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VEH 01 Transport Malta Land Transport Directorate ...

VEH 01 Transport Malta Land Transport Directorate APPLICATION FORM TO REGISTER Telephone: (00356) 2556 0000/8007 2393. A NEW OR USED VEHICLE Website: A1. Importer Details Licensed Importer / Dealer Name: Authorised ID Card No: representative name: A2. Importer Details Individual Name & Surname: Address: Tel No: A3. Importer Details All Year of Manufacture: Date of Importation (Individuals only). B1. Vehicles Details New Used Auctioned Make: Model: Colour: Chassis No: Length: CO2: Particulate matter (Diesel engine only). B2. Vehicle Details (Commercial Vehicles Only). Body No of Seating Gross vehicle type: doors: capacity: Weight (kgs): Number of axles Suspension Number of axles Maximum Authorised mass (kgs): (motor vehicle): (air or other): (trailer): C1. Engine Details Make: Number: C2. Engine Details (if Certificate of Conformity is NOT available). Mileage: Gearbox Engine Fuel (manual/auto): CC: type: D. Registration Value Declared Invoice Value: Vehicle Value: (USED Vehicles ONLY) Technical Unit Signatures (to be filled by TM Official).

Version 6 – 1st January 2016 Authority for Transport in Malta set up by ACT XV of 2009 Page 1 of 2 Name: Authorised representative name:

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