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Competitor (Team) Licence Application

Applicant Details

Multi-line address

The details provided will not be used for any other purpose without prior agreement.

Entity & Compliance

Date of Incorporation
Dzień
Miesiąc
Rok

Manufacturer Status & Entry Details

Manufacturer Affiliation
Backed
Independent
Season Applied For
2030-2031
Requested Number of Cars
1
2

Key Personnel (Nominated)

(Name, Role, Email, Phone)

  • Team Principal

  • Team Manager

  • Sporting Director 

  • Chief Engineer

  • Chief Mechanic

  • High-Voltage Safety Responsible Person (HV-RP)

  • Sustainability Officer / ESG Lead

  • Chief Financial Officer / Finance Lead

  • Data Protection Officer (DPO)

Operational Capability

  • Facilities Description (workshops, battery rooms, scrutineering space)

  • High-Voltage Safety Infrastructure

    • Lockout/Tagout procedures, PPE inventory, insulated tools, fire suppression, isolation bays.

  • Staffing Levels

    • Race Ops / Engineering / Mechanics / HV Techs / Logistics / Admin

  • Logistics Base & Freight Capability 

  • IT & Data Security Overview (telemetry handling, access controls)

Financial Stability & Insurance

  • Audited Financial Statements (last FY) 

  • Bank Reference / Proof of Funds 

  • Sponsorship / Funding Summary 

  • Insurance Certificates 

    • Public Liability

    • Employers’ Liability

    • Participant Accident / Personal Accident

    • HV / Battery Handling Coverage 

    • Professional Indemnity 

  • Policy Expiry Dates 

Sustainability & Environmental Compliance

  • Sustainability Plan 

  • Battery Lifecycle & Recycling Partner 

  • Waste & Hazardous Materials Procedures 

  • Certifications

    • ISO 14001 / ISO 9001 / ISO 45001 / Other (specify)

  • Annual Emissions Reporting Methodology 

Current Licence Held

Do you currently hold any motorsport entrant/team licences?
Yes
No

If Yes:

Licence Portfolio


For each licence entry:

  1. Licence Category 

    • FIA International Entrant/Competitor Licence

    • ACO WEC Entrant Licence

    • FIA Formula E Entrant Registration

    • National ASN Entrant/Team Licence (specify ASN)

    • Other International Series Entrant Licence (specify)

  2. Issuing Authority (ASN/Series Organiser) 

    • Example: Motorsport UK, FFSA, DMSB, ACO, FIA, etc.

  3. Licence Number 

  4. Licence Level / Class 

    • Example: International, International A, National, etc.

  5. Validity

    • Issue Date 

    • Expiry Date 

    • Status (auto)

  6. Good Standing Declaration

    • “We confirm this licence is in good standing and not suspended or under investigation.”

  7. Consent to Verification 

    • “We authorise Automobili La’Bergitla Ltd to verify this licence with the issuing authority.”

  8. Disciplinary Disclosures (24 months) 

    • None / Yes (provide details and outcome)

Requested La’Bergitla Licence Level

Category of Licence Applied For
Competitor/Team
Licence Level / Type
Franchise – Primary Entry
Franchise – Second Entry (Manufacturer only)
Independent Single-Car
Wildcard (Single Event)

Mandatory Training & Test

Nominated Personnel Who Passed Tests

  • Role 

    • Team Principal, Team Manager, Sporting Director, Chief Engineer, Chief Mechanic, High-Voltage Safety Responsible Person (HV-RP), Race Engineer, Battery Systems Technician (HV Tech), Data/Performance Engineer, Sustainability Officer / ESG Lead, Finance Lead (CFO/Controller), Pit Crew Chief, Logistics Lead, DPO.

  • Name 

  • Email (

  • Test Type(s) Passed 

    • Sporting & Technical Regs; Governance & Integrity; HV & Electrical Safety; Sustainability & Reporting; Emergency Ops.

  • Test Date 

  • Certificate Upload 

  • Issuer 

  • Certificate ID / Ref 


Pending Re-tests

Upload if any required staff failed/expired tests but have bookings.

  • Role 

  • Name 

  • Reason (Expired / Failed / New Gen update)

  • Scheduled Date (date; within 30 days of submission)

  • Booking Reference 

Declarations

Payment

Licence Level Fee
GBP

Per-person rates

  • Core roles (Principal, Manager, Chief Engineer, Chief Mechanic, HV-Responsible, Sustainability Officer, Finance Lead): £1,950 each

  • Per-car roles (Race Engineer, HV Tech, Pit Crew Chief): £1,450 each

  • Additional staff (optional): £750 each

Bundled caps

  • One-car team (10 required seats) → cap £18,000

    • (7 core × £1,950 = £13,650) + (3 per-car × £1,450 = £4,350) = £18,000

  • Two-car team (13 required seats) → cap £24,000

    • (7 core = £13,650) + (6 per-car = £8,700) = £22,350 (capped at £24,000 if more people added)

Retests & updates

  • 1st re-test: £350 per person

  • 2nd re-test (after remedial): £1,000 per person

  • New tech-gen refresh (HV & regs): £250 per person (waived if the candidate holds a recognised FIA HV/e-safety certificate <12 months old)

Test Fee (per test seat)
GBP
Payment Method
Debit/Credit Card
Bank Transfer

If Bank Transfer:


Please make payment to the following account details:

Automobili La'Bergitla Endurance Operations LTD


O nas

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Zasady i Warunki

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Skontaktuj się z nami

info@labergitla.com

La'Bergitla Ltd

19.2 Dom Wystawowy,

Addison Bridge Pl, Londyn

W14 8XP

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