1. I hereby declare that I am aware of no reason why I should not be granted the requested licence.


I undertake to spontaneously return my licence in the event of any substantial change to the circumstances existing at the time of the application for a licence.


I declare that I have not applied for a licence for the same year to the UCI or to any other national federation.


I assume exclusive liability for this application and for the use that I shall make of the licence.


2. I hereby undertake to respect the constitution and regulations of the UCI, its continental confederations and its national federations.


I declare that I have read or have had the opportunity to become acquainted with the aforesaid constitution and regulations.


I shall participate in cycling competitions or events in a sporting and fair manner.


I shall comply with all decisions rendered by the UCI and shall take any appeals and litigation before the authorities provided for in the regulations.


I accept the Court of Arbitration for Sport (CAS) as the sole competent authority for appeals as provided in the UCI Regulations and under the conditions set out in these regulations, and for the rest, by the CAS Code of Arbitration for Sport.


I agree that any litigation with the UCI shall solely be submitted to the Court of Arbitration for Sport (CAS).


3. I agree to abide and be bound by the UCI Anti-Doping Rules, as well as all documents adopted by the UCI in connection with its Anti-Doping Rules and in connection with the World Anti-Doping Code.


I agree to submit to in-competition and out-of-competition testing at any time as provided in the UCI Anti-Doping Rules and related documents. I agree that all samples collected from me under the UCI Anti-Doping Rules are owned by the UCI and that such ownership may be transferred by the UCI to another Anti-Doping Organisation, or ownership transferred from another Anti-Doping Organisation to the UCI.


I acknowledge and consent that my personal data processed as part of my licence application to my national federation shall be passed to and held by the UCI and agree to such information being processed and stored for communication, administration and governance purposes as well as in relation to anti-doping activities, the prevention of the manipulation of competitions and any other governance related-matter.


I also agree that my personal information may be used and/or transmitted, when necessary and proportionate, subject to appropriate protection and security safeguards, to other entities for the purpose of organising cycling events and promoting cycling, such as but not limited to the organisers of events and service providers, to any entity competent for investigations and/or procedures for a potential violation of the UCI Regulations, such as but not limited to the World Anti-Doping Agency, the national AntiDoping organisations, the Court of Arbitration for Sport, the judicial bodies of the UCI, the national and international authorities as well as in the context of the UCI’s missions related to the administration and governance of cycling.


I have taken note that I may contact the UCI at the following address in order to exercise my right to request access, rectification or deletion of my personal information: data.protection@uci.ch.