MODEL: .........................................................................................................................................................................................................................................................
VEHICLE REGISTRATION NUMBER (NUMBER PLATE): .........................................................................................................................................................................
VEHICLE IDENTIFICATION NUMBER (BOTTOM OF WINDSCREEN): .................................................................................................................................................
VEHICLE PRODUCTION NUMBER (INSIDE GLOVE BOX): ....................................................................................................................................................................
OWNER’S NAME: ..........................................................................................................................................................................................................................................
ADDRESS: .....................................................................................................................................................................................................................................................
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TEL NO: ..........................................................................................................................................................................................................................................................
HABITATION KEY NUMBER: ......................................................................................................................................................................................................................
RETAILER’S NAME: .....................................................................................................................................................................................................................................
RETAILER’S ADDRESS: ..............................................................................................................................................................................................................................
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TEL NO: .........................................................................................................................................................................................................................................................
MTPLM: .......................................................................................................................REAR AXLE LIMIT: ................................................................................................
FRONT AXLE LIMIT: ................................................................................................. GTW (GROSS TRAIN WEIGHT): ..........................................................................
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No part of this document may be reproduced or transmitted in any form or by any means, electronic or mechanical, for any purpose, without the
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