Form F3518 Cfd - Vehicle Registration Application

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Vehicle Registration Application
Transport Operations (Road Use Management) Act 1995
Office Use Only
Privacy statement: The Department of Transport and Main Roads is collecting the information on this form for
the purposes of maintaining the department’s vehicle/vessel registration register as required under the Transport
Registration number:
Operations (Road Use Management) Act. The department or its agents/contractors may use your information in
its communications with you and where relevant, may give some of the information to vehicle insurers, statutory
entities, insolvency entities, lawyers, persons involved in vehicle incidents/accidents, vehicle manufacturers,
Registration effective from:
third parties who are involved in or intend to commence legal proceedings, tolling entities, law enforcement
agencies and interstate registering authorities. Your personal information will not be disclosed to any other third
party without your consent, unless authorised or required to do so by law.
Please Note
A vehicle currently under a Number Plate Confiscation Notice issued by the Queensland Police Service, cannot be registered during the
confiscation period.
You should consider bringing the vehicle with you as it may require an inspection. Please ensure vehicle identification numbers can be located
and are legible to avoid your application being delayed.
A person who uses a conditionally registered vehicle must comply with all applicable conditions established for the vehicle and detailed on the
Registration Certificate. Information about the codes can be found in the Guideline for Conditionally Registered Vehicles in Queensland Form
Number 17 available online at
Lodge your completed application at a departmental customer service centre, or if you live in a rural area, a Queensland Government Agency
Program office, Magistrates Court or your local police station that provides vehicle registration services.
All questions in each applicable section
be answered.
Section 1: Details of applicant
Note: The department’s vehicle register records the nominated registered operator of a vehicle. It is not a register of vehicle ownership or title.
First registered operator’s details
(The CRN is your Qld Driver Licence number, Adult Proof of Age card number or your reference number issued by the department).
Customer Reference Number (CRN)
Email address (individual/organisation)
Mobile/Telephone number
Individual - family name
Given name/s
Organisation’s name
Australian Company or Business Number
Home/Business address
Postal address (if the same as above write ‘as above’)
Garage address (must be in Queensland, if the same as above write ‘as above’)
Second registered operator’s details (if applicable)
Email address (individual/organisation)
Mobile/Telephone number
Individual - family name
Given name/s
Organisation’s name
Australian Company or Business Number
Home/Business address (if the same as first registered operator write ‘as above’)
Authority to represent
Leasing details
Your representative will need to
(if applicable)
(if applicable)
bring personal identification as
Leasing company CRN
well as proof of your identity
Name of representative
Leasing company name
Signature of representative
Identification of representative
continued page 2...
Page 1 of 4 TRB Forms Area Form F3518 CFD V01 Apr 2016


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