* indicates mandatory field
Vehicle Examiner
Name of Vehicle Examiner: *
Vehicle Examiner Number: *
AIS and Station Number
AIS Name: *
Station Number: *
Please send the above Vehicle Examiner the following Vehicle Inspection Checklist books:
Vehicle Inspection Checklist
Light Motor Vehicle:
Light Trailer/Caravan:
Motorcycle:
Additonal information:
Please allow two to three business days for processing.
Declaration
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.