Indian F1 Gp – Questionnaire

GENERAL:

Name: S Om Singarravel

Age & Date of Birth: 26 & 28/ 12/1984

Sex: MALE FEMALE

Nationality: Indian

Occupation: Business

Address for communication:

F2 Jain Akshaya, 15 Thirumoorthy Street,
T Nagar, Chennai -600017
Tamil Nadu

Telephone: 04428340464

Fax:

Mobile: 09944733533

E Mail id: sing1234@gmail.com

MEDICAL:

Blood Group: A1 B+

Do you suffer from any medical condition? : YES NO

If the answer to the above is “YES”, please specify:

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Are you on any medication? : YES NO

If the answer to the above is “YES”, please specify:

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Are you physically challenged? : YES NO

If the answer to the above is “YES”, please specify:

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Are you colour Blind? : YES NO

MOTOR SPORTS

Have you officiated in any motor Sporting Event? : YES NO

If the answer to the above is “YES”, please specify:

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Have you competed in any motor Sporting Event? : YES NO

If the answer to the above is “YES”, please specify:

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Will you be willing to attend all training sessions? : YES NO

Will you be willing to travel if necessary for training etc: YES NO

Have you operated wireless radio system? : YES NO

Training can range from 3 to 10 days. Can you take time off? YES NO

If selected will you be present for all 4 days of the event : YES NO

Are you aware that this is a voluntary role? : YES NO

Do you undertake to meet all expenses of your travel,

Board and lodge and local transport for the training and
for the event with no cost to the organizers ? : YES NO

LANGUAGE SKILLS:
Are you fluent in English (Spoken & Written)? : YES NO