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AMBRIS Name and Station Number

AMBRIS Name: *

Station Number: *

Vehicle examiner

Name of Motor Body Examiner: *

Motor Body Examiner Number: *

Please send the above Motor Body Examiner a Vehicle Structural Inspection Checklist Book.

Checklist requested: *

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.

Contact and Assistance

Email ais@stategrowth.tas.gov.au