Omang/Passport Number
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* |
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Nationality
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* |
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Blood Group
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* |
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Do you want to be a voting member of Botswana Motor Sport?
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* |
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200.00 BWP
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Are you a Marshall, Official, Event Journalist or Event Photographer?
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* |
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Category E Insurance Rates
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Select a category
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* |
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0.00 BWP
562.11 BWP
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Category D Insurance Rates (One Day License)
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Single event licenses are for CLUB events only and do not apply to National, Regional or International events(NIR)
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Are you applying for a single event license only?
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* |
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Single Event License
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* |
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0.00 BWP
400.00 BWP
600.00 BWP
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Please select a Category
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Category A Insurance Rates
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This section to be completed by Category A All Adult Competitors (14 years +) CLUB Licenses only
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Are you applying for a Category A CLUB license only?
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* |
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Select one
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0.00 BWP
909.72 BWP
909.72 BWP
1125.28 BWP
1125.28 BWP
1737.25 BWP
3014.16 BWP
2515.46 BWP
3916.57 BWP
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This section to be completed by Category A All Adult Competitors (14 years +) National, International & Regional Licenses only
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Are you applying for a Category A National, International or Regional license?
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* |
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Select one
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* |
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0.00 BWP
1209.32 BWP
1896.18 BWP
1494.30 BWP
2400.37 BWP
1896.18 BWP
3156.64 BWP
2502.65 BWP
4453.65 BWP
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Category B Insurance Rates
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This section to be completed by Category B All Juvenile Competitors(Person over 6yrs, under 14yrs) CLUB licenses only
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Are you applying for a Category B CLUB license only?
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Select one
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* |
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0.00 BWP
876.84 BWP
876.84 BWP
1033.95 BWP
1033.95 BWP
1609.37 BWP
2791.29 BWP
2327.30 BWP
3622.47 BWP
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This section to be completed by Category B All Juvenile Competitors(Person over 6yrs, under 14yrs) National, International & Regional licenses only
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Are you applying for a Category B National, International & Regional license?
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Select one
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* |
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0.00 BWP
1161.82 BWP
1843.21 BWP
1379.11 BWP
2212.21 BWP
1757.35 BWP
2922.81 BWP
2316.33 BWP
4121.17 BWP
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Category C Insurance Rates
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This section to be completed by Category C All Junior Competitors (Person under 6 years of Age) CLUB licenses only
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Are you applying for a Category C CLUB license only?
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* |
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Select one
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* |
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0.00 BWP
858.57 BWP
858.57 BWP
1008.37 BWP
1415.74 BWP
1556.40 BWP
2707.26 BWP
2259.71 BWP
3523.83 BWP
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This section to be completed by Category C All Junior Competitors (Person under 6 years of Age) National, International & Regional licenses only
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Are you applying for a Category C National, International & Regional license?
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* |
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Select one
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* |
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0.00 BWP
1130.77 BWP
1779.27 BWP
1346.33 BWP
2159.24 BWP
1706.18 BWP
2831.47 BWP
2246.92 BWP
4004.25 BWP
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Car/Bike Number (Marshalls please use #1000
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* |
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Are you a Category A participant? (Adults 14yrs + only)
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* |
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500.00 BWP
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Are you a Category B or C participant?
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75.00 BWP
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POLICY BENEFICIARY DETAILS (in case of death)
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Full Names of Beneficiary
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* |
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Omang/Passport Number of Beneficiary
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* |
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