Form 78-9891e - International Registraton Plan (Frp) & Vehicle Information Form Page 2

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INSTRUCTIONS

The following instructions are intended to provide general directions on completion of your application. Please review carefully prior to submitting your forms. Print or type all information entered on the application form.

If you have any questions contact the IRP office in your area. Further information is provided in the IRP Carrier Manual. Completed forms

may be faxed to begin the application process; however original signed copies of the form must be submitted to IRP office.

1. CARRIER ACCOUNT INFORMATION

Client ID No.

The seven (7) digit account number assigned to you by the IRP office. If you are a new carrier, leave this space blank.

Fleet

The two (2) digit Fleet number.

Fleet Year

The last two (2) digits of the year in which the fleet expires. For example if your fleet expires March 31, 2010 the year is 10.

Supp

The three (3) digit supplement number for the application. A first transaction or fleet renewal in IRP is supplement 00. If you do not know the supplement number, leave this

space blank.

2. REGISTRANT NAME

Enter the name of the Carrier, person, Company or corporation in which the fleet is to be registered.

3. WEIGHT VARIANCES

IPR limits the registered weight to not vary by more than 10% between the highest and lowest weights requested for jurisdictions. If the weight varies more than 10% within Canada or 10% within US, you must provide a detailed explanation in the space provided.

4. VEHICLE WEIGHTS

List Canadian jurisdiction weights in Kilograms (for Quebec the number of axles) and US weight in pounds. Weights must be entered for all jurisdictions.

5.VECHICLE INFORMATION

TRANS CD

UNIT NUMBER

CURRENT PLATE #

Add Vehicle

New fleet, renew fleet and add

Carrier Assigned Unit Number for vehicle within fleet

Plate number currently on vehicle

vehicle to fleet

Delete Vehicle

Delete vehicle without

replacement in same

supplement

Add Vehicle (credit)

Add vehicle using credit from

deleted vehicle in same

supplement

Delete vehicle (credit)

Delete vehicle using credit on

fees for another vehicle within

same supplement

PROV

2 Digit Provincial code in which vehicle is registered.

NEW PLATE #

Leave Blank For Office Use Only

YEAR

Year of Vehicle

MAKE

MODEL

COLOUR

Up to first six (6) digits of make

Up to first six(6) digits of model of vehicle

Primary COLOUR of vehicle

CYL

Number of cylinders

FUEL

Fuel type as listed by code on vehicle information form

VEH TYPE

The type of vehicle as per vehicle types listed on form.

VEHICLE IDENTIFICATION

Complete VIN (serial number) of vehicle being registered.

BUS SEATS/ WHEEL BASE

Maximum number of passengers that can be transported / wheel

TARE WEIGHT

Empty weight of power unit.

NUMBER (VIN)

base in meters.

INSURER’S NAME

AXLES

Number of axles on power unit

INSURANCE POLICY

Policy number issued by insurance company

Name of Insurance Company

NUMBER

EXPIRY DATE

Expiry date of insurance policy in DD/MM/YYYY format

LESSOR/BROKER NAME

Complete name and address of lessor or broker

MONTHLY LEASE AMT

Lease amount per month in Canadian funds

AND ADDRESS

LEASE START/END DATE

Starting and Ending dates of lead in DD/MM/YYYY format

OWNED VEHICLE DATE OF

Date vehicle purchased in DD/MM/YYYY format

OWNED VEHICLE

Purchase price of vehicle in Canadian funds, including accessories,

PURCHASE

PURCHASE PRICE

service and finance charges

TRADE IN VALUE

Value of Trade in on previous vehicle in Canadian $

6. SIGNATURE

Signed and dated by contact person

NOTE: The Issuance of a Registration Document Is Not a Wavier of the Requirements for Any IRP Jurisdiction with Respect to Obtaining Operating Authority, Fuel Permits, Numbers or Financial Responsibility