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姓名
Name
 性别
Gender		 国籍
Country/Region
上传照片
pic		 是否党员
Party Member
年龄
Age		 文化程度
Education
 民族
Nationality
参加组别
Group		 母语
Native Language
准驾车型
Type of Drive
驾驶证号码
Driving License No.
证件类型
Type of ID
 证件号码
ID No.
身高
Height
  CM 体重
Weight
  KG 血型
Blood Type
上衣
Jacket		  CM 裤子
Trousers		  CM 鞋子
Shoes		  CM
通讯地址
Address
随身电话
Mobile
 应急电话
Emergency Contact
Email
 QQ
保险公司及保险单号
Insurance Policy
备注
Remarks
备注：以下承诺书签字后此报名表方为有效
This application form shall be valid only after the following commitment is signed by the applicant.
承诺书
Letter of Commitment
江苏漫步地球自驾俱乐部有限公司：
To Jiangsu wander the eart
本人自愿参加由贵公司组织的“2021年环中国大陆汽车摩托车超级自驾接力赛 ”，本人承诺，本人认识到本次赛事存在一定的安全风险并愿意承担自身原因引起的安全责任。本人参加本次赛事期间愿意服从贵公司的相关安排，遵守我国的相关法律和沿途各省的行政规定，尊重沿途各族民众的风俗习惯，做一个素养优良、环保文明的的参赛人员。
I volunteered to participate in the "Chinese mainland motor vehicle super self driving relay race in 2021" organized by your company. I promise that I am aware that there is a certain safety risk in this tournament and I am willing to shoulder the safety responsibility caused by my own reasons. I am willing to obey the relevant arrangements of your company, abide by the relevant laws of our country and the administrative regulations of the provinces along the way, respect the customs and habits of the people of all ethnic groups along the way, and be a contestant with good quality and environmental protection civilization.
承诺人
Signature
 日期
Date		 2023年10月03