APPLICATION TO BUILD A CAMS DEDICATED RALLY CAR

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www.dtei.sa.gov.au ABN: 92 366 288 135 MR 639 03/08 1. ABOUT YOU LODGEMENT INFORMATION In person: Department for Transport, Energy and Infrastructure, Kateena Street, Regency Park SA 5010 By post: Vehicle Standards, DTEI, PO Box 1, Walkerville SA 5081 Telephone: 1300 882 248 / Facsimile (08) 8348 9533 APPLICATION TO BUILD A CAMS DEDICATED RALLY CAR Given Names: Surname: Postal Address: (Street Number and Name) Suburb State: Post Code: Driver Licence : Contact Telephone Number: ( ) 2. ABOUT THE VEHICLE Make: Model/Series: Type: (i.e. sedan, utility, etc) Registration Number: Month/Year of Manufacture: Chassis/ VIN. / State: Engine Number: Surrogate Number: CAMS Logbook Number: Vehicle Category: 3. AUSTRALIAN DESIGN RULE COMPLIANCE 1. Is the vehicle fitted with an Australian Design Rule Compliance Plate? 2. Was the vehicle originally manufactured to meet Australian Design Rules? 3. Was the vehicle imported? 4. Was the vehicle imported from overseas for competition purposes only? If imported quote Approval Number issued by the Department of Infrastructure, Transport, Regional Development and Local Government. NOTE: A copy of the import clearance letter issued by the Federal Office of Road Safety must be attached to this application. 4. VEHICLE/ CHASSIS BODY 1. Are body joints to be welded? 2. Are there alterations to the body? If the body is to be modified provide details including sketches on a separate sheet. Page 1 to 5

5. ROLL BARS 1. Is a roll bar or roll cage to be fitted? 2. Is the roll bar or roll cage to be constructed and mounted in accordance with the CAMS Dedicated Rally Car Manual or FIA Manual? If "" an Engineering Report prepared by a Chartered Professional Engineer is required. 3. If a roll bar/cage will be fitted, have the rear seats and seatbelts been removed? NOTE: Group N vehicles may retain rear seats and seatbelts. 4. Is the roll bar to be padded? 6. SEATS 1. Are non original seats fitted? If "" provide details including make and type of seats and method of mounting if original seat anchorage points are not used. 2. Are the rear seat and seat belts removed? 7. SEAT BELT ANCHORAGES Specify in the following table the anchorage method for all anchorages. UPPER ANCHORAGES LOWER ANCHORAGES Front seat belts NOTE: Provide drawings and/or photographs of any seatbelt anchorages which will not be visible at the time of inspection. 8. SEAT BELTS Specify in the following table the type of seatbelts for each seating position, i.e. lap, lap/sash or harness, static or emergency locking retractor. DRIVER POSITION NAVIGATOR POSITION Type of Seatbelts i.e. 4 point harness Make and model of seatbelts fitted Belt standards markings Page 2 to 5

9. STEERING 1. Are any components newly fabricated? 2. Are any components modified? If "" to either, provide a separate engineering report on all aspects of materials used and design criteria. 3. Is the original steering wheel equipment fitted? If "" provide details of the make and model and standard to which the wheel is manufactured. 10. AXLES, SUSPENSION & CROSS MEMBERS Rear Axle/Suspension Assembly 4. Is the rear axle or rear suspension modified? Provide details including sketches on a separate sheet of any modifications. Front Axles, Cross Member/Suspension Assembly 1. Are the front axles, front cross member or front suspension modified? Provide details including sketches on a separate sheet of any modifications. 11. WHEELS, WHEEL TRACK & TYRES 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 (i.e. WIA) and Manufacturer s name or trademark. Make Width Diameter Offset Identification Safety Rim Y/N Front Rear 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 a 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. Page 3 to 5

WHEELS, WHEEL TRACK & TYRES (CONTINUED) Tyres: Make Size Designation Load Capacity Speed Rating Front Rear 12. BRAKES 1. Is a hydraulic handbrake fitted? 2. Is a "Fly Off" hand brake lever fitted? 3. Are non-original hydraulic brake lines or hoses fitted? 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 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 Diameter of drum (mm) BRAKE MASTER CYLINDER HYDRAULIC SYSTEM & BOOSTER Make/model/type of master cylinder Bore diameter (mm) Brake proportioning valve fitted Booster mounted directly to master cylinder Make and markings of non-original brake lines Make and markings of non-original brake hoses Page 4 to 5

13. ENGINE 1. Is the engine modified? If the engine is modified complete the following table as appropriate. 2. Is a non-original engine or are non original engine components fitted? If the engine is modified complete the following table as appropriate. Make/model: Engine year of build: Cubic capacity: Type of fuel (petrol, LPG, etc): Make/model/type of carburettor or EFI system: Is vehicle fitted with a catalytic converter: Make/type of camshaft: Make/model of inlet manifold: List any other modifications: Manufacturer s rated power output (kw): Manufacturer s rated torque output (Nm): Estimated power output (kw): Estimated torque output (Nm): 14. EMISSIONS 1. Is an evaporative emission control system fitted? 2. Is a positive crankcase gas recirculation system fitted? 14. MISCELLANEOUS 1. Are additional headlamps fitted? If state number and define position. 2. Are additional instruments fitted in the dash panel? If give details. 3. Does the vehicle comply with all the requirements of the CAMS Dedicated Rally Car Manual? CAMS Competition Licence Number: 15. SIGNATURE Signature: Date: / / Page 5 to 5