Department of State Growth Office Use

Road User Services Division Registration No.

Form Number MR205 03/18 Amount paid $
Receipt No.
APPLICATION FOR REGISTRATION 
Evidence of entitlement to register attached
This form can be used to register:
Evidence of identity sighted 
Light Vehicle – Single, joint, company or incorporated association registered operators only trailers.
Evidence of residential address sighted 
Evidence of garage address sighted 
Reason for Registration Expired  Establish 
(Inspection not required) (new
vehicle) Section 1 - Companies
Name of Company or incorporated association (if applicable)
Has the vehicle previously been registered?
No  Yes Give details of previous registration
ACN / Inc No.
State or Country
Trading as (if registered on behalf of an unincorporated business)
Registration No.
Registered Operator(s)
Daytime phone A/H phone Mobile phone
Are previous plates being surrendered? yes no

Vehicle Details- to be completed by the applicant Section II – Single operator or registration in joint names
VIN/Chassis No. Registered Operator 1
Surname
Engine No. Given name(s)
Date of Birth
Licence no.
Make Model
Daytime phone A/H phone Mobile phone
Month and year of manufacture (compulsory)
No. of axles No. of seats
Registered Operator 2
No. of cylinders No. of Rotors
Surname
GTM t GVM t Motor Cycle CC
Given name(s)
Unladen Mass (trailers only) 0 to 0.5 t  >0.5 to 1.0 t  <1.0 t or more 
Date of Birth
Body Colour Vehicle Type Licence no.
Artwork  Car  Caravan  Daytime phone A/H phone Mobile phone
Beige  Station Wagon  Machinery * 
Black  Utility  Tractor * 
Blue  Van  Trailer *  Address
Bronze  Motor Cycle  Bus (small)  Postcode
Brown  Truck  Other* 
 Mail address
Cream Body Type * specify
Fawn  Postcode
Gold 
Garage address
Green  Motor Dealers only to complete
Grey  (must be Tasmanian) Postcode
Type Approval inspection by an Authorized Dealer
Khaki  from (Dealership name) Details for calculation of registration fee and duty
Maroon 
Mauve  Market value of vehicle $
Orange  Type Approval No. (TAN) Registration period 12 months  6 months 
Pink  TAN Variant
Purple  Fleet discount (tick if applicable) 
Engine option
Red  Duty exemption no (if applicable)
Silver  I certify that this new vehicle has been inspected
Tan  by a qualified employee and found to be
Turquoise  roadworthy, has no modifications not approved
White  by the Registrar of Motor Vehicles, and complies Declaration by Applicant
Yellow  with the above description for that Type Approval I declare that the information I have given on this form is complete and
Number. correct. I authorise officers of the Department of State Growth to conduct
Signature Date / / any necessary checks to verify the information I have supplied. I understand
Fuel Type
that making a false declaration on the dutiable value of a motor vehicle may
Petrol  Name incur a fine of up to 500 penalty units.
Diesel  Dealer stamp Name Date
LPG 
Signature
Electric 
Other (specify)  Declared by: Registered operator  Dealer  Agent 

PERSONAL INFORMATION PROTECTION STATEMENT

You are providing personal information to the Registrar of Motor Vehicles, who will manage that information in accordance with the Personal Information Protection Act
2004 and relevant provisions of the Vehicle and Traffic Act 1999. The personal information collected here will be used by the Registrar of Motor Vehicles for driver
licensing and vehicle registration purposes, and related purposes under the Vehicle and Traffic Act 1999 and associated laws, including for national identity matching and
verification purposes. Failure to provide this information may result in your application not being processed, or records not being properly maintained. The Registrar of
Motor Vehicles may also use the information for related purposes, or disclose it to third parties in circumstances allowed for by law. You have the right to access your
personal information by request to the Registrar of Motor Vehicles and you may be charged a fee for this service.