2025 Global Elite 300 Online Entry

Race Number*
Please fill in your complete race number including class prefix i.e. A99 and not just 99
Class?
Is your Entrant

The DriverThe Co-DriverNeither
Single-Seater?

YesNo
Category?

ENTRANT DETAILS

* Please complete Entrant Details
Please enter your Entrant's MSA Licence Number and then click on the Auto Complete Button
Entrant Name
Entrant: MSA Licence No.
Entrant: MSA Licence OK?

YesNo
Entrant: Please upload MSA Licence

Cancelof
Entrant: Work Telephone
Entrant: Mobile Telephone
Entrant: Email Address
example@example.com

DRIVER DETAILS
Prefill Instructions

Enter your ID number without any spaces and then click on AUTO COMPLETE
Driver: Prefill
Driver: First Name*
Driver: Surname*
Driver: MSA Licence No.*
Driver: MSA Licence OK?

YesNo
Driver: Please upload MSA Licence

Cancelof
Driver: Physical Address
Country*
Driver: Work Telephone
Please enter a valid phone number.
Driver: Mobile Telephone*
Driver: Email Address*
example@example.com
Driver: Identity Number*
Driver: Date of Birth*

DayMonthYear
Date
Driver: Event Date

DayMonthYear
Date
Driver: Age Calc 1
Driver: Age
Driver: Provincial Drivers' Licence No.
Driver: Upload provincial drivers' licence

Cancelof
Driver: Provincial Licence OK?

YesNo
Driver: Club
Driver: Insurance Option
Driver: Emergency Contact Person*
Driver: Emergency Contact Tel No.*
Please enter a valid phone number.
Driver: Medical Aid*
Driver: Medical Aid membership no.
Driver: Medical Aid Scheme Type
Driver: Medical Aid main member
Driver: Medical Aid Card

Please upload a photograph / scan of your medical aid card here. A hard copy of your medical detail will be supplied to the CMO who will use the information and copy of your medical aid card to assist with hospital admission in the unlikely event that the need to do so arises.
Cancelof
Driver: Doctor name?
Driver: Doctor Telephone
Please enter a valid phone number.
Driver: Medication / medical conditions
Driver: Allergies
Driver: Blood Group
Driver: Recent injury / illness?*
Driver: Fit to race?

CO-DRIVER DETAILS
Prefill Instructions

Enter your ID number without any spaces and then click on AUTO COMPLETE
Co-Driver: Prefill
Co-Driver: First Name
Co-Driver: Surname
Co-Driver: MSA Licence No.
Co-Driver: MSA Licence OK?

YesNo
Co-Driver: Please upload MSA Licence

Cancelof
Co-Driver: Physical Address
Co-Driver: Country
Co-Driver: Work Telephone
Please enter a valid phone number.
Co-Driver: Mobile Telephone
Co-Driver: Email Address
example@example.com
Co-Driver: Identity No.
Co-Driver: Date of Birth

DayMonthYear
Date
Co-Driver: Event Date

DayMonthYear
Date
Co-Driver: Age Calc 1
Co-Driver: Age
Co-Driver: Provincial Drivers' Lic. No.
Co-Driver: Upload provincial drivers' licence

Cancelof
Co-Driver: Provincial Licence OK?

YesNo
Co-Driver: Club
Co-Driver: Insurance Option
Co-Driver: Emergency Contact
Co-Driver: Emergency Contact Tel No:
Please enter a valid phone number.
Co-Driver: Medical Aid
Co-Driver: Medical Aid membership no.
Co-Driver: Medical Aid Scheme Type
Co-Driver: Medical Aid main member
Co-Driver: Medical Aid Card

Please upload a photograph / scan of your medical aid card here. A hard copy of your medical detail will be supplied to the CMO who will use the information and copy of your medical aid card to assist with hospital admission in the unlikely event that the need to do so arises.
Cancelof
Co-Driver: Doctor name?
Co-Driver: Doctor Telephone
Please enter a valid phone number.
Co-Driver: Medication / medical condition/s
Co-Driver: Allergies
Co-Driver: Blood Group
Co-Driver: Recent Injury or Illness?
Co-Driver: Cleared as fit to race?

VEHICLE DETAILS
Scrutineering Form - Car Number
Vehicle Make
Vehicle Model
Year
Engine Make
Capacity
Cylinders
Engine #
Chassis #
Registration #
Restrictor Fitted
Refer ART 33.2.2 & 33.2.8
Restrictor Size
Refer ART 33.2.8

EQUIPMENT

Driver - Equipment*

	Yes / No
Helmet - ART 2.5.1
Protective Clothing - ART 2.5.3
HANS Device - ART 2.5.4
Neck Brace (Classes B, E & Classic Only) - ART 2.5.4
Safety Harness - ART 2.5.2 & ART 39
Seats & Seat Mounting - ART 40
Drinking Fluid - ART 2.6

Equipment - Vehicle*

	Response
Series / Sponsor Decals - ART 3.1
Series Number Backing + Numbers - ART 3.2
Life Hammer - ART 35.4
Warning Triangles - ART 3.5
Medical Warning Boards - ART 3.5
First aid kit - ART 2.7
Exhaust system compliant? - ART 34
Window openings - safety nets / polycarbonate - ART 35.1 - 35.3
Mirrors - ART 35.5
Fuel tanks / system - ART 37
Fire extinguisher - inside - ART 36.1
Fire extinguisher - outside - ART 36.1
Yellow light/s wired through ignition - ART 38.5
Yellow light/s correct positioning - ART 38.5
Yellow light visibility - ART 38.5
White light/s - ART 38.4
Brake lights
Cut-out switch operational? - ART 38.2
Roll cage - ART 41
Windscreen - ART 49.22
Tyres
Spare wheel/s
Screamer fitted? - ART 2.8

Fire Extinguisher Service Dates

	Service Expiry Date (dd/mm/yy)
Inside
Outside

Self-Scrutineering Declaration
I, (driver/entrant) hereby give the above detailed undertaking of compliance of my race vehicle with all the technical specifications, current at the time of entry, and in addition the safety requirements, including those that refer to protective and safety apparel for both driver and co-driver as contained in the MSA GCR's, 2023 MSA Northern Regions Off Road Car Racing Regulations together with any applicable MSA Circulars issued.
Acknowledgment:*

I/we confirm that the information submitted on this entry form is correct, and by signing the form electronically acknowledge electronic signature of this document.
Entrant Signature

Clear
MSA Licence Number
Completed by Name - Entrant / Driver

SIGNATURES
I/we have read and understood GCR's 93, 94, 113, 118, 121, 122, 127 & 138 of the MSA handbook and signify my/our agreement to abide by these rules by signing this entry form. By completing and submitting this form, I/we hereby indemnify and hold harmless Motorsport South Africa NPC, all entities associated with the promotion and organisation of the competition, the owner/s of any property on which the competition is held, and their respective officials, agents, servants and representatives, against any legal liability . I/we understand and accept that I/we am/are present at the event at my/our own risk.

Acknowledgement:

I/we confirm that the information submitted on this form is correct and by signing the form electronically where indicated acknowledge electronic signature of this document.
Entrant

Clear
Driver Signature*

Clear
Legal guardian if driver under 21 yrs

Clear
Driver Guardian Name

First NameLast Name
Driver Guardian ID Number
Co-Driver Signature

Clear
Legal guardian if co-driver under 21yrs

Clear
Co-Driver Guardian Name

First NameLast Name
Co-Driver Guardian ID Number
Date

DayMonthYear
Date
Hour Minutes
Should be Empty:

ENTRANT DETAILS

DRIVER DETAILS

Prefill Instructions

CO-DRIVER DETAILS

Prefill Instructions

VEHICLE DETAILS

EQUIPMENT

Self-Scrutineering Declaration

SIGNATURES