Date of signature: Contract in force from ... to ... Total remuneration and other benefits: 

3. ... 

Done at ..... on ..... 

In 3 original copies 

The Rider 

2. ... 

For the UCI ProTeam 

The paying agent [name of signatory] 

Rider’s agent 

(text modified on 20.10.05; 1.06.06; 1.07.09; 1.07.10; 1.04.11; 1.07.11 1.07.12; 1.01.15; 1.01.18; 1.07.19). 

2.16.053 The parties declare that in addition to the present contract, 

## Declaration as per article 2.16.040, point 3 

□ no other contracts have been concluded in connection with the services of the contracting person for the benefit of the UCI ProTeam according to the sense of article 2.16.040.3 of the UCI cycling regulations. 

Done at ..... on ..... 

In 3 original copies 

The contracting person 

For the UCI ProTeam The paying agent [name of signatory] 

Rider’s agent 

□ only the contracts below have been signed in connection with the services of the contracting person for the benefit of the UCI ProTeam: 

1. Contract title: 

Parties: 

Date of signature: Contract in force from ... to ... Total remuneration and other benefits: 

2. Contract title: 

Parties: 

Date of signature: Contract in force from ... to ... Total remuneration and other benefits: 

3. ... 

1. ... 

2. ... 

1. ... 

2. ... 

