Department of Transport and Confederation of Australian Motor Sport DEDICATED RALLY CAR PROGRAM

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Department of Transport and Confederation of Australian Motor Sport DEDICATED RALLY CAR PROGRAM Inspection Record & Application for CAMS Dedicated Rally Car (DRC) Owner/Applicant.. CAMS Competition Licence No... Address......Postcode.. Make Model/Series. Month & Year of Manufacture......... Vehicle Homologation No.... Type (ie. sedan, utility, etc)..registration No... Chassis/VIN.. Engine No....... CAMS Logbook No. Vehicle Category.... (for subsequent CAMS use only) Note: Applicants to complete the entire Application form before inspection by CAMS Scrutineer. Scrutineer available to assist with queries ahead of final inspection if needed. 1. AUSTRALIAN DESIGN RULE COMPLIANCE 1.1 Is the vehicle fitted with an Australian Design Rule Compliance Plate? 1.2 Was the vehicle originally manufactured to meet Australian Design Rules? 1.3 Was the vehicle imported from overseas as a personal import? 1.4 Was the vehicle imported from overseas for competition purposes only? If imported for personal or competition use quote the Approval Number issued by the Commonwealth Department of Transport and Regional Services here NOTE: A copy of the clearance letter issued by the Federal Office of Road Safety must be attached to this application. 2. VEHICLE CHASSIS/BODY 2.1 Are body joints to be welded? DRC Inspection Record Page 1 of 6 Doc. No. Y

2.2 Are there alterations to the body? If the body is to be modified provide details including sketches on a separate sheet. 3. ROLL BARS 3.1 Is a roll bar/cage fitted? 3.2 Is the roll bar/cage constructed and mounted in accordance with the "Dedicated Rally Car Manual" or "FIA Manual"? If "No" an Engineering Report prepared by a Chartered Professional Engineer is required. CAMS Safety Cage Certificate No.. Serial No... 3.3 Have the rear seats and seatbelts have been removed? NOTE! Group N vehicle may retain rear seats and seatbelts. 3.4 Is the roll bar padded? 4. SEATS 4.1 Are non original seats fitted? If "Yes" provide details including make and type of seats and method of mounting if original seat anchorage points are not used. 5. SEAT BELT ANCHORAGES Specify in the following table the anchorage method for all anchorages: Front Seat Belts Upper Anchorages Lower Anchorages NOTE: Provide drawings and/or photographs of any anchorages which will not be visible at the time of inspection. 6. SEAT BELTS Specify in the following table the type of seat belts for each seating position ie lap, lap/sash or harness, static or emergency locking retractor. Driver s Position Co-Driver s Position Type of Seat Belts i.e. 4 point harness Make and model of seat belts fitted Belt Standards Markings 7. STEERING 7.1 Are any components newly fabricated (non OEM)? DRC Inspection Record Page 2 of 6 Doc. No. Y

7.2 Are any components modified? If "Yes" to either, provide a separate engineering report on all aspects of materials used and design criteria. 7.3 Is the original equipment steering wheel fitted? If "No" provide details of the make and model and standard to which the wheel is manufactured. 8. AXLES & SUSPENSION & CROSSMEMBERS 8.1 Rear Axle/Suspension Assembly Is the rear axle or rear suspension modified? Provide details including sketches on a separate sheet of any modifications.. 8.2 Front Axles, Cross Member/Suspension Assembly Are the front axles, front cross member or front suspension modified? Provide details including sketches on a separate sheet of any modifications.... 9. WHEELS, WHEEL TRACK & TYRES 9.1 Wheels If the wheels are not original equipment fitted by the vehicle manufacturer the following table must be completed and the wheels must be marked with width, diameter, offset, standard to which wheels are manufactured (ie WIA) and Manufacturers name or trademark. Front Rear Make Width Diameter Offset Identification Safety Rim Y/N 9.2 Wheel Track Standard wheel track: Front.mm. Rear mm. Proposed wheel track: Front mm. Rear mm. If the wheel track has been increased beyond the standard wheel track is it due to:- - increased negative offset of wheels - relocation of suspension pivot points. NOTE: Wheel track is measured from the centre of tyre on one side of the vehicle to the centre of the tyre on the opposite side of the vehicle. The variation between the front and rear wheel track should not exceed 50 millimetres. DRC Inspection Record Page 3 of 6 Doc. No. Y

9.3 Tyres Make Size Designation Load Capacity Speed rating Front Rear 10. BRAKES 10.1 Is a hydraulic handbrake fitted? 10.2 Is a "Fly Off" hand brake lever fitted? 10.3 Are non original hydraulic brake lines or hoses fitted? 10.4 Are non original brake components fitted (excluding brake linings or pads)? If non original components are fitted complete the following tables. FRONT DISC BRAKES Make/Model of Disc Vented or Solid Disc Diameter and Thickness of Disc (mm) Make/Model of Disc Calliper Method of Mounting Disc Calliper (provide sketch on separate sheet) REAR DISC BRAKES Make/Model of Disc Vented or Solid Disc Diameter and Thickness of Disc (mm) Make/Model of Disc Calliper Method of Mounting Disc Calliper (provide sketch on separate sheet) REAR DRUM BRAKES Make/Model of Drum Width of Brake Shoe (mm) Diameter of drum (mm) DRC Inspection Record Page 4 of 6 Doc. No. Y

BRAKE MASTER CYLINDER - HYDRAULIC SYSTEM & BOOSTER Make/Model/Type of Master Cylinder Bore Diameter (mm) Brake Proportioning Valve Fitted Make/Model of Booster Booster Mounted directly to M/Cylinder Make & markings of non original brake lines Make & markings of non original brake hoses 11. ENGINE 11.1 Is the engine modified? If the engine is modified complete the following table as appropriate. 11.2 Is a non original engine or are non original engine components fitted? If non original components are fitted complete the following table as appropriate. Make/Model Engine Year of Build Cubic Capacity Type of Fuel (Petrol, L.P.Gas or both) Make/Model/Type of Carburettor Make/Type of Camshaft Make/Model of Inlet Manifold List any other Modifications Manufacturers Rated Power Output (kw) Manufacturers Rated Torque Output (Nm) Estimated Power Output (kw) Estimated Torque Output (Nm) 12. EMISSIONS 12.1 Is an evaporative emission control system fitted? 12.2 Is a positive crankcase gas recirculation system fitted? DRC Inspection Record Page 5 of 6 Doc. No. Y

Note: The engine when tested with an exhaust gas analyser at recommended idle speed must not emit more than 2.5 percent carbon monoxide and 250 parts per million of hydrocarbons at engine idle speed. 13. MISCELLANEOUS 13.1 Are additional headlamps fitted? If "Yes" state number and define position.. 13.2 Are additional instruments fitted in the dash panel? If "Yes" give details.. 13.3 Does the vehicle comply with all the requirements of the DoT/CAMS Dedicated Rally Car requirements? Giving false or misleading information may cause your application to be refused by either CAMS or the DoT. Owner/Applicant...Date. CAMS Scrutineer comments: (only if required) CAMS approves the issue of a logbook and subsequent registration as a Dedicated Rally Car for the vehicle as described and presented at the time of inspection. CAMS Scrutineer... Date CAMS Official s number:.. Ensure copy of signed form provided to CAMSWA. Confederation of Australian Motor Sport Ltd A.B.N 55 069 045 665 7/21 Wanneroo Rd, Joondanna WA 6060 Telephone: 1300 883 959 (<5pm EST) Facsimile (08) 9444 3688 Website: http://www.cams.com.au DRC Inspection Record Page 6 of 6 Doc. No. Y