Physical Address Postal Code Telephone Number Mobile Number VEHICLE PARTICULARS: Chassis Number Year of Ma (€5. 1985), Vehicle take (@.9ToyotaNisson) Model (Describe in ful) (eg Coroa/Sunny) odo! Number (e.g Gt 16001160) Vehicle Category (08 Light Passenger | 04 Heavy Passenger] 08 Light Lond] 06 Heavy Load] other (Speciy) Type of Body (7 Saloon (Closed Top) | Mn Bus] 16 Pickup] Staton Wagan JOner (Speci) Localy Manufactures Yes [NO Driven By 107 Setepropeled] 2 Traler] 08 Semitaler Engine Number Engine Capacity om® Nott Power Kw ‘Transmission 01 Manual ‘02 Automate 103 Semi-automatic Propelea by Or Patel (Devel Ds Ect D4 Petal Uneaded Net Weight Ko (Gross Vehicle Mass (GVM) Ko No.of es (Peavy lad vehicles ony) ‘Axle Dstanes| (Heavy load vehicles ony) Meco OiWhite [O2Bue] OG Red] OF Black[OS Grey] Other (Speciy) seering orRight | ozuet Class Oi] Private] 02 Public Goods [os Publ Passenger] Convacl ax] 0s Teaching 6 Dang [0s Goversment | O7 Diomate other (Specty) Custom Paid indicator ves] No ta Resisraton Book Number Date of Fst Registration Ccurent Kegstraton umber DECLARATION OF THE OWNER/ NEW OWNER [ABSOLUTE OWNER |The Owner / Absolutely Gamer Signa (A) Declare that al the particulars fished by me fr the form re tuo and comet ane Place (@) Realise tht false declaration s punishable wih a fine or one year imprisonment a bath ieRL3 " 13, 14, 15, 16. 1), Fororapi ancy” ‘tu, excavate. yase- epee ae” ow be "eee ese mor cant eee wo eee =} ree ROAD TRANSPORT AND SAFETY AGENCY Application for Registration of Motor Vehicle or Trailer ‘To be completed by applicant in ink and capitals (see below): Name of owner: Postal address: Residential address’ Type of motor vehicle or trailer (note 1): Make: Year of First Registration (Note 2) Colour; ________________ 8 Type of Body (Note 3___ Engine No. 10. Chassis No. (Note 4______ Cent ae 12. Propelled By: = Net Weight (kg) Manufacturer's Permitted Gross Weight (Note 5): Country of Origin: Previous Registration Mark (if any): Date’ Signature of Applicant For Official Use Registration Marks Assigned: Number of Registration Book Issued: No. Of Customs Clearance Certificate: Interpol Clearance No. Name and Address of Owner: (To be inserted at request of absolute owner) Date: Road Transport and Safety Officer Station NOTES —a ed iuet acta oat ag rae wl. “nipe "fap ta, Pananenncor sade’, “ake sled wagon tue vet tiga: To Road Transport and Safety Ageney Retained by Road Tranaprt and Setety Agency OffsRL3 ROAD TRANSPORT AND SAFETY AGENCY Application for Registration of Motor Vehicle or Trailer ‘To be completed by applicant in ink and capitals (s« — Name of owner Sst Sd ARDY MureembA postal address PEST AS BL, Pemrbrk, Soditen 2 a Residential addrass PLOT NE SVG) PEmBA , SoSiHERS 4. Type of motor vehicle or trailer (note 1)-WUAVSU iS ttt CANTER 5. Make: MISS 6 BUSH 6. Year of First Registration (Note 2). NEW REG. 7. Colour, WHET! & 8. Type of Body (Note o-LActiee 9. Engine No: Ht B33—F 3$7910 10. Chassis No, (Note EEO Si ~ 422207 1. ccorHp UALQ tn Propatind ty ONES 43, Net Weight (kg 2 LSS 44. Manufacturer's Permitted Gross Weight (Note 5) “2GS 45. Country of Origin; SD Ac? AcaS 16. Previous Registration Mark (if any): Date:_ 22-16: 2627S SS MWeengr ‘Signature of Applicant I. For Official Use 1, Registration Marks Assigned: 2. Number of Registration Book Issued 3. No. Of Customs Clearance Certificate: 4. Interpol Clearance No. 5. Name and Address of Owner: (To be inserted at request of absolute owner) Date: Road Transport and Safety Officer Station NOTES 1) Fare aca. nome le owe; nn cate otra cass nr sone er eingattd a thal ane var ator render com ale” rag me 5) Manuecuerspemiiad gross wage roqued in respect fal heavy vite” and 2) Far enamale. “stupa np "top No: Panenehne’ sedate ‘ahien mage rer an anspor and SaotyAgoney ety Agency Offs suing Ofestpryscansiess LOTS Ew OLR, Ener Sod heen Post Code tweprone numer ALL CLS. SAS woote nunver SAB. LOSS, VEHICLE PARTICULARS Chass Number FE SST AI-4 2Q20F. Veneto 146, one Vehicle Make fe epeerecce eo Medel Descibeinsi) (og Coratarsury) LN). IS EL GUSH | Node! Number (ea Gt 1000160). == Vebile Categoy ight Passenger [0 HeayPassege[05 Lato] o0 Hany Jr] or (Spec) Type of Body Tr Sabor (Ooed Top [thin ua] 16 Pap] 1 Staton Wagon ]Oter spac) Locaty Manuactres [TES |W ven By 71 Set rerled [02 Ve | 3 Sonar Engine Number AB3Z—-F SS 119 Engine Capacity Y2S cm? Nett Power 262 kw ‘Transmission 01 Manvel 102 Automatic’ (03 Semi-automatic Propet by TPera abe CBee 04 Povo Unoaded et wot Riss 6 Gross Vehicle Mass (ov) SX DES, ko No. of Axles (Heavy load vehicies ony)... 2m, ‘Axle Distance (Heavy lad yes ony) nn 2.2 ‘Main Colour ‘01 Wore [02 Blue] 03 Red] 04 Black] 05 Grey ‘Other (Specify) Seti Sapcty rere aie ea class oi rate] 02 Ponte Gees [ 09 Pubic Passenger [4 Conrad Ga] 0s Teaching of Davie [oe Goveroment] 07 Operate Other (Specify Cum Pid inate Zn a Registration Book Number Date of Fist Registration ‘currant Regiraton Number DECLARATION OF THE OWNER / NEW OWNER / ABSOLUTE OWNER. I tee osnetfniati Ora : = Nv Gem BA irs (A) Deir hat tho pails fumished by mo pie owe inthe form are nue and comet an Pisce (€) Realise that a flse dectrationis punishable wih a {se ovens yeas pranman ooh 23: [o.-2623 ate