Entry Form – The Roof of Africa 2023

Roof of Africa Entry Form 2023

Motul Roof of Africa 2023

Please complete the entry form below and follow the instructions after submission.
Class*
Personal Information
Entrant / Sponsor

*If you have a sponsor you can list them here.
Name*
First Last
ID Number / Passport No*
Gender*
- Male
- Female
Country of Residence*
Nationality*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Shirt Size*
*For your personal Roof Of Africa Entry Gift Shirt
Competitor Mobile Number*
✓ Valid number ✕ Invalid number
Competitor Email*
Enter Email Confirm Email
Motorsport South Africa (MSA) License Number

*One Event Licenses will only be available by MSA, 4 weeks before the event. If you do not currently have an MSA please insert - TBA.
MSA License Upload 2MB Limit
Accepted file types: jpg, pdf, Max. file size: 2 MB.
*One Event Licenses will only be available by MSA, 4 weeks before the event.
International License Number

*All International competitors should put their National Federation License. If you do not currently have an International License as of now please insert - TBA.
International License Upload 2MB Limit
Accepted file types: jpg, pdf, Max. file size: 2 MB.
*All International competitors should Upload their National Federation License when possible.
Motorcycle Information
Motorcycle Brand*
Model*
Engine Capacity*
Tyres*
Oil*
Petrol Requirements *Outside Unassisted Refuel*
Emergency Contact
Name*
First Last
Emergency Contact Number*
✓ Valid number ✕ Invalid number
Medical
Medical Aid / Medical Insurance Provider*

*Please provide this information as it is critical in emergency situations.
Type of Scheme*
Membership Number*
Main Member*
Generic Information
How many people join you at The Roof of Africa that are non competitor's?*
*Pit crew, Friends, Wives, Children, Other family members.
How do you view The Roof of Africa?*
*Family Event, Boys Get Away, Ladies Time, MeTime.
Roof of Africa History
Starts*
How many times did you start the Roof Of Africa
Finishes*
How many times did you finish the Roof Of Africa
Entry Fee Costings
Zero-hour Entry Fee (12 September - 15 October 2023)*
Price:
International Entry fees are charged as per Entry Info Fee structure listed on the website, irrespective of dates entered.

*Euro €450 - US Dollar $490 - Pound Sterling £390
Declaration*
I declare that the information given about me is correct.
Terms & Conditions*
I agree to the Terms and Conditions
Download Terms & Conditions
Total
R0.00