Competitor Licence – AUTO Competitor’s Licence – Auto Online license form for Auto competitors Step 1 of 5 – Your Details 0% Are you an Entrant? (Please note that an "Entrant" is considered a TEAM. Choose No if you are a competitor). Yes No Name (as in Passport)*Name (as in Emirates ID)AddressCity*Abu DhabiDubaiSharjahAjmanFujairahRas Al KhaimahUmm Al QuwainMobile Phone*Gender Male Female Weight (in KG)Height (in CMs)Date of Birth* DD slash MM slash YYYY Are you a resident/Emirati/Born in UAE/child of an Emirati mother?* Yes No Third Choice Email* Emirates ID NumberNationality (as shown in your passport)*AfghanistanÃ…land IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong Kong, Special Administrative Region of ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau, Special Administrative Region of ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwan, Province of ChinaTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwePassport Number*Have you ever held an EMSO Competition License in the past? (if you are holding/have held another ASNs license, please choose "Other" and provide name of federation)* Yes No Enter previous ASN License number (if any)Date of birth DD slash MM slash YYYY Important note: Please specify the person to be contacted in case of emergency (legal representative for minors) and her / his phone number.Emergency Contact Details* ALL BELOW QUESTIONS SHOULD BE ANSWERED BY APPLICANTS WHO ARE APPLYING FOR A COMPETITOR LICENCEYour Doctor's NameDoctor's Address, PO Box Number and CityDoctor's Phone NumberHave you recently had a medical examination?* Yes No Have you been immunised against tetanus in the past 10 years? Yes No Have you been prescribed or are you taking any of the substances shown in the WADA listing (see www.wada-ama.org)?* Yes No Do you have a physical problem with, or permanent difficulty in, using your arms or legs for driving? Yes No Place check marks against items for which you have received treatment in the past (leave blank if not) Severe psychiatric illness or mental disorder Severe giddiness, fainting spells or blackouts Severe head injury which led to concussion Heart disease or heart disorder High blood pressure Diabetes Epilepsy Give details below (including details of medication and treatment you received of are receiving)Have you ever had any disease or disorder of the eye other than needing glasses/ contact lenses?* Yes No Please provide detailsHave you ever been refused life assurance for medical reasons?* Yes No Please provide detailsDoctor's Medical Report (attach the duly signed and stamped copy of previously downloaded medical report), inclusive of all supporting documentsAccepted file types: pdf, jpg, png, Max. file size: 10 MB. License Category* Limited speed competition licence (Valid for 1000 Miglia Experience UAE 2024)(210 AED) Novice (Restricted) – AED 367.5 Rally National Junior (For national rallies and Valid with only CO-driver above 18 years old 630 AED Rally National – AED 787.5 Rally International (Grade D)-(Rally3, Rally4, Rally5), Cross- Country cars (except T1) 1837.5 AED Rally International (Grade C)- (Rally1, Rally2 and RGT), Cross-Country (T1) cars 2100 AED Upgrade from Rally international Grade D to Grade C (262.5) AED Circuit National Junior -787.5AED Circuit National Senior – AED 840 Circuit International Grade D for all circuit cars with a weight/power ratio greater than 3 kg/hp. – AED 1522.5 Circuit International Grade C – Required for all circuit cars with a weight/power ratio of between 2 and 3 kg/hp AED 1732.5 Circuit International B – Required for all cars with a weight/power ratio of between 1 and 2 kg/hp AED 3675 Circuit International A – Required for all cars with a weight/power ratio less than or equal to 1 kg/hp. AED 6300 Drag National – AED 787.5 Drag International – AED 1522.5 Drift National – Grade A(Drift events – Pro) 787.5AED Drift National – Grade B (Drift events – Freestyle /Semi-Pro (No Multi-Car format) 472.5 AED Entrant International (includes 3 duplicates) – AED 5250 Entrant National – AED 1050 Entrant International (Single Event Only) – AED 1050 Regularity Rally Licence – AED 420 Instructor License (new valid till end of the 2022 year) – AED 210 Upload PhotoAccepted file types: jpg, png, Max. file size: 10 MB.IMPORTANT – All International FIA Licence holders must take an E-learning ANTI-DOPING program ALPHA to obtain the certificate A certificate is issued on completion of the course, which is submitted with the application. Access the course here Please check the below mentioned, and upload all applicable documentsARDS Test Certificate (upload only if you are a first time licence holder)Accepted file types: pdf, jpg, png, Max. file size: 10 MB.Anti-doping certificate (for first time applicants)Accepted file types: pdf, jpg, png, Max. file size: 10 MB.Passport CopyAccepted file types: pdf, jpg, png, Max. file size: 10 MB.UAE Visa CopyAccepted file types: pdf, jpg, png, Max. file size: 10 MB.Emirates ID CopyAccepted file types: pdf, jpg, png, Max. file size: 10 MB.UAE Driving Licence CopyAccepted file types: pdf, jpg, png, Max. file size: 10 MB.Supporting documents (if any) – parent's consent/school NOC/extra reports Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 10 MB.
