预估耗油量 (升百公里)

1、China Open of International Classic Cars 2010Enter Application Form2010 世界老爷车中国之旅报名表Driver & Navigator驾驶员和导航员Driver 驾驶员Navigator 导航员Title (Mr./Mrs./Ms./Dr.)头衔（先生/夫人/小姐/博士）Family Name姓氏First Name名字Passport Photo with white background白底证件照Gender性别Date of birth出生日期Nationality国籍Health Condition身体状况P

2、assport Number护照号码National ID Card Number身份证号码Driving License Number驾照号码Postal address/Zip code地址/邮编Telephone :Home/Mobile家庭电话/手机Fax (If available)传真号码 (如果有的话)Email电子邮箱Attended events and when曾经参加的活动及参加时间Emergency contact person when needed.Name/Address/Tel/Fax/Email发生紧急情况联系人姓名/地址/电话/传真/电子邮箱I agree

3、with the fact that the organizer of the event has the right to use my portrait and my vehicles photos for souvenirs and promotion for the event. Signature:我同意活动组委会使用我的肖像和我车辆的图片用于纪念品制作和活动宣传。签名：CREW MEMBERS (PASSENGERS) 队员(乘员)Passenger 1 乘员1Passenger 2 乘员2Title (Mr./Mrs./Ms./Dr.)头衔（先生/夫人/小姐/博士）Family

4、Name姓氏First Name名字Passport Photo with white background白底证件照Gender性别Date of birth出生日期Nationality国籍Health Condition身体状况Passport Number护照号码National ID Card Number身份证号码Nationality国籍Postal address/Zip code地址/邮编Telephone :Home/Mobile家庭电话/手机Fax传真Email电子邮箱Emergency contact person when needed.Name/Address/Te

5、l/Fax/Email发生紧急情况联系人姓名/地址/电话/传真/电子邮箱I agree with the fact that the organizer of the event has the right to use my portrait and my vehicles photos for souvenirs and promotion for the event. Signature:我同意活动组委会使用我的肖像和我车辆的图片用于纪念品制作和活动宣传。签名：The following documents are necessary to be provided to the orga

6、nizer to enter the event by participants (By fax or by email):- Copy or scanned file of passport- Copy or scanned file of national ID card- Copy or scanned file of driving license报名者需以传真或电子邮件形式向组委会提供以下文件：- 护照复印件或扫描件- 身份证复印件或扫描件- 驾驶执照复印件或扫描件Vehicle 车辆Brand品牌Model型号Type（Limousine/GT/Race Car）种类（轿车/运动型

7、轿车/跑车）Body Color车身颜色Year of Production出厂年份Size(L/W /H)/Net Weight尺寸(长/宽/高)/净重L / R Steering左舵/右舵Owners Name of the Vehicle车主姓名Fuel Type燃油种类Estimated Fuel Consumption (L/100km)预估耗油量 (升/百公里)Engine Number发动机号码Engine Displacement发动机排量Chassis Number车架号码Plate Number车牌号码Estimated Value of the Vehicle车辆估计价值

8、The following materials are necessary to be provided to the organizer to enter the event by participants （by email）:- Photos of vehicle (outdoor scenery, no people included in the photos, shooting from obverse, left profile 45°, right profile 45°, back, dashboard and interior; Requirement

9、to the photos: the digital camera for the photos should be no less than 3 million pixels.) 报名者需以电子邮件形式向组委会提供以下资料：- 车身照片（室外风景处拍摄，照片中不能包含人像，拍摄角度为车辆正面、左侧面45°、右侧面45°、背面、仪表盘及内饰照片，要求用数码相机拍摄，不低于300万像素）Hereby I promise that my vehicle has good-looking, properly maintained, completed parts, manipul

10、ation effective and it is fit for long-distance driving. Odometer, water temperature board, oil board, fuel board, storage batteries, etc. are working right. In case technical breakdown, I agree with the solution according to the terms of the “Standard Regulation” of the event.Signature of Driver an

11、d Navigator Date of signing 我承诺我的报名车辆外观良好，保养得当，机件完整，操控有效，适合长距离行驶，里程表、水温表、机油表、燃油表、电瓶等工作正常。如车辆发生故障，我同意按照活动规则中的规定处理。驾驶员及领航员签字 签字日期 特别声明 StatementIn view of this application may be accepted and allowed to participate in the event by the organizer, I have carefully read the “Standard Regulation” for Chin

12、a Open of International Classic Cars 2010 and related documents. I promise to follow organizers unified command, fulfill all obligations of mine, accept the “Standard Regulation” of the event and other relevant rules. If I am allowed to participate in the event, I agree with the term that during the

13、 whole event, if I happen with injuries, deaths or damage of property, Ill take full responsibility on my own. Except for the corresponding insurance duty, I will not stress any reason to claim for compensation to the organizer, contractors, executors, officers, event staffs or any other related org

14、anizations or individuals.Signature of Driver Date of signing Signature of Navigator Date of signing Signature of Passenger 1 Date of signing Signature of Passenger 2 Date of signing 鉴于此报名可能被组织者接受并获准参加比赛，我已详细阅读本活动规则和相关文件，本人确保服从组委会统一指挥，履行本人所有义务，接受活动规则及相关规定的约束。本人在获准参加比赛后，同意在比赛过程中，如发生本人受伤、死亡或财产损失时，由本人自

15、己负责，除相应保险责任外，不会强调任何原因而向组织者、承办者、赛事委员会、赛事工作者及任何有关团体和有关人员采取追究、索赔等行为。驾驶员签名 导航员签名 第一乘员签名 第二乘员签名 Fees 付费Type of payment（international money transfer or cash）：付款方式（国际汇款或现金）：Signature 签名 HOTEL REQUIREMENTS宾馆需求Hotel requirements for the event活动期间宾馆需求Please book the following room(s) for us:Amount of standard double room(s): _ Amount of single room(s): _ (I agree to pay for single room supplement for 585euro/person/room. If single room is not available, Ill accept the arrangement by the organizer)Options