APPLICATION FOR PERMISSION TO APPLY FOR
A COMPETITOR’S LICENCE

This application should be submitted with a completed EFI Competitor’s Licence Application Form. If approved the EFI form will be returned, duly endorsed, and it shall be the applicants responsibility to submit the application to the EFI.

NAME:  
ADDRESS:  

 

 
DATE OF BIRTH:  
I.L.D.R.A.
MEMBERSHIP No. 		 
IRISH PASSPORT:  
DATE OF EXPIRY
OF IRISH PASSPORT: 		 
DATE OF GOLD
SHAMROCK
QUALIFICATION: 		 

(Any applicant who has not held a licence in the preceding year, MUST provide proof of the above qualification. Any non-I.L.D.R.A. qualified rider MUST provide proof that they have achieved a standard at least equivalent to Gold Shamrock.)

DETAILS OF ALL RACE RIDES IN THE LAST 2 YEARS:
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I have read the I.L.D.R.A. Riding Rules. All the above information is true and correct. I acknowledge that I.L.D.R.A. may revoke any permission, without notice, if any information given is false or misleading.

SIGNED:______________________________ DATE:_____________________