Frontier 4x4 Club

2nd Derajat OFF-ROAD Challenge 2022

REGISTRATION FORM
(Please fill in Block Letters)

Date:_____________

Driver Information:

Name:___________________________________________________________________Age:____________

Address:_________________________________________________________________________________

___________________________________Cell# :_______________________Res:_____________________

Driving Lisc #_____________________Expiry Date: ______________NIC#:___________________________

Co-Driver Information:
Name:___________________________________________________________________Age:____________

Address:_________________________________________________________________________________

___________________________________Cell# :_______________________Res:_____________________

Driving Lisc #_____________________Expiry Date: ______________NIC#:__________________

Vehicle Information:
Registration No. Make: Model (Year)

Please indicate with ( )Diesel: Petrol: Professional Production______________

Color: Engine Capacity Turbo Charged

Tires (Front) Rear

Please confirm each of the following mandatory items to be inspected by Technical Committee with a ( / X ) mark:

(a) Front Seat Belts (Two) ☐ (b) First-aid Kit ☐ (c) Odometer ☐
(d) Roll Cage ☐ (e) Working Horn ☐ (f) Battery Bracket ☐
(g) Spare Wheel ☐ (h)Helmets (Two) ☐ (l) Mud Flaps ☐
(i) Emergency Food & Water ☐ (m) Wheel Spanner & Jack ☐ (n) Fire Extinguisher ☐

PLEASE DO READ RULES & REGULATIONS AND SIGN THE “RELEASE & LIABILITY WAIVER” AT BACK OF THIS
FORM

FOR OFFICE USE ONLY

The registration fee of Rs._____________ is received through bank draft No. _____________________ drawn Officer Name &
Designation_______________________________________ Date:_______________________
Frontier 4x4 Club

RELEASE AND WAIVER OF LIABILITY

In consideration of being permitted to participate in the Motorsports event, I/We hereby release and forever
discharge, National Motorsports., and its related/affiliated bodies, Officials, Organizers, Directors, Officers and
Fellow Drivers, personally and as agents of the corporation, from any and all actions, causes of actions, liability,
claims and demands upon or by reason of any damage, loss and/or suffering which may be sustained by me/us in
connection with and in the course of participating in this event, regardless of any negligence on the part of
anybody. I hereby waive all my/our rights to the claims, actions, causes of action, demands and/or suits for loss,
injury, damage and/or suffering sustained in this event. I/We assume all the risks inherent and incidental to this
type of activity. I/WE KNOW THE NATURE OF THE ACTIVITY AND UNDERSTAND THAT SUCH
ACTIVITY IS VERY DANGEROUS; THAT PARTICIPATION INVOLVES RISK OF SERIOUS BODILY
INJURY INCLUDING BUT NOT LIMITED TO PERMANENT DISABILITY AND DEATH ("RISKS");
THAT RISKS MAY BE A DIRECT AND/ OR INDIRECT RESULT OF CONDUCT AND/OR ACTIONS OF
MYSELF, OTHERS AND/OR A DIRECT AND/OR INDIRECT RESULT OF THE CONDITION OF THE
RALLY ROUTE OF THE EVENT AND/ OR THE RESULT OF THE NEGLIGENCE OF ORGANIZERS,
OFFICIALS, FELLOW DRIVERS AND/OR THE RESULT OF SOMETHING UNFORESEEABLE. I hereby
agree to hold National Motorsports, and its related/affiliated bodies, Organizers, Officials, Directors, Officers and
Fellow Drivers, harmless from and against all claims, demands, actions, causes of actions and/or suits which may
be brought and/or made on account of and/or by reason of any injury, damage and/or suffering inflicted regardless
of negligence.

I/WE HAVE READ THE RULES & REGULATIONS AND PROVISIONS CONTAINED HEREIN,
INCLUDING THE RELEASE AND WAIVER OF LIABILITY, AND ASSUMPTION OF RISK, AND AGREE
TO THE SAID PROVISIONS AND RELEASE AND WAIVER OF LIABILITY AND ASSUMPTION OF RISK
IN CONSIDERATION OF MY BEING PERMITTED TO PARTICIPATE IN THIS MOTORSPORTS EVENT.

____________________________ ____________
Drivers Printed Name Dated

_____________________________
Participant's Signature

____________________________ ____________
Co-Drivers Printed Name Dated

_____________________________
Participant's Signature
Frontier 4x4 Club

Registrations

• All registration formalities may be addressed to Mr. Babar Khan on 0300-599-3459 during week days from
10:00 AM to 05:00 PM (Monday thru Friday)

• Professional Class Registration fee: Rs.25,000

• Production & Ladies Class Registration fee: Rs. 20,000

• DIK residents Registration fee: Rs. 15,000

• Bikers Professional Registration fee: Rs. 10,000

• Bikers DIK residents Registration fee: Rs. 5,000

• On-line deposit can be made in the below account

Account #: 5559-0081-000279-01-1
Bank Al Habib
Frontier 4x4 Club, Hayatabad Medical Complex, Phase 3 Branch

• Security deposit: of Rs. 25,000/- for the RASE tracker device will be taken from every participant and will
be refunded once the device is returned to the Race Management.

• The organizers reserve all rights to accept or reject any entry at any time without assigning any reason
whatsoever.

• There will be prize money award for each category winners. Details for the same will be provided at the
venue

Tentative Event Schedule:

Date Activity Time Location
THU Mar 3rdth 2022 Registration &Tech Insp. 9:00AM TO RATTA Kulachi Sports Complex
04:00 PM
Driver’s Meeting 06:00 PM Circuit House
XXXXXXXX XXXXXX XXXXXXXXXXXXX XXXXXX XXXXXXXXXXXXXXXXX
FRI Mar 4th, 2022 Qualifying Stage 9:00AM TO Qualifying Site to be advised
02:30 PM
XXXXXXXX XXXXXX XXXXXXXXXXXXX XXXXXX XXXXXXXXXXXXXXXXX
SAT Mar 5th, 2022 Flag Off Race Day 09:00 AM At Stage Starting Grid
“Production Class”
XXXXXXXX XXXXXX XXXXXXXXXXXXX XXXXXX XXXXXXXXXXXXXXXXX
SUN Mar 6th, 2022 Flag Off Race Day 09:00 AM At Stage Starting Grid
“Professional Class”
Prize Distribution / 06:00 PM RATTA Kulachi Sports Complex
Dinner
Frontier 4x4 Club

Rally Overview:
2nd Derajat Off Road Challenge will be governed as per the rules and regulations of National Federal Committee.
Rally consist of single stage with qualifying round for the drivers on Friday 4th March 2022 prior to the Race Days,
which will determine the starting sequence of the Rally drivers on the race day regardless of their category
registration. Total length of the Rally route will be approximate 120km.

The organizers reserve the right to bar/disqualify any driver / co-driver or rally vehicle from the rally for violation
of rules or any other official instructions prior to or during the event. The organizers reserve the right to amend
the rules at any time during the rally if they deem fit.

All Rally vehicles will be supplied with a tracker device, which will track the Rally Vehicle. On the rally finish the
tracker device needs to be returned to the rally Marshalls along with your time card. Any not permitted deviation
from the rally route will have time penalization or total disqualification by the Race Stewards.

The registered Service Vehicles, if any, can also follow the Rally Route. However, the service vehicles will be
allowed onto the Rally Route only after 30 mins when all competing vehicles have started on the stage.

The organizers will strive to keep ordinary traffic off the Rally Route, but participants must be cautious of any
non-rally traffic on the Route.