Additional Vehicle Details Form

ADDITIONAL VEHICLE DETAILS FORM
COMPANY NAME
Company Director*
Mobile*
INSURANCE DETAILS
NB/You will also require the following documents on hand for uploading to our server once you have received your system log in details;
VEHCILE REGO*
REGO EXPIRY DATE*

DayMonthYear
Date
YEAR MANUFACTUR*
MAKE / MODEL*
CAPACITY*
NO. AXLES*
GCM ( if applicable)
GVM*
TARE*
GAWR Rear
GAWR Front
Front Axle Payload
Rear Axle Payload
Please Tick if present and working ( receipts of service/maintenance will be required)
Vehicle Base ( Suburb where vehicle is generally parked)*
INSPECTION CARRIED OUT BY:
Please ensure you have the following documents readily available to upload into your Contractor Portal
(Print Name)*
Signature*

Clear
Should be Empty:

ADDITIONAL VEHICLE DETAILS FORM