<p>№</p><p>APPLICATION FOR ACCREDITATION</p><p>ACCREDITATION TYPE</p><p>Journalist Photographer Tick GOING TO WORK AT COMPETITION REMOTE WORKING PERSONAL INFORMATION</p><p>Date of SURNAME, birth NAME City</p><p>Media name</p><p>Printed media Internet TV RADIO Frequency Contact Distributing region Circulation/Traffic information Position</p><p>Phone number 1. 2. E-mail WWW Position E-Mail Chief editor/ E-Mail for press section editor Phone number releases Do you have an insurance policy valid during the Rally? YES NO Insurance Insurance company/ policy number Vehicle model Car Own vehicle for the race YES/NO and number INFORMATION ABOUT PROFESSIONAL ACTIVITY Planned bulk and air/publication time: If you cooperate with another media, please, name them here: I certify that all information I have provided is correct. I undertake to provide the information on air / publications of all my matters about “Northern Forest 2016” Baja to the official press service e-mail: [email protected]</p><p>Application filling out date Signature ь</p><p> www.bajarussia.ru I ______Journalist full name journalist, accredited for a motorsport event, undertake to:</p><p>- comply with safety regulations and comply with the rally officials, security marshals, line judges and those involved in the security of the rally.</p><p>- select the indicated shooting points for the media, avoiding the presence in dangerous and illegal turns, guided by the following schemes of security, including, but not limited to:</p><p>- Always keep the sports car in sight</p><p>- Do not stand with my back to the rally track</p><p>- Do not sit near the track; to be able to move urgently</p><p>- Do not stand on the corners outside </p><p>- Do not stand below the road</p><p>- Do not stand in the prohibited areas</p><p>- Expect the unexpected: the car due to a malfunction can start moving NOT by the rally track</p><p>- Do not cross the rally track</p><p>- Dangerous area. Avoid being in these sectors on the rally track!</p><p>I have read and understood these safety rules at the motorsport events.</p><p>I understand the danger that might be associated with my professional duties of the journalist performance at the competition.</p><p>I am responsible for my life and health: ______(______) Name Signature </p><p>Filling out date:______</p><p> www.bajarussia.ru</p>