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MACAU JOCKEY CLUB Hipodromo da Taipa, P O Box 488, Macau

Racing Department - Tel: (853) 28821188 ext. 8501/8502 - Fax: (853) 28820029
APPLICATION FOR FREELANCE JOCKEY'S LICENCE
- 2021/2022 RACING SEASON
Period Applying for: ( / / to / / ) (day/month/year)
 
To: The Licencing Committee
 
Under the Rules of Racing of the Macau Jockey Club, I hereby apply for a Freelance Jockey’s License

PERSONAL INFORMATION
Surname: Given Names: Date of Birth:
Passport of I.D. # Nationality: Marital Status:
Email Address:
 Current Address:
Riding Weight (lbs): Tel: ( ) Fax: ( )

The result of this application preferably to be sent by: (Please tick one box) Fax Email

RIDING PERFORMANCE(TO BE COMPLETED IN FULL)
Season No. of Rides No. of Wins Prize Money Won Location
Total number of career winners:

LICENCE INFORMATION
Are you currently licenced as a Jockey in any other jurisdiction? YES NO
If “YES” give particulars:
 
Have you made application for a current Jockey’s Licence in any other jurisdiction? YES NO
If "YES" given particulars:
 

DISCIPLINARY RECORD
(CONFIRMATION FROM RACING AUTHORITY MUST BE ATTACHED)
Have you ever been disqualified, suspended or fined in the last twelve (12) months? YES NO
If "YES" please give details: (Full disciplinary records from your Racing Authorities must also be attached)
 
Have you ever been convicted of any criminal offence in any country? YES NO
If "YES" given particulars:
 
Have you been injured or incapacitated in the last twelve (12) months? YES NO
If "YES" given particulars:
 

RIDING HISTORY
Year Apprenticeship commenced:
  		Year Jockey Licence granted:
 
Major Wins (e.g. Group, Cups etc)
 
Countries in which you have ridden:
 

Note: At the time of application, applicants must provide:
● A copy of current Jockey's licence;
● Up to date clearance from previous Licensing Authority(s);
● A clear copy of your passport page showing your photo and details.
● Recent Medical Report

I declare that the information provided is true and correct and I acknowledge and agree that:

  • It is my responsibility to make every endeavour to make myself aware of and be bound by the Macau Jockey Club Rules of Racing, Instructions and Guidelines that are currently in force and any changes to the same that may occur during the term of my licence.
     
  • My licence, if granted, will be issued in accordance with the Rules of Racing.
     
  • My licence will permit me to fulfill my obligations as a Freelance Jockey for the term approved during 2021/2022 racing season.
     
  • Each application for a licence is treated and regarded in all respects as if it were the first application by me for a licence.
     
  • The granting of a licence is not to be taken as any form of assurance that an application for a licence for the following or any subsequent racing season will be granted.
     
  • The Licencing Committee reserves the right to withdraw a licence at any time, without giving a reason.
     
  • The decision of the Licencing Committee of the Macau Jockey Club in respect of a licence application is final and not subject to appeal.
     

* Licence Fee of HKD 1,000 will be collected upon the commencement of licencing process.

Name:
 
Signed:
 
Date:
 
Attachment:
Spam Protection:
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