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NGK Spark Plugs 44th Australian Motorkhana Championship

25th and 26th September 2015

Bendigo, Victoria

Promoted by the Victorian Motorkhana Advisory Panel

and Bendigo Car Club Inc.

2015 NGK Spark Plugs Australian Motorkhana Championship Information Pack of 20

2015 NGK AUSTRALIAN MOTORKHANA CHAMPIONSHIP

Information Pack

Table of Contents Introduction 3 Supplementary Regulations 4

Timetable 5 Entries 5 Classes 6 Documentation 7 Scrutiny 7 Driver Requirements 8 Tests 8 Awards 10

Test Diagrams 11 Social Functions and Venue Catering 12 Venues 12 Directions to Venues 13 Maps of Bendigo and AMC venue 13 Driver Information Form 16 Merchandise Order Form 17 Presentation Numbers and Payment Summary 18 2015 NGK AMC Entry Form 19


Welcome and thank you for your interest in the 2015 NGK Spark Plugs Australian Motorkhana Championship.

This Information pack is provided by the 2015 AMC Organising Committee to make it easy to enter the event, find your way around Bendigo and, of course, compete.

If you need to make contact with us, Secretary Chris Exell Ph 0417 527 563 [email protected] Bendigo Brian Shanahan Ph 0400 945 325 [email protected]

would be happy to talk to you.

The organising committee would like to thank the following sponsors and supporting clubs for their valued contributions to the 2015 NGK Spark Plugs Australian Motorkhana Championship.

Successful Motorkhanaing

The 2015 AMC Organising Committee

Sponsors

Organising Clubs

mailto:[email protected]�



NGK Spark Plugs 44th Australian Motorkhana Championship

Friday 25th and Saturday 26th September 2015

Supplementary Regulations

1. The Event The event, the NGK Spark Plugs 44th Australian Motorkhana Championship, will be a National Championship Motorkhana, hereinafter referred to as “the AMC”, held under CAMS Permit No. 815/2609/01. 2. Date and Location The AMC will be held on Friday 25th and Saturday 26th of September 2015 at Bendigo Livestock Exchange, Wallenjoe Road, Huntly, Victoria on a hotmix bitumen surface. 3. Authority The event will be held under the International Sporting Code of the FIA, the National Competition Rules (NCR) of the Confederation of Australian Motor Sport Ltd (CAMS), the current National Motorkhana Code (NMC), these Supplementary Regulations and any Further Regulations that may be issued. The event will be conducted under and in accordance with the CAMS Safe Event Package for Motorkhana and Khanacross, and all competitors are obliged to comply with all reasonable requests of the Organiser. 4. Promoters The AMC will be organised and promoted by the Bendigo Car Club Inc. and the Victorian Motorkhana Advisory Panel with assistance from various Victorian Car Clubs. 5. Senior Officials Clerk of the Course Peter Valentine Licence No 9127580 Secretary of the Meeting Chris Exell Licence No 1024916 CAMS Steward Brian Kays Licence No 881444 CAMS Steward Gale Smith Licence No 9130404 CAMS Steward Colin Smith Licence No 887135 Chief Timekeeper Craig Button Licence No 9553242 Chief Scrutineer Mike Elvey Licence No 9725986 Competitor Relations Officer Peter Bready Licence No 88653

https://www.cams.com.au/motor-sport/regulations/cams-manual�

https://www.cams.com.au/motor-sport/regulations/cams-manual�

https://www.cams.com.au/motor-sport/regulations/cams-manual/auto-test�


6. Variation of the Event

The Organisers reserve the right to postpone, abandon, or cancel the AMC in accordance with the provisions of NCR 59. 7. Timetable

Entries Open On the publication of these regulations. Entries Close Tuesday, 15 September 2015 8:00pm. Email confirmation of entry to drivers by Wednesday, 16 September 2015 10pm. Ballot for Competition Numbers Friday, 18 September 2015 8:00pm. Friday, 25 September 2015 Licence Check, Scrutiny and Practice 4:30pm – 6.45pm No entry to Saleyards before 4.20pm Meet n Greet at the Saleyards after Practice Saturday, 26 September 2015 Late Scrutiny (by arrangement only) 8:00am – 9:00am Final Scrutiny 8:00am – 9:00am Close of Team Nominations 9:00am Drivers Briefing 9.00am Competition Starts 9.30am Presentation Function from 7:00pm

8. Entries

• Entries will open on publication of these regulations and close at 8.00pm on Tuesday, 15 September 2015.

• The AMC is open to all CAMS Level 2NS or 2NSJ (or higher) Licence holders who hold a valid CAMS affiliated car club membership licence.

• Entry fees:

o $80.00 per adult driver

o $35.00 per Junior driver who must be less than 18 and at least 12 years of age on 26th September 2015. Proof of age will be required.

• Up to 4 persons may be entered to drive the same vehicle, but multiple entries must be indicated on the entry form.

• Entries will only be accepted on the official Entry Form (as attached to these Supplementary Regulations) which must be completed in all details and which must be accompanied by full remittance of all appropriate fees.

• Cheques, Money Orders and EFT are to be made payable to Bendigo Car Club Inc.

• Payments made via Direct Deposits to: Account: Bendigo Car Club BSB: 633000 (Bendigo Bank) Account Number: 101103901 ‘AMC + Your Surname’ to be used as reference


• All entries must be sent to the Secretary: Chris Exell Australian Motorkhana Championship 43 Walara Drive Mt Martha VIC 3934 Email entries – to Chris Exell [email protected] with evidence of epayment Phone (03) 5974 1360 (Pre event) Mobile 0417 527 563

Alternatively On line entries can be lodged via www.meecamsau.com

• Competitors are requested to enter early to assist the Organisers with tasks such as printing of the program and publicity material. Competitors are also asked to provide information where indicated on the Publicity Form, to be used in event publicity and on the day of the event. By filling this form out and signing the document you authorise that this information can be used with the media and publicity for the event.

• Acknowledgement of receipt of entry will be emailed to drivers when entry is received by the Secretary.

• A fee of $20.00 will be incurred on any cheque that is not honoured on presentation.

• The Organisers reserve the right to reject any entry in accordance with NCR 83 & NCR 85.

• Entries shall be limited to 100 and will be accepted in order of receipt.

9. Vehicle Classes and Driver Categories The CLASSES (based on manufacturers’ specifications for production cars) shall be:

A 2WD Production Cars wheelbase up to 2150mm B 2WD Production Cars wheelbase 2151mm to 2390mm C 2WD Production Cars wheelbase 2391mm to 2574mm D 2WD Production Cars wheelbase 2575mm and over E Four Wheel Drive Production Cars, which must be driven in four-wheel drive

mode throughout the event. F Front Wheel Drive Specials G Rear Wheel Drive Specials

Additional DRIVER CATEGORIES will be:

L: Ladies – Fastest Outright LP: Ladies Production – Fastest Handicap times in a Production Car – note e) J: Junior – Fastest Outright JP: Junior Production – Fastest Handicap times in a Production Car – note e)

Notes: a) To qualify for categories J and/or JP, the driver must be at least 12 but less than 18

years of age on September 26th, 2015. The competitor must supply proof of age. b) All vehicles must comply with the requirements of the National Motorkhana Code and

Group 4H – Motorkhana Cars of the Auto Test section of the current CAMS Manual of Motor Sport. Specials are defined in Article 3 of Group 4H.



c) Competitors should note especially the provisions of Rule 3.2(iv) of Group 4H – Motorkhana Cars, under which the fitting of racing-type tyres or slick recaps will cause that vehicle to be classified as a Special.

d) The Clerk of the Course shall determine the appropriate class wherein each vehicle shall be classified if there is any dispute as to entry class.

e) Handicap times in categories LP and JP will be calculated as detailed in item 25 Team Award.

10. Competition Numbers A ballot for competition numbers will be held on Friday, 18 September, 2015. Refer Article 5.5 of the National Motorkhana Code. 11. Documentation Check

• Documentation Check will be held at the competition venue between 4.30pm and 6.45pm on Friday, 25th September 2015 unless prior approval has been obtained from the Organisers for alternative licence checking arrangements, which will only be granted in exceptional circumstances.

• Each driver must possess a current CAMS Club Membership Card and at least a current CAMS Level 2 Non-Speed (2NS or 2NSJ) Licence, both of which must be presented. Junior competitors must have adequate proof of age.

• Documentation must be checked before presenting vehicle for scrutiny. 12. Scrutiny

• Scrutiny will be held at the competition venue between 4.30pm and 6.45pm on Friday 25th September 2015 unless prior approval has been obtained from the Organisers for alternative scrutiny arrangements, which will only be granted in exceptional circumstances.

• No vehicle may be used to practice or compete without having first passed scrutiny. Competitors must present their vehicles with CAMS log books (if issued). Each vehicle may be required to again pass scrutiny on the day of the event before being allowed to compete. (Please enter the scrutiny area in an orderly manner. Only competing vehicles are allowed in the scrutiny area).

• All vehicles must comply with the requirements of the National Motorkhana Code and with Group 4H Motorkhana Cars of the current CAMS Manual.

• All vehicles must be adequately muffled, as required by Group 4H Motorkhana Cars Article 1.7.

• All vehicles must be fitted with a seat belt complying with Schedule I &/or Group 4H of the current CAMS Manual.

• Particular attention will be given to battery security, safe condition of suspension and brakes, safety cage structures (if fitted), safety harness / seat belt and tyres as per the NCRs.

• Attention will be paid to the cleanliness and tidiness of vehicles. • A vehicle that has a mechanical failure at any time after initial scrutiny may be

required to be presented for re-scrutiny.


13. Driver Requirements

• While practicing or competing, drivers must wear apparel in accordance with Schedule D of the current CAMS Manual, in particular, footwear in accordance with Article 10.6 of the National Motorkhana Code.

• Whilst practicing or competing, all drivers must wear a seat belt complying with Schedule I &/or Group 4H of the current CAMS Manual.

• Drivers of vehicles which are registered with CAMS as Historic Cars, are subject to a Certificate of Description, and are not required under their Group Regulations to be fitted with a seat belt, are currently exempt from the seat belt requirements above.

• Drivers of motorkhana specials must wear helmets complying with AS 1698 or another standard listed in Schedule D (refer ”General Requirements for Cars and Drivers”) of the current CAMS Manual and it is highly recommended for all drivers of other open vehicles.

• Drivers of vehicles to which no windscreen is fitted while competing must wear either non-shattering protective goggles or a helmet with a non-shattering visor.

14. Practice Controlled practice will be permitted between 4.30pm and 6.45 pm on Friday 25 September 2015 for those drivers whose licences have been passed and whose vehicles have passed scrutiny. Note that lighting after dark will be limited. No practice is scheduled for the Saturday of the AMC. 15. Tests A minimum of four and a maximum of twelve tests will be conducted, chosen by the Organisers from the following list of CAMS Motorkhana Test Booklet . Only one competition attempt will be permitted at each test, with the exception of a rerun having been granted by the Clerk of the Course. The AMC tests will be chosen from:

Bulls Eye MIRRORED Crossover Enterprise Gate Slalom MIRRORED Forward & Reverse Slalom Pine Tree MIRRORED Hopkirk Big Eyes Three Lanes MIRRORED Paddy Serpentine MIRRORED Spiro Slalom Straight Slalom MIRRORED Tee Slalom Waltz Slalom Double Hat

Test diagrams printed in the 2015 Australian Motorkhana Championship Program are taken from the current CAMS Motorkhana Test Booklet. Several of the tests are “mirrored” i.e. start from the opposite side and make all turns the opposite way to usual, and this is indicated on the relevant test diagrams which are on page 11 of this Information Pack. 16. Event Layout The layout of each test as laid down in the schedule of motorkhana tests shall be strictly adhered to, subject to a tolerance of +/- 200mm in each dimension, as specified in Regulation 12.3 of the National Motorkhana Code.

http://docs.cams.com.au/Manual/AutoTest/Motorkhana%20Patterns%20MAIN.pdf�

http://docs.cams.com.au/Manual/AutoTest/Motorkhana%20Patterns%20MAIN.pdf�


17. Starting Order The starting order on each test will be determined by a rotational system based on classes. Details will be notified in Further Regulations and repeated at the Drivers’ Briefing. Some classes’ order may be combined for the overall starting order. 18. Timing Electronic timing will be used on each test, backed up by two hand-held stopwatches. Times will be recorded in writing to .01 of a second. Should it be necessary to use back-up timing then the average of the two recorded back-up times shall be used. Refer to the National Motorkhana Code, Article 15. Timing will start when the leading point of the vehicle crosses the designated start line, and will stop when the leading point of the vehicle crosses the designated finish line. The designated start and finish line will be the same line across the start and finish garage and will not be more than one metre behind the front of the garages. 19. Refuelling of Vehicles All refuelling of competition vehicles will be completed in the designated area with at least two people present - one to refuel and one to man fire extinguishers. All people refuelling must be wearing non-flammable neck to ankle and wrist clothing and substantial footwear. Any vehicle being refuelled must have the engine turned off and no occupant. Competitors are reminded that fuel must be in accordance with Schedule G of the current CAMS Manual. 20. Protests Any protests must be lodged in accordance with the provisions of part XII of the NCR. 21. Insurance Certain public, property, professional indemnity and personal accident insurance is provided by CAMS in relation to the event. Further details can be found in the CAMS Insurance Handbook, available at www.cams.com.au. 22. ALCOHOL, DRUGS AND OTHER SUBSTANCES Any holder of a CAMS ‘Competition’ or ‘Officials’ licence (or equivalent licence issued by another ASN) may be tested for the presence of drugs (or other banned substances) and subject to a penalty(ies) for a breach in accordance with the CAMS Anti-Doping Policy and/or the CAMS Illicit Drugs in Sport (Safety Testing) Policy as published on the CAMS website. Consumption of alcohol in the paddock, pits or any section of the competition venue/course under the control of the Officials is forbidden until all competition is concluded each day. Accordingly, any holder of a CAMS ‘Competition’ or ‘Officials’ licence (or equivalent licence issued by another ASN) may also be tested for the presence of alcohol by a CAMS Accredited Testing Official (CATO) in accordance with the CAMS Standard Operating Procedure for Breath Alcohol Testing.

http://www.cams.com.au/�


23. Judges of Fact All officials shall be deemed to be Judges of Fact in accordance with Article 18.2 and 18.3 of the National Motorkhana Code and NCR 181. The names of the Judges of Fact shall be displayed prior to the start of and during competition. 24. Awards The Awards listed below will be presented at the Presentation Function at The Bendigo Club, 22 Park St, Strathdale on the evening of the AMC. Other awards may be presented at the discretion of the Organisers. Drivers who enter a Category are eligible for Category, Outright and Class awards. Trophies and prize money will be awarded as follows:

Outright Positions: 1st to 6th Vehicle Classes A, B, C, D, E, F & G: 1st, 2nd and 3rd Driver Categories L, LP, J & JP: 1st, 2nd and 3rd

Class and Category Awards are subject to sufficient driver numbers as follows:

More than 6 drivers 1st, 2nd and 3rd places 4 to 6 drivers 1st and 2nd places Less than 4 drivers 1st place only

25. Team Award State-based teams may compete for a team award. Each team is to be nominated to the Secretary by 9.00am on Saturday September 26th 2015 and shall consist of three drivers from the same state competing in at least two vehicles. A driver may be nominated for only one team. Final aggregate time for each team member will be adjusted by a handicap factor (as listed below). All penalties are calculated at a handicap factor of 1.00, not at the class factor. The team with the overall lowest aggregate handicap time will be determined the winner. A Handicap factor will be applied to each team member’s times (excluding penalties), based on vehicle classes as follows (calculated using the average of the last 5 years’ results): - Class A B C D E F G Factor 0.852 0.807 0.793 0.789 0.743 1.000 0.976 26. Shoot-out The Clerk of the Course reserves the right to run a shoot-out at the end of the championship event if time permits, using a test which may or may not be taken from the CAMS Motorkhana Tests Booklet.

BIG EYES


BULLS EYE


Social Functions and Venue Catering Catering at the venue A range of food and drinks will be available at the venue on Friday evening and Saturday.

Presentation Night

The Awards Presentation Function will be held on 7pm Saturday evening of the AMC at:

The Bendigo Club 22 Park Street Strathdale. http://www.bendigoclub.com/

To assist the organization of catering arrangements, and to ensure your dinner booking, it will be necessary to advise numbers (on the attached form) intending to be present and to remit the appropriate amount with your entry. Late requests to attend this function cannot be accepted after close of entries. If you have any special dietary requirements or questions concerning the awards function please contact The Bendigo Club by email: [email protected] All competitors, officials, family and friends are invited to participate at the awards presentations. We urge you to attend the Awards Presentation to show your support for those competitors who have succeeded in winning a trophy. The Bendigo Club also run a Courtesy Bus Phone 5443 0780 for bookings. A three course set meal will be provided. For young children it will be a two course meal (Main and Dessert) from the Bistro menu.

Venues Scrutiny, Practice and Competition is at Bendigo Livestock Exchange, Huntly. The Friday Meet ‘n Greet - Bendigo Livestock Exchange, Huntly. The Saturday Presentation is at The Bendigo Club, 22 Park St, Strathdale.

http://www.bendigoclub.com/


Maps and Directions Bendigo Livestock Exchange

Directions to and between Venues Directions to Bendigo Livestock Exchange (AMC venue) from the Bendigo fountain (centre of Bendigo).

Km. 0 At Alexander Fountain, go north toward Echuca on

Midland Highway (A300) 10.7 Turn Left into Leans Rd (where road curves right) 1.4 Turn Left into Wallenjoe Rd 0.5 Turn Right into Bendigo Livestock Exchange

Directions to Bendigo Club (Presentation venue) from the Bendigo Livestock Exchange (AMC venue)

Km. 0 At Bendigo Livestock Exchange, Turn Left into

Wallenjoe Rd 0.5 Turn Right into Leans Rd 1.4 Turn Right into Midland Highway (A300) 10.5 Turn Left into Chapel St / McIvor Highway (B280) 0.4 Turn Left into McIvor Highway (B280) 2.3 Turn Right into Crook St 0.3 Turn Right into Park St – venue is on the right

Maps are on the following pages


Bendigo Area

The Midland Highway to the north (top) is the main road from NSW and Qld.

Calder Highway to the west is the main road from SA and WA.

Calder Highway, south, and McIvor Hwy, east, are the main roads from Melbourne.


Bendigo CBD


Driver Information Form Please note that the following information provided may be used in the media and publicity of the event only. By filling out and signing this section you authorise the AMC organising committee to use this information as stated.

Vehicle Details Make ....................Model .................................................................................... ............................................................................................................................. ............................................................................................................................. Driver 1 Name ................................................................. How many years have you been competing in motorsport? .............. Achievements: ..................................................................................................... ..............................................................................................................................

Driver’s signature: ..............................................

Driver 2 Name ................................................................. How many years have you been competing in motorsport? .............. Achievements: ..................................................................................................... ..............................................................................................................................


Driver 3 Name ................................................................. How many years have you been competing in motorsport? .............. Achievements: ..................................................................................................... ..............................................................................................................................

Driver’s signature: .............................................. Driver 4 Name ................................................................. How many years have you been competing in motorsport? .............. Achievements: ..................................................................................................... ..............................................................................................................................


Send back this page with your Entry Form


Merchandise Order Form The following clothing items are available for pre-order. You will need to fill out the order form below and submit with payment with your entry form. These items will be available for collection at Documentation Check on Friday. Once all pre-orders are filled, any remaining stock will be for sale over the weekend. We have limited supplies at these prices, so act now or you may miss out! AMC Polo Shirt These are good quality shirts with an embroidered AMC logo.

But we will have the AMC logo below added of course.

Size Small Medium Large XL 2XL 3XL 4XL 5XL Chest 53.5 56 58.5 61 63.5 66.5 70 73.5 SP Length 70 72.5 75 77.5 80 81 82 83 Qty Req’d

...... Polo Shirts @ $40.00* each *Note: The Polo Shirt may be cheaper and a refund of the difference will be returned to purchasers. The bulk order price is not confirmed yet. Polo Shirt Total $ = ..........

AMC Cap Caps, deep fit with white trim on peak and embroidered AMC logo. One size fits most heads.

...... Caps @ $20.00 each Cap Total $ = ...........

Competitor (Entrant) Name ...................................................................

If ordering shirts or caps, send back this page with your Entry Form


Payment Summary and Presentation Numbers Presentation Dinner The Presentation Dinner will be held on Saturday night 26th September from 7.00pm at The Bendigo Club (see map on previous page).

Dinner: Adult Meals: 3 Course Set Menu Children’s Meals: 2 Course (Main and Dessert from Bistro Menu)

Number of Adults Attending: ............ @ $45 = .............. Number of Children Attending: ............ @ $10 = .............. Payment Summary

AMC Entry Total $............ Polo Shirt Total $............ Cap Total $............ Presentation Total $............ Grand Total $............

Competitor (Entrant) Name .......................................................

Send back this page with your Entry Form

ENTRY FORM Held under the International Sporting Code of the FIA and the National Competition Rule of CAMS

Name ............................................................................ Address .................................................................................................................... PHONE: Home ............................................. ............ Suburb ........................................................................... Postcode ..................

Mobile ......................................................... Email Address (for AMC results and info)........................................................................................................ Entrants Lic # .................................................................................................................................................

Name ............................................................................ Address .................................................................................................................... PHONE: Home .......................................................... Suburb ........................................................................... Postcode ..................

Mobile ......................................................... Date of Birth ........./........../.......... (Juniors only) Email Address...............................................................................................................................................

Car Club ......................................................... Club M/Ship #............................... CAMS Lic # .................................................... Expiry Date ………………..

Categories J L (if applicable)













VEHICLE DETAILS:

Car Make ....................................................... Model ...................................................... Colour ....................................... Year .................

Wheelbase (mm) .......................................... Log Book # .................................................. (if applicable)

Class: A B C D E F G

COMPETITOR


NGK Australian Motorkhana Championship, Bendigo Vic, 25/26 September 2015 DISCLAIMER

EXCLUSION OF LIABILITY, RELEASE AND ASSUMPTION OF RISK COMPETITORS AND/OR DRIVERS

For Competitors

I/We being the competitor/s of the vehicle described on this Entry Form wish to enter that vehicle for the above event.

For Competitors and Drivers

I/We being the competitor/s and/or driver, certify that the particulars on this form are true and correct in every particular, to the best of my/our knowledge and belief. I/We declare that I/we have read and understood the Supplementary Regulations issued for the event, and agree to be bound by them and the provisions of the National Competition Rules of the Confederation of Australian Motor Sport Limited (“CAMS”). In exchange for being able to attend or participate in the event (including entering the event), I agree: • to release CAMS and Australian Motor Sport Commission Ltd, promoters, sponsor organisations, land owners and lessees,

organisers of the event, their respective servants, officials, representatives and agents (collectively, the "Associated Entities") from all liability for my death, personal injury (including burns), psychological trauma, loss or damage (including property damage) ("harm") howsoever arising from my participation in or attendance at the event, except to the extent prohibited by law;

• that CAMS and the Associated Entities do not make any warranty, implied or express, that the event services will be provided withdue care and skill or that any materials provided in connection with the services will be fit for the purpose for which they are supplied; and

• to attend or participate in the event at my own risk.

I/we acknowledge that: • the risks associated with attending or participating in the event include the risk that I may suffer harm as a result of:

• motor vehicles (or parts of them) colliding with other motor vehicles, persons or property;• acts of violence and other harmful acts (whether intentional or inadvertent) committed by persons attending or

participating in the event; and• the failure or unsuitability of facilities (including grand-stands, fences and guard rails) to ensure the safety of persons or

property at the event.• motor sport is dangerous and that accidents causing harm can and do happen and may happen to me.

I accept the conditions of, and acknowledge the risks arising from, attending or participating in the event and being provided with the event services by CAMS and the Associated Entities. I understand that this disclaimer is not intended to exclude any valid claim I may have under the CAMS Personal Insurance Scheme.

Competitor’s (Entrant’s) signature: .............................................................. Date: .............................. Driver 1 signature ….…………………………........……………. Date: .............................. Driver 2 signature .….…………………………........…………… Date: .............................. Driver 3 signature .…….……………………........……………… Date: .............................. Driver 4 signature …………………………...............….………. Date: ..............................

PARENT/ GUARDIAN CONSENT – PERSONS UNDER 18 YEARS OLD

I ………………………………………………. of [Address] ………………………………………………… ……………………… am the parent/ guardian* of the above-named ("the minor") who is under 18 years old. I have read this document and understand its contents, including the exclusion of liability and assumption of risk, and have explained the contents to the minor. I consent to the minor attending/ participating in* the event at his/her own risk.

Signed………………………………..............………......... Date…………… Parent/Guardian* (Delete whichever does not apply).

OFFICE USE ONLY

Date Entry Received ………………… Cheque Cash Money Order On line Amount Received: ................................

License Valid Driver 1 Driver 2 Driver 3 Driver 4 Amount Outstanding: .........................................

Vehicle passed Scrutineering YES NO Re-Checked OK


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