FIA MOTOR SPORT GAMES

KARTING SLALOM CUP

COMPETITORS’ ENTRY FORM

 To be returned no later than 1 September 2019

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FIA MOTOR SPORT GAMES: KARTING SLALOM CUP – COMPETITORS' ENTRY FORM
Please find hereafter an entry registration form for Competitors for the FIA MOTOR SPORT GAMES:
KARTING SLALOM CUP competition in Vallelunga (Italy).

Entries for the FIA MOTOR SPORT GAMES: KARTING SLALOM CUP must be submitted to the FIA
Coordinators Barbara Silva ([email protected]) and Anouck Abadie ([email protected]), and copying in your
own ASNs Sporting Department.

Please fill in the information below.

1. Entrant information

ASN

Country:
Name:

Address:
P.O. Box :
Post code :
City :

Email :
Phone :

ASN representative(s)

First / last name :

First / last name :

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 2. Drivers information
Please fill in all the information regarding your drivers registered

Women Driver Men Driver

The ASN must nominate which driver is Driver 1 and which driver is Driver 2 before the end of the
Administrative Checks.

3. Payment

Each ASN must pay a non-refundable entry fee of 500 € per entry by bank transfer to:

Crédit du Nord
50, rue d'Anjou
F-75008 PARIS

Account holder: FIA

4. Billing address

Company name:

Address:
P.O. Box :
Post code :
City :
Country :

Email :
Phone :
Mobile :
Intra-community VAT number :

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Key contact person :
First / last name :
Email:
Phone:
Mobile:

5. Mandatory documents to attach to the ASN’s entry form

Please attach to this ASN’s entry form, the following mandatory documents:

• Declaration of Consent
• Medical certificate of aptitude for both drivers (less than 3 months)
• Drivers’ passports (corresponding to the represented country)
• Drivers’ portrait pictures
• Copy of the bank transfer of 500 € for the entry fee

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COMMON DECLARATION

We confirm that we have read and understood the provisions of the International Sporting Code and its
appendices and the applicable Sporting and Technical Regulations, and we agree, on our own behalf and
on behalf of everyone associated with our participation in the 2019 Championship/Cup/Trophy, to
observe and be bound by them (as supplemented or amended). We declare that we have examined this
Entry Form and that the information given is true, correct and complete. We understand that any change
to the details given on this Entry Form must be notified to the FIA, at the latest on the official closing date
for entries, so that the FIA may reappraise our entry.

We understand that failure to notify the FIA any changes made to the details supplied on this form may
result in our exclusion from the Championship/Cup/Trophy.

We understand that this form will be valid only if the corresponding payment of the entry fee is made
before the closing date for entries.

We understand that only entries made online no later than the closing dates and times set by the FIA may
be studied and then taken into consideration for the selection of the participants. We understand that, in
order to be valid, the entry must be completed by all the documents required and by a copy of the
payment.

We understand that any documents (copy of the bank transfer notice, copy of the ASN’s licence, etc.)
which are not appended to the online entry must be sent to the FIA (by fax or post) before the given date.

We understand that any entries sent after this date will be considered null and void. The time of sending
shown on the electronic communication will be used as conclusive evidence.

We understand that any entries sent by fax will be refused and considered null and void.

We understand that it is up to each ASN to ensure that the information given on the online entry form is
correct. The FIA accepts no responsibility in the event of false or incorrect information.

We understand that our entry cannot be considered as definitive until the FIA has informed us of its
validation.

We understand that in the case of withdrawal after the acceptance / validation by the FIA, the entry fee
will not be reimbursed.

I agree with the Common Declaration

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 Data Protection

The FIA is strongly committed to protecting the privacy of personal data and the data hereby provided
will be used solely for organizational purposes during the course of the Cup. The FIA will process your
data according to the EU’s General Data Protection Regulation (GDPR) and our Data Protection Notice
is accessible below.

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 Data Protection Notice

The security of your personal data is extremely important to the Fédération Internationale de
l’Automobile of 8 place de la Concorde, 75008 Paris, France (“FIA”, “us”, “we”, “our”). You may be aware
of the General Data Protection Regulation ((EU) 2016/679) (“GDPR”), which now requires us to set out the
following details regarding how we collect and use your personal data.

As part of the registration process for the relevant FIA MOTOR SPORT GAMES: KARTING SLALOM
CUP (“Cup”) and/or your participation in the same, you may provide to us, and we may collect
from you (or via your competitor representative), certain personal data (as defined in applicable
data privacy laws, including the GDPR (“Privacy Laws”)), as detailed in the table below. The table
below also explains why we use your personal data, who this data is shared with and our legal
grounds for using such data.

Please note that in relation to any personal data collected during the Cup registration process and
any personal data processed by the FIA in relation to competitors and drivers in connection with the
Cup, the FIA is the data controller and will handle this data in accordance with its obligations under the
Privacy Laws.

Type of data Purposes for using this Who is this shared with What are our legal grounds for using
data and why this data
Basic We use this data to We may share this We are entitled to use this data on the
Information administer the Cup information with FIA basis of our legitimate interests, namely
relating to the application and in service providers to enable us to administer the
competitor’s connection with the (including, without competitor’s Cup application and to
representative management of the limitation the Cup operate the Cup.
(who is Cup more generally. promoter, local Cup
completing the promoters and ASNs), for
Certain Basic
Cup application) the same purposes as
Information may be
and the described in the left hand
used in conjunction
competitor’s column. We may also share
with other information
driver(s), this data with certain other
referred to below, in
including name, third parties which are
connection with the
address, email listed below.
purposes described
address, date of
below.
birth, telephone
numbers,
passport, driving
licence number
Biographical We use this data to We may share this We are entitled to use this data on the
information administer the Cup information with FIA basis of our legitimate interests, namely
including driver application and in service providers to enable us to operate the Cup and
images connection with the (including, without promote and exploit your participation
management of the limitation the Cup in the same.
Cup more generally. promoter, local Cup
promoters and ASNs) for
We may also use this
the same purposes as
information for the
described in the left hand
purpose of exploiting
column. We may also share
the rights granted to us
this data with certain other

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 pursuant to any third parties which are
separate agreement listed below.
entered into with the
competitor or
otherwise.
Certain of your
Biographical
Information may be
used in conjunction
with other information
referred to below, in
connection with the
purposes described
below.
Medical The FIA uses this data This data may be shared We are entitled to use and/or disclose
Information for the purposes with the third parties this data on the basis that such use or
collected in described in Chapter 2, referred to in Chapter 2, disclosure is:
accordance with Appendix L to the Appendix L to the
(i) Necessary for our legitimate
Chapter 2, International Sporting International Sporting
interests, namely to ensure that Cup
Appendix L to Code, including, Code.
applications are administered in
the without limitation, for
accordance with the International
International the purposes of
Sporting Code, the Cup Sporting
Sporting Code determining whether
Regulations and General
the medical
Prescriptions; and/or
requirements for the
issuing of the Cup (ii) Necessary for medical diagnosis and
registration/driver health care or treatment on the basis
licences are satisfied of law or pursuant to a contract with
and for medical a health professional who is subject
diagnosis and to an obligation of professional
treatment in the event secrecy.
of an accident or
undercurrent disease.

Medical This data will be used This data will be shared We are entitled to use and/or disclose
Information for the following with: this data on the basis that such use or
collected purposes: disclosure is:
(i) External medical
following an
professionals and the (i) Necessary for our legitimate
accident during (i) Your medical
providers of medical interests, namely treating drivers
a Cup event diagnosis and
services, including the who are injured or taken ill during a
treatment;
local ASN doctor Cup event, co-operating with health
present at the relevant and safety investigations following a
(ii) In connection with
Cup event; crash; and for safety research
health and safety
purposes; and/or
investigations; and (ii) Public authorities who
are conducting a health (ii) Necessary to protect your vital
(iii) The FIA may and safety investigation; interests; and/or
process this data and
(iii) Necessary for medical diagnosis and
for safety research (iii) The third party IT health care or treatment on the basis
purposes within service provider who of law or pursuant to a contract with
the framework of

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 the World hosts and operates the a health professional who is subject
Accident Database WADB on behalf of the to an obligation of professional
(WADB). In this FIA and third party secrecy; and/or
regard, following individual consultants
(iv) Necessary for reasons of substantial
an accident, the and/or administrators
public interest, provided for by law
FIA may submit who are involved in FIA
which is proportionate to the
certain accident safety research projects
objective pursued, respects the
related data to the or who otherwise assist
essence of the right to data
WADB, including the FIA with
protection and provides for suitable
without limitation, administering the
and specific measures to safeguard
Medical WADB,
the fundamental rights and interests
Information,
in each case, to the extent of affected individuals; and/or
certain Basic
relevant for the stated
Information (v) Necessary for the establishment,
purpose in the left hand
referred to above, exercise or defence of legal claims;
column.
technical data and/or
relating to your (vi) Necessary for archiving purposes in
protective the public interest, scientific or
equipment and historical research purposes or
your vehicle and statistical purposes in accordance
videos and/or with Article 89(1) of GDPR based on
photographs of law which shall be proportionate to
the accident or the aim pursued, respect the essence
accident site. of the right to data protection and
provide for suitable and specific
measures to safeguard the
fundamental rights and the interests
of the data subject.
Biometric Data In the event of an This data will be shared We are entitled to use and/or disclose
collected using accident during the with: this data on the basis that such use or
biometric Cup, this data will be disclosure is:
(i) External medical
devices worn by processed for the
professionals and the (i) Necessary for our legitimate
drivers following purposes:
providers of medical interests, namely treating drivers
services, including the who are injured or taken ill during
(i) Your medical
local ASN doctor present the Cup ; and/or
diagnosis and
at the relevant Cup
treatment; (ii) Necessary to protect your vital
event;
interests; and/or
(ii) In connection with (ii) Public authorities who (iii) Necessary for medical diagnosis and
health and safety are conducting a health
health care or treatment on the basis
investigations; and safety investigation;
of law or pursuant to a contract with
and/or and
a health professional who is subject
(iii) The FIA may (iii) The third party IT to an obligation of professional
process this data service provider who secrecy; and/or
for safety research hosts and operates the
purposes within (iv) Necessary for reasons of substantial
WADB on behalf of the
the framework of public interest, provided for by law
FIA and third party
the World which is proportionate to the
individual consultants
Accident Database objective pursued, respects the
and/or administrators
(WADB). In this essence of the right to data
who are involved in FIA
regard, following protection and provides for suitable

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 an accident, the safety research projects and specific measures to safeguard
FIA may submit or who otherwise assist the fundamental rights and interests
certain accident the FIA with of affected individuals; and/or
related data to the administering the
(v) Necessary for the establishment,
WADB, including WADB,
exercise or defence of legal claims;
without limitation,
in each case, to the extent and/or
Biometric Data,
relevant for the stated
Medical (vi) Necessary for archiving purposes in
purpose in the left hand
Information, the public interest, scientific or
column.
certain Basic historical research purposes or
Information statistical purposes in accordance
referred to above, with Article 89(1) of GDPR based on
technical data law which shall be proportionate to
relating to your the aim pursued, respect the essence
protective of the right to data protection and
equipment and provide for suitable and specific
your vehicle and measures to safeguard the
videos and/or fundamental rights and the interests
photographs of the of the data subject.
accident or
accident site.

Other disclosures

In addition to the third parties listed above, we may also be required to disclose your personal data if we
are required to do so by law or pursuant to a binding regulatory request (in such circumstances, such
disclosure will at all times be solely to the extent required by law or the applicable regulatory request).
We may also be required to share your personal data with our professional advisors, subject in each case
to strict confidentiality undertakings.

We may also share your personal data with FIA Switzerland in connection with the above stated purposes
(Switzerland being recognized by the European Commission as providing adequate levels of protection for
data protection).

International transfers

In addition to sharing your personal data with FIA Switzerland (as outlined above), it may also be necessary
for us to share your data with other organisations or individuals who are located in countries outside of
the European Economic Area (“EEA”), in each case, in connection with the processing purposes described
in the above table. These countries may not have as comprehensive data protection standards as in
France. In each case, the FIA will not transfer your data outside of the EEA unless it has a legal justification
for doing so and where required to do so, the FIA has ensured that all adequate protections are in place
in respect of the processing of such data outside of the EEA.

How long do we store your personal data?

We will retain your personal data on our systems only for as long as is strictly necessary for the purposes
for which such data was originally collected (as referred to above), and thereafter for such longer period
as may be required by law.

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Your rights

In certain situations, you are entitled to: (i) request access to your personal data; (ii) request that we
correct your personal data; (iii) request that we erase your personal data; (iv) object to processing of your
personal data where we are relying on a legitimate interest; (v) request the restriction of processing of
your personal data; (vi) request the transfer of your personal data to a third party; or (vii) where you have
provided your consent to certain of our processing activities, you may withdraw your consent at any time
(but please note that we may continue to process such personal data if we have legitimate legal grounds
for doing so).

To exercise these rights please contact: [email protected]

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