In brief:

National car, truck or Kart racing licence:

• First time applicants: Medical exam
• Then annual self-declaration until age 45
• Age > 45: annual medical exam

International competition licence:

Annual medical examination and every two years

If < 45: 12-lead electrocardiogram ECG
If > 45:  Stress ECG

MSA / FIA: The 2018 Competition licence application form and licence notes can be downloaded from https://www.msauk.org/Resource-Centre/Competitors-/-Licensing

FIA: Further details of the FIA regulations can be found in “Appendix L: International Drivers licences, medical examinations, driver’s equipment and conduct – 2018”. This can be downloaded from www.fia.com