012 €240 NATIONAL A 013 €130 NATIONAL B 014 €115 NAVIGATOR 015 €115

JUNIOR 191 €50

SPEED This category allows you to compete in Rallycross, Rallysprint, Autocross, Sprint and Hillclimb events. Upgrades to Nat. A / Int. must provide 6 Speed event finishes from the last 36 months. International licences are valid from January to December only. See Section 3 for medical requirements. You must be at least 16 years old to hold a Nat. B licence or higher. Junior licences are for drivers aged 14-16 years old.

INTERNATIONAL 016 €240 NATIONAL A 017 €130 NATIONAL B 018 €115

JUNIOR 046 €50

ROAD TRIALS This category is only for drivers in Navigation, Endurance and Retro Trials. National B requires a valid RTA driving licence and a completed IRDS form. You may navigate in Stage Rallies with this licence. NATIONAL B 039 €115

CLUBMAN Clubman A lets you drive in Autocross up to 1650cc, Midget car races and any events below. See Section 3 for medical requirements for Clubman A. Clubman B lets you compete in Sporting Trials, 4x4 Trials, Production Vehicle Trials, Autosolos, Autotests and Multi-venue Autotests. Junior licences are for drivers aged 14-16 years old.

CLUBMAN A 119 €65 CLUBMAN B 019 €65

JUNIOR 020 €50

ADDITIONAL CHARGES Non-member fees must be paid if you are not a member of an M.I. affiliated club. MI Membership is a separate entity to MI affiliated clubs and is not valid as a club stamp. Cover note fees apply to late applications which need to be processed quickly. An upgrade fee must be paid when supplying event finishes. Duplicate licence fees must be paid in the case of lost licence cards.

NON-MEMBER 023 €250 COVER NOTE 021 €50

DUPLICATE 103 €35 UPGRADE 022 €25

APPLICATION CHECKLIST HOW MANY MI EVENTS DO YOU INTEND TO ENTER? PHOTO PLEASE SUPPLY NUMBERS FOR CATEGORIES IN WHICH YOU WILL COMPETE CLUB STAMP CIRCUIT RACING RALLYSPRINT RTA DETAILS* KART RACING AUTOCROSS TRAINING STAMP* STAGE RALLYING SPRINT MEDICAL DECLARATION/SIGNATURE HISTORIC RALLYING HILLCLIMB DOCTOR’S CERTIFICATE* NAVIGATION TRIALS SPORTING TRIALS PAYMENT FORM ENDURANCE TRIALS MIDGET CAR RACING IRDS FORM* RALLYCROSS AUTOTEST

*REQUIREMENT DEPENDENT ON LICENCE CATEGORY

1

65


SPECIMEN FORM

34 DAWSON STREET

DUBLIN 2, D02 RF90

TEL.: 01-677 5628

FAX: 01-671 0793

[email protected]


2020/2021 COMPETITOR ENTRANT LICENCE FORM MI LICENCE NO.

NAME DATE OF BIRTH - -

NATIONALITY ADDRESS

TOWN COUNTY EIRCODE

PHONE EMAIL

SECTION 4. DETAILS OF DRIVER/S FOR WHOM YOU WILL BE ACTING AS ENTRANT DRIVER’S NAME LICENCE NO. RELATIONSHIP TO YOU

*N.B. If these are not your own children, a maximum of two will apply. Ref.: GCR 108.2.3.*

I ENCLOSE AND AUTHORISE THE FOLLOWING REGISTRATION FEE TO BE CHARGED

NATIONAL COMPETITOR ENTRANT LICENCE €55.00

INTERNATIONAL COMPETITOR ENTRANT LICENCE (January to December only) €325.00

DECLARATION

In accordance with Articles 9.1 and 9.2 of the FIA International Sporting Code and Chapter 7 Article 108.2.3 of the General Competition Rules of Motorsport Ireland, I hereby apply for Registration/Re-registration for the current year on the Competitors (Entrants) Register of Motorsport Ireland and I undertake, if registered, to submit to and be bound by the FIA International Sporting Code and General Competition Rules of Motorsport Ireland and any regulations supplementary thereto as may be imposed from time to time by Motorsport Ireland. I hereby agree to abide by the guidelines and regulations contained in Motorsport Ireland’s Code of Conduct for Children’s Sport. I will respect the rules and procedures set down in Motorsport Ireland’s (MI) Code of Conduct for Children in Sport. I will respect my child’s fellow drivers, competitors, their parents, team managers/owners and coaches. I will give encouragement and applaud only positive accomplishments whether from my child, his/her fellow drivers, competitors or the officials. I will respect my child’s coach and support his/her efforts. I will respect MI and club officials and their authority during events. I will never demonstrate threatening or abusive behaviour or use foul language. I will encourage my child to treat other participants, coaches, selectors, team managers/owners, MI officials, club officials and event organisers with respect. I have read and accept the guidelines for travelling with children contained in MI’s Code of Conduct for Children’s Sport.

ENTRANT’S SIGNATURE DATE

PARENT / GUARDIAN’S SIGNATURE (IF ENTRANT IS NOT PARENT/GUARDIAN) DATE

DATE RECEIVED

1

66


SPECIMEN FORM

34 DAWSON STREET

DUBLIN 2, D02 RF90

TEL.: 01-677 5628

FAX: 01-671 0793

[email protected]


2020 COMMERCIAL ENTRANT REGISTRATION FORM

MI LICENCE NO. NAME

DATE OF BIRTH - - ADDRESS

TOWN COUNTY EIRCODE

PHONE EMAIL

ORGANISATION NAME

ORGANISATION ROLE

PLEASE NOTE: A COPY OF THE COMPANY’S CERTIFICATE OF INCORPORATION AS A LIMITED COMPANY WITHIN THE REPUBLIC OF IRELAND MUST BE INCLUDED WITH THIS

APPLICATION, THE COMPANY NAME MUST BE IDENTICAL TO THAT LISTED ABOVE.

I / WE ENCLOSE AND AUTHORISE THE FOLLOWING REGISTRATION FEE TO BE CHARGED

NATIONAL COMMERCIAL ENTRANT LICENCE €375

INTERNATIONAL COMMERCIAL ENTRANT LICENCE €1,250

DECLARATION

In accordance with the FIA International Sporting Code and Articles 108 and 109 of the General Competition Rules of Motorsport Ireland, I/we hereby apply for registration/re-registration for the year(s) 2020 on the Competitors (Entrants) Register of Motorsport Ireland and I/we undertake, if registered, to submit to and be bound by the International Sporting Code of the FIA and the General Competition Rules and Regulations of Motorsport Ireland, the Irish Anti-Doping Rules and any regulations supplementary thereto as may be imposed from time to time by Motorsport Ireland. I/we have read and understood the terms of issue and am/are a permanent resident of the Republic of Ireland and/or I/we am/are an Irish National(s) and I/we do not hold a current Competition Licence from any other ASN. I/we hereby agree to abide by the guidelines and regulations contained in Motorsport Ireland’s General Code of Conduct, the Code of Conduct for Children’s Sport and Motorsport Ireland’s Social Media Policy.

APPLICANT’S SIGNATURE DATE

*ONE IDENTIFICATION PHOTOGRAPH MUST BE SUPPLIED WITH THIS APPLICATION*

DATE RECEIVED

2021

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