VIN Number

Licence No

Registration Number

Vehicle Make

Licence Expiry Date

Engine Number

Note:

Vehicle  Model

Service Maintenance Plan

Yes

No

Company

SA Warranties

Liquid Capital

Other

Policy Number

Vehicle  Type

Begin Mileage

Fuel Type

Petrol

Diesel

Hybrid

1st  Year of Registration

Transmission Type

Manuel

Automatic

Engine CC

Vehicle  Color

Insurance Company

Insurance Account No

Finance Institution

Finance Account No

Fleet Vehicle ?