Driver & Vehicle Licensing
PO Box 145
Bulwer Avenue Office
Bulwer Avenue
St Sampson GY2 4LR
Tel: 01481 243400, Fax: 241177
www.gov.gg
APPLICATION TO REGISTER A MOTOR
VEHICLE / MOTORCYCLE
This application form constitutes a record and is issued by the Committee for the Environment & Infrastructure
in accordance with the Motor Taxation and Licensing (Guernsey) Law, 1987.
1. Your details
Title: (tick)
Please fill in carefully and use BLOCK CAPITALS
Mrs
Mr
Miss
Surname:
Ms
Other
(Specify)
Forenames:
Address:
Post Code:
Date of Birth:
Phone No:
Additional keepers details:
Driving Licence No:
Name:
Date of birth:
Address:
2. Vehicle details
I am registering:
(Tick)
a motor vehicle
a motorcycle
If used, date of first registration: Day
If used, previous registration No:
Model:
Is it New
Month
Make:
or Used
Year
Body type:
CO2 g/km
VIN/Chassis/Frame No:
Engine No:
Type approval No: (if available)
Cylinder capacity: (cc)
Type of Fuel:
(tick)
Number of cylinders
Diesel
Hybrid
Petrol
Manual
Auto
Electric
Colour:
Number of seats: (including driver’s)
Number of doors:
Mass in service: (kg) (excluding m/c)
Maximum laden mass: (kg) (excluding m/c)
If you believe the vehicle is exempt from, or attracts a preferential rate from First Registration Duty
contact DVL for an application form
For Office Use
Garage stamp
Registration no.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Date stamp
PTO
3. Additional information, if available
Number of standing places: (Where appropriate)
Length:
Technically permissible maximum towable mass of trailer:
Maximum net power: (if available)
kW
mm
Braked:
Width:
kg Unbraked:
Power/weight ratio: (motorcycles only)
mm
kg
kW/kg
4. I declare the information in this application to be true to the best of my knowledge
Additional keeper’s signature
Keeper’s signature
Date:
Date:
Data Protection Statement – Your personal information will be processed in accordance with the Data Protection
(Bailiwick of Guernsey) Law 2001. It is processed primarily to register your details in relation to your vehicle. It will be
disclosed to third parties where there is need to do so, this is usually in the interests of road safety, the prevention
and detection of crime and the apprehension and prosecution of offenders.
FOR OFFICE USE ONLY
Registration number:
Registration fee:
First registration duty:
Total:
Exemption/Preferential Rate
£
£
£
Emissions/engine
size figure
checked to official
document
chq/cash/card/BACS/journal
Date of change
Remarks
Broken up/Destroyed/Exported by above on:
How disposed of?
REGN. Certificate surrendered:
Checked:
Yes
No
C
REGN. Wanted: