MR 639 07/16
APPLICATION TO BUILD A CAMS
DEDICATED RALLY CAR
Telephone: 1300 882 248
Facsimile: (08) 8348 9533
Email: [email protected]
Website: www.sa.gov.au
ABN: 92 366 288 135
LODGEMENT INFORMATION
In Person: Department of Planning, Transport and Infrastructure
Kateena Street, Regency Park SA 5010
By Post: Vehicle Standards, DPTI, GPO Box 1533, Adelaide SA 5001
1. ABOUT YOU
Given Names:
Surname:
Postal Address:
(Street Number and Name)
State:
Suburb
Post Code:
Contact Telephone Number:
Driver Licence No:
2. ABOUT THE VEHICLE
Make:
Model/Series:
Type:
Registration Number:
(i.e. sedan, utility, etc)
Month/Year of Manufacture:
State:
/
Chassis/ VIN No.
Engine Number:
Surrogate Number:
Vehicle Category:
CAMS Logbook Number:
3. AUSTRALIAN DESIGN RULE COMPLIANCE
Yes
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?
No
If imported quote Approval Number issued by the Department of Infrastructure and Regional Development.
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
Yes
Yes
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
No
No
5. ROLL BARS
1.
2.
Yes
No
Yes
No
Is a roll bar or roll cage to be fitted?
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 "No" an Engineering Report prepared by a Light Vehicle Engineering Signatory 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 "Yes" 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
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9. STEERING
No
Yes
1.
Are any components newly fabricated?
2.
Are any components modified?
If "Yes" 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 "No" 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.
No
Yes
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.
No
Yes
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:
Yes
No
- 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.
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WHEELS, WHEEL TRACK & TYRES (CONTINUED)
Tyres:
Make
Size Designation
Load Capacity
Speed Rating
Front
Rear
12. BRAKES
Yes
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
Provide sketch on separate sheet.
Method of mounting disc calliper
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
No
13. ENGINE
Yes
1.
No
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):
Estimated power output (kW):
Manufacturer’s rated torque
output (Nm):
Estimated torque output (Nm):
14. EMISSIONS
No
Yes
1.
Is an evaporative emission control system fitted?
2.
Is a positive crankcase gas recirculation system fitted?
14. MISCELLANEOUS
Yes
1.
No
Are additional headlamps fitted?
If “Yes” state number and define position.
2.
Are additional instruments fitted in the dash panel?
If “Yes” 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:
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