PROTEST FORM

No Further Action Other
Motorcycling Victoria PO Box 3 Broadford, VIC, 3658
Action Required

No Futher ActionOther
PROTEST FORM
TO BE COMPLETED BY THE ENTRANT OR COMPETITOR AND RECEIVED BY THE CLERK OF COURSE AND CONVEYED TO THE STEWARD
Promoter
Meeting Name
Permit No.
Venue
Date

DayMonthYear
Date
Time
Details of Protest, (where appropriate quote relevant GCR, competitor numbers, class and event. Use reverse side of this form or attach sheets as necessary)
Details of Protester
Competitor/Entrant Name
Address
Suburb
Postcode
State
Postcode
Phone Number
Please enter a valid phone number.
Email
example@example.com
Class
MA Licence Number
Protest Fee
Protest Fee attached:

YesNo
Details of Protest Hearing: to be completed by Steward
Details of Protest Hearing: (to be completed by the Steward)
Protest Hearing was held on
Date

DayMonthYear
Date
Time

Hour Minutes

AM/PM Option
Protest Hearing determination is made on this:
Date

DayMonthYear
Date
Time

Hour Minutes

AM/PM Option
Details of the Protest Hearing and Steward Determination, (should identify those present at the hearing, the rationale for the decision, whether the protest is upheld or dismissed, and any recommendations or penalties imposed. Use reverse side of this form or attach sheets as necessary)
Details of Steward
Name
MA Licence No.
Signature

Clear
Contact Phone
In accordance with the general competition rules as contained in the current MA Manual of Motorcycle Sport, some parties may have the right to appeal this determination. To exercise this right, those parties should consult the appropriate chapter of the Manual for the correct procedures.

THE CONTROLLING BODY OF MOTORCYCLE SPORT IN AUSTRALIA AFFILIATED TO THE FEDERATION INTERNATIONALE MOTORCYCLISME (F.I.M)
Should be Empty:

No Further Action Other

PROTEST FORM

TO BE COMPLETED BY THE ENTRANT OR COMPETITOR AND RECEIVED BY THE CLERK OF COURSE AND CONVEYED TO THE STEWARD