Details of the Car

    Make Registration No.
    Model Capacity – cc
    Year of Manufacture Chassis No.
    Group / Class Engine No.
    Homologation No. Predominant Colour
     
    Special Rally Cover Insurance Number Insurance Company Name
    Valid From Valid To
           
    Name of Tuner

     

    Sr. No. Championship Entry Fees
    (with / without Optional Advertising)
    1 IRC INR 30,000INR 50,000None
    2 IRC 2000 cc INR 22,000INR 50,000None
    3 IRC 1600 cc INR 17,000INR 50,000None
    4 FMSCI 1600 Cup INR 17,000INR 50,000None
    Team / Commercial Entry : INR 20000/- (Additional - per car). A team or commercial entry may consist of maximum of 4 cars only.
    Late Entry Fees Rs. 5000/-.

    For this entry form to be valid, it must be accompanied by the appropriate entry fees The entry fees can be paid either by Demand Draft in favour of “Western India Sports Association” payable at Nashik OR by Cash or by wire transfer.
    Bank = State Bank of Hyderabad
    IFSC Code of Bank = SBHY0020826
    Branch = Nashik Branch (20826)
    Current A/c No. = 62196093013

    Seeding Information
    FIA Priority A YearFIA Priority B Year FMSCI Seed AFMSCI Seed B