COVID-19

NAME OF THE TEAM MANAGER / RESPONSIBLE PERSON (THIS PERSON WILL GET ACCESS TO THE TEST RESULTS OF THEIR TEAM / GROUP) *

MOBILE PHONE OF THE TEAM MANAGER / RESPONSIBLE PERSON *

EMAIL ADDRESS OF THE TEAM MANAGER / RESPONSIBLE PERSON *

CORPORATION/TEAM NAME *
Toyota Gazoo Racing WRTHyundai Shell Mobis WRTM-Sport Ford WRTHyundai 2C CompetitionToksport WRTMarco Bulacia WilkinsonEmilio Fernandez PirianoKajetan KajetanowiczPaulo NobreDiego SalviUgur SoyluYagiz AvciSainteloc Junior TeamBurak CukurovaPedroAlberto HellerJan SolansNasser Al-AtyaMichelinPirelliSAS TimingWRC PromoterWRC Promoter Accredited MediaFIA Accredited MediaNational MediaFIA

NAME, SURNAME *

TURKISH ID CODE OR DATE OF BIRTH *

PERSONAL MOBILE PHONE INCLUDING COUNTRY CODE (FOR COMMUNICATING TEST RESULTS) *

PERSONAL E-MAIL *

COUNTRY OF ORIGIN *

ArubaAfghanistanAngolaAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBotswanaCentral African RepublicCanadaSwitzerlandChileChinaCôte d’IvoireCameroonCongo, the Democratic Republic of theCongoCook IslandsColombiaComorosCape VerdeCosta RicaCubaCayman IslandsCyprusCzech RepublicGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaSpainEstoniaEthiopiaFinlandFijiFranceMicronesia, Federated States ofGabonUnited KingdomGeorgiaGhanaGuineaGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGuatemalaGuamGuyanaHong KongHondurasCroatiaHaitiHungaryIndonesiaIndiaIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People’s Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsMacedonia, the former Yugoslav Republic ofMaliMaltaMyanmarMontenegroMongoliaMozambiqueMauritaniaMauritiusMalawiMalaysiaNamibiaNigerNigeriaNicaraguaNetherlandsNorwayNepalNauruNew ZealandOmanPakistanPanamaPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People’s Republic ofPortugalParaguayPalestine, State ofQatarRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSerbiaSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenSwazilandSeychellesSyrian Arab RepublicChadTogoThailandTajikistanTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTurkeyTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUruguayUnited StatesUzbekistanSaint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, U.S.Viet NamVanuatuSamoaYemenSouth AfricaZambiaZimbabwe

ROLE IN THE TEAM*

Driver / Co-driver *Other *

HAS THE PERSON EVER BEEN TESTED POSITIVE WITH COVID-19?*

Yes *No *

PLANNED ARRIVAL DATE IN TURKEY *

ARRIVAL TIME*

WAY OF TRAVEL TO TURKEY *

By plane via airport *By boat via port *By land *The person has stayed in Turkey and not left during the 14 day period before 6 September 2020 *Other *

TRAVEL INSURANCE OF THE PERSON*

The person has a travel insurance covering medical services. *The person pays for the medical costs by himself/herself. *

END OF QUESTIONNAIRE*

I am returning to Germany or Switzerland etc. and will require a pre-departure test maximum 48 hours before departureI am returning to Russia etc. and will require a pre-departure test maximum 72 hours before departureI hereby confirm that the person entered by me is healthy and is not infected with COVID-19. *I hereby confirm that the person entered by me has no COVID-19 symptoms when entering Turkey. *I hereby confirm that the person entered by me agrees to take the COVID-19 test within 24 hours upon arrival to Turkey and grants his or her permission to the Organiser to obtain and process the test results for safety and medical reasons. *I hereby confirm the following:

I hereby confirm that the person entered by me has given its consent that in case of a positive Covid-19 test its sensitive personal data (e.g. name, contact details, Covid-19 test results, whereabouts) will be shared directly by the accredited approved test provider with the FIA, the WRC Promoter, Rally Turkey / TOSFED and the responsible Team Manager, only for the purpose of our collaborative effort to ensure self-isolation and safeguard public health during the coronavirus pandemic.*

Test Date
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