1. I hereby declare that I am aware of no reason why I should not be granted the requested license.
I undertake to spontaneously return my license in the event of any substantial change to the circumstances existing at the time of the application for a license.

I declare that I have not applied for a license 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 license.

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 acknowledge and agree that my personal information provided as part of my application shall be passed and held by the UCI.

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 Organization, or ownership transferred from another Anti-Doping Organization to the UCI.

4. Applications submitted by paper shall be dated and signed by the applicant. Electronic application systems shall include as a condition to proceed the full acceptance of the above- mentioned terms as well as a traceable report of the details of the application.