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["\"Can-Am Trophy Russia 2013\"                                                        ",{"$nulls":12},"Зачет. Группа/Category",null,null,"Стартовый № /Starting numbers"]
[]
[]
["ЗАЯВКА НА УЧАСТИЕ/ RACE REGISTRATION FORM"]
[]
["ПЕРВЫЙ УЧАСТНИК/FIRST COMPETITOR",{"$nulls":9},"ВТОРОЙ УЧАСТНИК/SECOND COMPETITOR"]
["Модель                                                                                  квадроцикла/Quad model : ",{"$nulls":9},"Модель                                                                                  квадроцикла/Quad model: "]
["Водительское                                                                                                   удостоверение/driving licence ",{"$nulls":9},"Водительское                                                                                                   удостоверение/driving licence "]
[null,null,null,"серия/serial  number",null,"номер/№",null,"код/code",{"$nulls":5},"серия/serial  number",null,"номер/№",null,"код/code"]
[]
["Фамилия/Name: ",{"$nulls":9},"Фамилия/Name: "]
["Имя/First name:",{"$nulls":9},"Имя/Name: "]
["Гражданство/Nationality:",{"$nulls":9},"Гражданство/Nationality: "]
["дата/day of birth  \n","месяц /month of birth\n",null,"год рожд./year of birth",null,"Спорт. Звание/Sporting title",{"$nulls":4},"дата/day of birth  \n","месяц/month of birth\n",null,"год рожд./year of birth",null,"Спорт. Звание/Sporting title"]
["Адрес/Address",null,"Индекс/ZIP Code",{"$nulls":7},"Адрес/Address",null,"Индекс/ZIP Code"]
[null,null,"Страна/Country",{"$nulls":9},"Страна/Country"]
[null,null,"Город/Town",{"$nulls":9},"Город/Town"]
[null,null,"ул./Street",{"$nulls":9},"ул./Street"]
[null,null,null,"дом/house",null,null,"кв./flat",{"$nulls":6},"дом/house",null,null,"кв./flat"]
["(код) телефон/ (code)telephone:",{"$nulls":9},"(код) телефон/(code)telephone:"]
["Лицензия водителя /licence number",{"$nulls":9},"Лицензия водителя/licence number"]
["Подпись/Signature:",{"$nulls":9},"Подпись/Signature:"]
["Нижеподписавшийся признает положения нормативных документов и обязуется строго соблюдать их."]
["Подтверждается, что данные, указанные в заявке, правильные и заявленная техника соответствует "]
["техническим требованиям.Участник соглашается с правом использования его контактных данных "]
["Организатором"]
["I, the undersigned, declare that to the best of my knowledge all information provided above is correct, vehicle  conforms to the technical rules. Moreover, I understand that it is my unique responsibility to ensure that all the documents are valid, especially the driving licence, the vehicle ownership  documents. I declare that I have read and approved the specific regulations of the event.I approve the using by Organizer my contact's data."]
["ФИО представителя/Name and first name of the representative"]
[]
["Подпись заявителя/Signature of the applicant"]
[{"$nulls":11},"(фамилия/name)",{"$nulls":4},"(должность/duties)"]