NATIONAL AUTOGRASS SPORT ASSOCIATION LTD.
LICENCE APPLICATION FORM
By completing this form you are giving consent to Leicester Autograss Club to apply on your behalf for the issue of a NASA licence in the category you select below.
Please complete all details for the applicant (intended licence holders) and tick the "terms and conditions" box . Ensuring that you provide your signature on this application.
In addition, please tick the "medical declaration" ONLY if this applies to you.
APPLICANT DETAILS (INTENDED LICENCE HOLDER)
CAR INFORMATION AND RACE NUMBER