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2023 Imba Classic Oldtimer - BOTC
Inscription Imba European Veteran Championship 2023 in Genk - Belgium 01/07/2023
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Last name
Nom de famille
Familienaam
*
Your answer
First name
Prénom
Voornaam
*
Your answer
Date of birth
Date de naissance
Geboortedatum
*
MM
/
DD
/
YYYY
Street & number
Rue & numéro
Straat & nummer
*
Your answer
Zip, place
Code postal, village
Postcode, gemeente
*
Your answer
Country
Pays
Land
*
Your answer
Federation
Association
Federatie
*
Your answer
I have a license
J'ai une licence
Ik heb een vergunning
*
yes / Oui / ja
No / non / nee
License number
No. de license
Vergunningsnummer
*
Your answer
Category
Catégorie
Reeks
*
Pré 65
Pré 73
Pré 78
Transponder number
No. de transpondeur
Transpondernummer
Your answer
Bike make and bike model
Marque et modèle du moto
Merk en model van de moto
*
Your answer
Bike year of construction
Année de construction de la moto
Bouwjaar moto
*
Your answer
Stroke
Takt
*
2T
4T
CCM
CC
*
Your answer
Number
Numméro de départ
Startnummer
*
Your answer
Remarks
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