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CLOSER TO RALLY.
RALLY GUIDE 22019APPENDIX 5FORMS
14-17 FEBRUARY 2019RALLYSWEDEN.COM#RALLYSWEDEN
RALLY GUIDE 2 - APPENDIX 5 FORMS
CLOSER TO RALLY.
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RALLY GUIDE 2 - APPENDIX 5 FORMS
CLOSER TO RALLY.
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APPENDIX 5 - FORMS
1. RECCE REGISTRATION FORM ............................................................................................ 4
2. ADDITIONAL MATERIALS ORDER FORM ................................................................... 5
3. SERVICE PARK FACILITIES ORDER FORM .................................................................. 6
4. EVENT FUEL PURCHASE ORDER FORM ................................................................... 7
5. TECHNICAL DATA SHEET FUEL................................................................................................ 11
6. MICHELIN TYRES ORDER FORM ............................................................................................... 12
7. PIRELLI TYRES ORDER FORM ...........................................................................................................15
8. HELICOPTER REGISTRATION FORM .......................................................................... 16
9. DRONE REGISTRATION FORM ........................................................................................................ 17
10. RECCE APPLICATION FOR NON-ENTRANTS ............................................................ 18
RALLY GUIDE 2 - APPENDIX 5 FORMS
CLOSER TO RALLY.
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1. RECCE REGISTRATION FORM
Please submit this form to the organiser at the registration for the reconnaissance..
CREW
Driver
Mobile phone
Co-Driver
Mobile phone
Team contact person during recce
Mobile phone
RECCE CAR
Make & model
Registration No
Colour
ACCOMMODATION DURING RECCE
Tuesday 12 Feb – Wednesday 13 Feb
start no:
RALLY GUIDE 2 - APPENDIX 5 FORMS
CLOSER TO RALLY.
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2. ADDITIONAL MATERIALS ORDER FORM
Material and documents included in the entry fees are listed in 2019 FIA WRC Regulations Appendix VI and in Art 4.4.2 in the Supplementary Regulations.
Any other material must be ordered by using this form. The duly completed form much reach the Rally Office at the latest on Wednesday 30. January 2019e-mail: [email protected] Order details may also be sent by fax: +46 54 18 05 30
Materials, both included in the entry fee and additional ordered, may be collected from the Rally HQ during thetimes scheduled in Art 3.
Pay to: Name of the bank: SWEDBANK Address: SE-105 34 Stockholm, Sweden Bank account: IBAN = SE85 80000 8156 29 03 0406 772 Swift-id = SWEDSESSIn Sweden: Bankgiro: 5070-5169 (Swebank)
To be able to collect the material you must show the letter with confirmation of entry and the receipt of payment.
PRODUCT PRICE / UNIT QUANTITY PRICE TOTAL
Auxiliary plate 2 500 SEK
Road Book 750 SEK
Official Route Map 50 SEK
Team Pass 600 SEK
Festival pass (ticket 3-days) 600 SEK
Rally Magazine incl. route map 100 SEK
VAT is included in the prices TOTAL TO PAY
CONTACT DETAILS
Team Name/Driver
Contact Person
Phone
Fax
Mobile Phone
Invoice Address
VAT Number
A receipt will be sent by mail when payment is received.
RALLY GUIDE 2 - APPENDIX 5 FORMS
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3. SERVICE PARK FACILITIES ORDER FORM
ORDER
Item Price per unit Amount ordered Total price
Private Toilet (inc. emptying service) 5 000 SEK*
Fresh water tank 1000L (with pump) 500 SEK* (1500 SEK*)
Waste water tank 1000L 500 SEK*
Waste water emptying 1000L 500 SEK*
Additional service space150 SEK* per extra
sq.met
* excluding VAT (25% in Sweden)ay to: Name of the bank: SWEDBANK Address: SE-105 34 Stockholm, Sweden Bank account: IBAN = SE85 80000 8156 29 03 0406 772 Swift-id = SWEDSESSIn Sweden: Bankgiro: 5070-5169 (Swebank)
CONTACT DETAILS
Team Name/Driver
Contact Person
Phone
Fax
Mobile Phone
Invoice Address
VAT Number
SEND THE ORDER FORM TO:
Rally Sweden, Lantvärnsgatan 4, SE-652 21 KarlstadFax number: +46 (0)54 18 05 30, E-mail: [email protected]
THE ORDER FORM MUST REACH THE ORGANISER AT THE LATEST ON 30 JANUARY 2019 A receipt will be sent by mail when payment is received.
___________________________________________________________________________________________________________________________________________
WIFI You can order WiFi at the service area in Karlstad. (30. January at the latest) Order directly from Event-IP, Matthew Irving, e-mail: [email protected]
ELECTRICITY
Electricity should be ordered directly from: TOPLAK See details in Art. 5.7 (26. January at the latest) attn. Gregor Weissegger E-mail: [email protected] Mobile: +43 676 838 99238
RALLY GUIDE 2 - APPENDIX 5 FORMS
CLOSER TO RALLY.
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4. EVENT FUEL PURCHASE ORDER PROCEDURE
RALLY GUIDE 2 - APPENDIX 5 FORMS
CLOSER TO RALLY.
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4. EVENT FUEL PURCHASE ORDER PROCEDURE
RALLY GUIDE 2 - APPENDIX 5 FORMS
CLOSER TO RALLY.
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4. EVENT FUEL PURCHASE ORDER PROCEDURE
RALLY GUIDE 2 - APPENDIX 5 FORMS
CLOSER TO RALLY.
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4. EVENT FUEL PURCHASE ORDER PROCEDURE
RALLY GUIDE 2 - APPENDIX 5 FORMS
CLOSER TO RALLY.
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TOTAL ADDITIFS ET CARBURANTS SPECIAUXPlace du bassin - 69700 Givors - FranceTel +33 4 72 49 84 10 - Fax +33 4 72 49 84 20
Date : 20/11/2018
PROPERTIES UNITS TEST METHODS RESULTSFIA Appendix J
SPECIFICATIONS
Density at 15°C kg/m3 EN ISO 12185 745,6 720,0 - 785,0
DVPE kPa EN 13016-1 56 < 80
Distillation EN ISO 3405
E70 °C %v/v 42,1 20,0 - 52,0
E100 °C %v/v 71,0 46,0 - 72,0
E150 °C %v/v > 95,0 > 75,0
FBP °C 123 < 210
Residue %v/v 0,9 < 2,0
RON EN ISO 5164 101,7 95,0 - 102,0
MON EN ISO 5163 88,4 85,0 - 90,0
Aromatics content %v/v EN ISO 22854 < 35,0 < 35,0
Olefins content %v/v EN ISO 22854 < 18,0 < 18,0
Total di-olefins content %m/m < 1,0 < 1,0
Benzene content %v/v EN ISO 22854 < 1,0 < 1,0
Oxygen content %m/m EN ISO 22854 3,5 < 3,7
Lead content mg/L EN 237 < 5 < 5
Sulfur content mg/kg EN ISO 20846 < 10,0 < 10,0
Oxidation stability min EN ISO 7536 > 360 > 360
TOTAL Excellium Rally
Certificate of Analysis - Batch. PCH110174G(Official FIA WRC fuel 2019-2020-2021)
5. TECHNICAL DATA SHEET FUEL
RALLY GUIDE 2 - APPENDIX 5 FORMS
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6. MICHELIN TYRES ORDER FORM
17 Boulevard D’Italie – 98000 Monaco Tél : (+33) 06 42 57 64 26 Site : www.rallysportmanagement.com E.mail : [email protected] SARL RALLY SPORT MANAGEMENT – RCI 12S05693 – N° TVA Intra com . FR 70 000 095 629
FIAWORLDRALLYCHAMPIONSHIP2017
SUPPLYCONDITIONSOFTYRESFORTESTINGANDEVENTS
FORMA
COMPANYDETAILS
TOBESENTTO:Mr.TuruaniFabien(email:[email protected])
Company/TeamName:___________________________________
DriverName:_____________________________________________
Address:________________________________________________
ZIPCODE:________
City:_____________________
Country:___________________
VATidentificationnumber:________________________
ContactPerson:_________________________________
E-mail/Fax:___________________________________
TEAMSTAMPANDSIGNATUREDATE:_____________
RALLY GUIDE 2 - APPENDIX 5 FORMS
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6. MICHELIN TYRES ORDER FORM
Z.I. de Lavaur – 63500 Issoire – France Tél : (+33) 04 73 55 56 56 Site : www.ceerta.com Fax : (+33) 04 73 55 56 59 e.mail : wrc.orderceerta.com S.A.S. au capital de 91 469,41€ - siret 404 533 937 000 11 – RCS de Clermont-Ferrand : B 404 533 937 – N° TVA Intra com . FR 00 404 533 937
FIA WORLD RALLY CHAMPIONSHIP 2019
SUPPLY CONDITIONS OF TIRES FOR TESTING AND FOR EVENTS
( SWEDEN)
FORM B
ORDER FORM FOR RALLY WRC 1 & 2
DATE: _____________ COMPANY/TEAM NAME: ______________________________________ CONTACT NAME: ____________________________________________ EMAIL ADDRESS / FAX/ TEL NUMBER: ____________________________
Size Tread Type/Rally Left/Right
Unit Price (EUR)
Without VAT
Number of tyres Total amount
15/65-15 X-Ice North 3L Snow/Ice L 460,00€
15/65-15 X-Ice North 3R Snow/Ice R 460,00€
TOTAL ORDER AMOUNT VAT NOT INCLUDED: EUR ___________________
TOTAL NUMBER OF TIRES: _____________
REQUESTED DELIVERY DATE: ________________________ DELIVERY LOCATION FOR TESTING: _____________________________ TIRE QUANTITY AND DELIVERY DATE SUBJECT TO CEERTA’S WRITTEN CONFIRMATION
RALLY GUIDE 2 - APPENDIX 5 FORMS
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Z.I. de Lavaur – 63500 Issoire – France Tél : (+33) 04 73 55 56 56 Site : www.ceerta.com Fax : (+33) 04 73 55 56 59 e.mail : wrc.orderceerta.com S.A.S. au capital de 91 469,41€ - siret 404 533 937 000 11 – RCS de Clermont-Ferrand : B 404 533 937 – N° TVA Intra com . FR 00 404 533 937
FIA WORLD RALLY CHAMPIONSHIP 2019
SUPPLY CONDITIONS OF TIRES FOR TESTING AND FOR EVENTS
( SWEDEN)
FORM B
ORDER FORM FOR RALLY WRC2
DATE: _____________ COMPANY/TEAM NAME: ______________________________________ CONTACT NAME: ____________________________________________ EMAIL ADDRESS / FAX/ TEL NUMBER: ____________________________
Size Tread Type/Rally Left/Right
Unit Price (EUR)
Without VAT
Number of tyres Total amount
15/65-15 X-Ice North NA01L Snow/Ice L 460,00€
15/65-15 X-Ice North NA01R Snow/Ice R 460,00€
TOTAL ORDER AMOUNT VAT NOT INCLUDED: EUR ___________________
TOTAL NUMBER OF TIRES: _____________
REQUESTED DELIVERY DATE: ________________________ DELIVERY LOCATION FOR TESTING: _____________________________ TIRE QUANTITY AND DELIVERY DATE SUBJECT TO CEERTA’S WRITTEN CONFIRMATION
6. MICHELIN TYRES ORDER FORM WRC2 CARS
RALLY GUIDE 2 - APPENDIX 5 FORMS
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Type Size Stud Order Qty Total Price7mm 7mm
Anders ÅbergPSport.se / A. Åbergs Bil & Import ABHerkulesvägen 228143
HässleholmSwedenSE556868547201+46 (0) 709-10 15 [email protected]
IBANBIC
SWIFTName
Email address:
Event:
Rally Sweden WRC 2019Customer's Details:
Name:Company:
Street/House Number:ZIP Code:
City:Country:
VAT:Phone Number:
Name:
Tire Order:TypeLeft
RightICE 205/65R15 RFID
J1ATotal 0,00 €
Dealer's Contact:
Net Price404,00 €404,00 €
Card Number
Company:Street/House Number:
ZIP Code:City:
Country:VAT:
Phone Number:Email address:
Payment term:BANK TRANSFER CREDIT CARD
Security code
Above tire list is valid for WRC2 and priority drivers nominated by FIA as per WRC Art. 60.3
Owner
Exp Date
7. PIRELLI TYRES ORDER FORM
RALLY GUIDE 2 - APPENDIX 5 FORMS
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8. HELICOPTER REGISTRATION FORMCLOSER TO RALLY.
HELICOPTER REGISTRATION FORM
HELICOPTER
Helicopter’s registration:
Make and model:
Colours:
OWNER
Company / Name:
Address:
Phone:
Flight Manager Name:
Phone:
Invoice/billing address:
OPERATION
What will be the use of the helicopter during the rally?
Flying under contract from:
Overnight parking location:
Wich dates will you be flying during the rally?
PILOT
Name:
Phone:
E-mail address (all info will be by e-mail)
Address and mobile phone during the event:
I, the pilot/commander of the above helicopter, agree to follow the rules notified to me during the Rally. I am personally responsible for attaining this accreditation by attanding the Safety Briefing.
SIGNATURE: ................................................................................................................................................................................................................
Send to the event Helicopter Coordinator Lars Gunnar Gustafsson e-mail: [email protected], [email protected], Mobile: +46 (0)70 648 50 78
Closing date for registration of helicopters is Friday 8 February.
FRIDAY 190215
SATURDAY 190216
SUNDAY 190217
RALLY GUIDE 2 - APPENDIX 5 FORMS
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9. DRONE REGISTRATION FORMCLOSER TO RALLY.
DRONE
Model: Weight:
OWNER
Company / Name:
Address:
Phone:
Manager Name:
Phone:
Invoice/billing address:
OPERATION
What will be the use of the drone during the rally?
Flying under contract from:
Wich dates will you be flying during the rally?
OPERATOR
Name:
Phone:
E-mail address (all info will be by e-mail)
Address and mobile phone during the event:
PERMISSIONS (according to Rally Guide 2, art. 9.1)
I, the operator of the above drone, agree to follow the rules notified to me during the Rally.
SIGNATURE: ................................................................................................................................................................................................................
Send to the event Helicopter Coordinator Lars Gunnar Gustafsson e-mail: [email protected], [email protected], Mobile: +46 (0)70 648 50 78
Closing date for registration of drones is Friday 8 February.
DRONE REGISTRATION FORM
FRIDAY 190215
SATURDAY 190216
SUNDAY 190217
RALLY GUIDE 2 - APPENDIX 5 FORMS
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10. RECCE APPLICATION FOR NON-ENTRANTSCLOSER TO RALLY.
RECCE APPLICATION FORM NON-ENTRANTS 2019 1
RECCE APPLICATION FOR NON-ENTRANTS DRIVER DETAILS
APPLICANTIf other than
member of the crewDRIVER CO-DRIVER
Applicant
Family Name
First Name
Nationality (as passport)
Street Address
Postal Code
City
Country
Address for correspondance (only one)
Telephone (day time)
Mobile
Fax
Competition Licence Number
Issuing ASN
Driving LIcence Number
Country of Issue
The recce form (page 3) with details of the recce car has to be submitted to the organiser at the registration for recce, in accordance with Art 9.1 of the Supplementary Regulations.
This form (page 1 and 2) must be sent to the organiser before January 30.
RALLY GUIDE 2 - APPENDIX 5 FORMS
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10. RECCE APPLICATION FOR NON-ENTRANTSCLOSER TO RALLY.
RECCE APPLICATION FORM NON-ENTRANTS 20192
RECCE APPLICATION FOR NON-ENTRANTS SIGNATURES AND PAYMENT
APPLICATION FEE: 1 200 € + VAT (6%)
ResultsYear
ÅrEvent
TävlingOverall Position
Total placeringClass PositionKlassplacering
International
National
Other
Pay to: IBAN: SE85 80000 8156 29 03 0406 772 SWIFT: SWEDSESS Account holder: Rally Sweden AB Address to the bank: SWEDBANK, SE-105 34 Stockholm, Sweden Note!: Please mark the payment with the drivers last name.
In Sweden: Bankgiro: 5070-5169
RELEVANT RESULTS
I hereby declare that I take part in the reconnaissance for Rally Sweden 2019 at my own risk. I will not hold the Organiser, its Officials, the Swedish Autombile Sports Federation or the FIA responsible for any accidents, injuries etc occuring during the recce. I have knowledge of and undertake to follow regulations and rules governing the reconnaissance , as well as instructions and decisions of the organisers.
Signatures Date ____________________________
_______________________________________ ________________________________________ _____________________________________Applicant if other than member of the crew driver Co-driver
Please send your application form to: Rally Sweden AB, Lantvärnsgatan 4, SE-651 13 Karlstad, Sweden Fax: +46 54 18 05 30 E-mail: [email protected]
This form (page 1 and 2) must be sent to the organiser before January 30.
RALLY GUIDE 2 - APPENDIX 5 FORMS
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10. RECCE APPLICATION FOR NON-ENTRANTS
CLOSER TO RALLY.
RECCE APPLICATION FORM NON-ENTRANTS 2019 3
RECCE REGISTRATION FORM
Please submit this form to the organiser at the registration for the reconnaissance.
CREW
Driver
Mobile phone
Co-Driver
Mobile phone
Team contact person during recce
Mobile phone
RECCE CAR
Make & model
Registration No
Colour
ACCOMMODATION DURING RECCE
Tuesday 12 Feb – Wednesday 13 Feb