Namibia National Karting Championship 2025 leg 4 Scrutineering Form

 

Fill in the Namibia National Karting Championships Leg 4 Scrutineering , which consists of both:

Rok Cup Championship and  Rotax Trophy Cup. This race will be at R&R Race Track on 14 June 2025 hosted and organized by Walvisbay Motor Club, with the Main Sponsor being

Momentum Short Term Insurance & HardCore Logistics cc

and co-sponsored by
Jan Jonker Service Station
Cema Racing
Beucorp Trading
Gforce Fitment Centre
SafeWear
Auto Care Centre
Kotze Body Worx
Total Tools

DRIVER DETAILS

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Choose 2025 Event *Event DetailsLeg 1Leg 2Leg 3Leg 4Leg 5Leg 6

First Name

Last Name

Kart Number *

ClassBambinoMini Rok - Under 10Mini RokMaxterinoMicroMaxMiniMaxJunior MaxSenior MaxDD2DD2 MastersSelect Class

ChassisTony KartSodi KartBirelARTCRGEnergy KartExpritFormula KGold KartHaaseIntrepidKosmicMac MinerelliParolinPragaRicciardoRS KartTop KartPlease enter Chassis Make

CONTACT DETAILS

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Cellphone Number *

Email Address *

ENGINE

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Engine Number (1) *

Engine Number (2)Optional

Seal Number (1) *

Seal Number (2)

Fuel Line *No leaksFirmly attached

Exhaust *Firmly attachedSprings

RACING GEAR

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Helmet *Visor ClearStrap Correct

Race Suit *No loose partsNo Holes

Boots & Gloves *Good Condition

Fire Extinguisher *Serviced

KART

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Nose Cone *No damageCorrect fitment

Wheel bearings *No play in bearingsNo play in lock nuts

Steering System *No wearTight

Pedals *Not protrudingReturn springs

Seat *No cracksFirmly attached

General Safety *No cracksNo loose bolts

Floor Pan *No cracksFirmly attached

Steering System *No wearTight

Rear Number Plate *Numbers correct sizeNumbers correct colour

Ballast *Firmly attached (bolted)

Side Pods *Correctly attached

Brakes *Operational

Rear Bumper *Meets requirements

Numbers *Numbers correct sizeNumbers correct colour

Fuel Tank *No leaksFirmly attachedLines secure

Rear Axle *Full cover chain guardWheel bearings no play

Transponder + Logos

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Logos *On KartIn Correct Place

Transponder *FittedIn correct place (under bib, behind front axle)

DECLARATION

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I, the undersigned, hereby agrees to indemnity found HERE

We hereby certify that we have read and understand the General Competition Rules and Standing Supplementary Regulations applicable to the competition as per our current Motorsport Hand Book. We further certify that the particulars are true and correct and that the vehicle entered complies with the regulations and vehicle specifications for the particular class / category / formula. We are aware of the penalty for non-compliance as per GCR 93 to GCR 94.

I agree to the terms above. *I agree to the terms above.

Driver Signature *

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Driver Signature

Guardian Signature *

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Date *

City *

ID Number Guardian *

ID Number Driver *

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