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Civility:
Last name
First name
Blood type
T-shirt size
Date of Birth
Nationality
Driving licence N°
E-mail
Mobile
Day phone
Address
City
Country
Zip code

CERTIFICATION

ONLY FOR SINGLE SEATER CARS, TWO-SEATER RACING CARS AND ANY OTHER CARS EQUIPPED WITH A ROLL OVER PROTECTION SYSTEM (ROPS) WHICH IS NOT HOMOLOGATED OR WHICH IS NOT CERTIFIED BY AN ASN
As the issuing ASN is unable to control the following technical parameters without affecting the structural, historical and/or patrimonial integrity of the car (analysis of the material impossible without partial destruction or sampling of material), the issuing ASN relies on the Applicant’s representations and the issuing ASN and/or the FIA shall not in any way be held responsible for any incorrect, inaccurate, false or misleading information provided herein by the Applicant.
Main/Lateral bar Front bar Diagonals Other struts Cross braces
Outer diameter (mm)
Wall thickness (mm)
Material specifications
The items shown above are those claimed by the applicant based upon his best available knowledge.
Applicant First Name
Applicant Last Name

FIA HISTORIC TECHNICAL PASSPORT

FIA Historic Technical Passport Nº
Date
FIA Identity Nº
FIA Period
FIA Category
Make
Type
Year Made
Year of Specification
Colour of the Car
Methanol Gas
Chassis Number
Is Chassis Original ?
Carburettors (make and type)
Engine Make and Type
Engine Engine N°
Is the engine original?
If yes, year
If not, type and year of engine is now fitted in the car
Original engine capacity
Current engine capacity
Number of cylinders
BODY
Body Type
Body Material
Is the body original
WHEELS
Make and Type (Wire, Alloy, Steel)
Front Size/Diameter
Front Width
Rear Size/Diameter
Rear Width
PNEUS / TYRES
Make and Type
Front Size
Rear Size/Diameter
PHOTOS OF THE CAR
Recent Front Photo
Recent Rear Photo
PRECISE HISTORY OF THE CAR
Historic Participation Before?
Year / Race / Number
Previous Owners
Continous history of the car

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