Motorcycle Self-Scrutineering Form


MOTORCYCLE

Numbers
Sponsors Decals
Ball Ended Clutch & Brake Levers
Kill Switch
Spokes
Wheel Bearings
Tyres & Rims
Exhaust/Silencer Secure
Kick Start
Operating Brakes
Self-Closing Throttle
Mudguards
No Fuel Leaks
Folding Footpegs

SAFETY

One Litre Drinking Fluid
First Aid Kit
Space Blanket
Medical Board
Pencil & Paper

RIDING KIT

Helmut
Gloves
Long Sleeved Jersey
Upper Body Armour
Motocross Type Pants
Motocross Type Boots

ENVIRONMENTAL SAFETY

Fire Extinghuisher
Environmental Mat
Exhause noise within permissible limits

OTHER (National and IPC Classes only)

GPS with specs according to SSR's

I Drikus Van Der Merwr (Competitor) hereby give the above detailed undertaking

of compliance of my motorcycle with all the technical specifications for Cross Country Motorcycles, current

at the time of entry, and in addition the safety and environmental requirements, including those that refer

to protective and safety apparel or the competitor.