ESP Competitor Declaration

hereby state that I or my agent have inspected the vehicle against all items on this form and confirm that the entered vehicle complies with all relevant minimum personal protective equipment, vehicle and Class Eligibility requirements as detailed in the ANDRA Rulebook. The vehicle will be made available for Compliance Audits as requested by the appointed Officials.

DD slash MM slash YYYY
Example SS/A, TS/A, S/STB etc.

Category One – Compliance Critical

Category Two – Compliance Non-Critical

Category Three – Class Compliance and Non-Critical

COMPETITOR DECLARATION: I am aware that where any breach of the Rules or Regulations of ANDRA is found during a Compliance Audit I render myself liable to Tribunal Action and/or appropriate penalties and my signature below indicates my acceptance of this undertaking.
Clear Signature
DD slash MM slash YYYY

NOTE:Parent/ Guardian to complete form and sign competitor declaration on behalf of competitors under 18 years

Clear Signature
DD slash MM slash YYYY

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