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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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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* |
0.00 BWP
750.00 BWP
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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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Category D Insurance Rates (One Event License)
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Single Event License
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* |
0.00 BWP
550.00 BWP
850.00 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
1250.00 BWP
1250.00 BWP
1450.00 BWP
1450.00 BWP
2000.00 BWP
3550.00 BWP
3000.00 BWP
4550.00 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
|
* |
0.00 BWP
1450.00 BWP
2300.00 BWP
1800.00 BWP
2850.00 BWP
2250.00 BWP
3750.00 BWP
3000.00 BWP
5250.00 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
|
* |
0.00 BWP
1175.00 BWP
1175.00 BWP
1300.00 BWP
1300.00 BWP
1925.00 BWP
3300.00 BWP
2750.00 BWP
4250.00 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
|
* |
0.00 BWP
1385.00 BWP
2200.00 BWP
1650.00 BWP
2600.00 BWP
2150.00 BWP
3500.00 BWP
2750.00 BWP
4950.00 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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Select one
|
* |
0.00 BWP
1125.00 BWP
1125.00 BWP
1250.00 BWP
1700.00 BWP
1850.00 BWP
3250.00 BWP
2700.00 BWP
4150.00 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?
|
* |
|
Select one
|
* |
0.00 BWP
1325.00 BWP
2150.00 BWP
1600.00 BWP
2550.00 BWP
2050.00 BWP
3350.00 BWP
2650.00 BWP
4650.00 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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* |
750.00 BWP
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Are you a Category B or C participant?
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750.00 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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Upload a copy of your ID/Passport/Omang (Certified)
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* |
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Upload a copy of the Marsh KYC Form
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* |
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