Fillable Form F3518 Cfd - Vehicle Registration Application (Page 4 of 6) in pdf

Form F3518 Cfd - Vehicle Registration Application Page 4

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Vehicle Registration Application continued... page 4 of 4

Section 9: Compulsory Third Party insurance

Compulsory Third Party (CTP) insurer (please tick appropriate box)

I/We nominate a CTP insurer

Nominated CTP insurer

Insurance class

I have presented a prepaid

Number

Issue date

insurance certificate

CTP insurer

Are you entitled to claim the Input Tax Credit Entitlement (ITCE)?

Yes

Section 10: Queensland Safety Certificate and Certificate of Inspection

Are you exempt from providing a Safety Certificate or a Certificate of Inspection? (Refer to the list of exemptions on the Vehicle

Registration Information Sheet)

A current original Queensland Safety Certificate or Certificate of Inspection is required.

Certificate Number

Issue date

Yes

Provide exemption reason

Section 11: Gas fuel system or other gas systems

Is the vehicle fitted with gas fuel systems or other gas systems?

Yes

Complete one below:

Gas fuel systems Certificate/Compliance Plate Number

Issue date

Other gas systems Certificate/Compliance Plate Number

Issue date

Are you exempt from providing a Gas Certificate? (Refer to the list of exemptions on the Vehicle Registration Information Sheet)

A current original Gas Certificate is required.

Yes

Provide exemption reason

Certification by registered operator/s

It is an offence to give false or misleading information under the Transport Operations (Road Use Management) Act. Maximum

penalty may exceed $7000.

I/We certify that the information and statements provided in this application are true and correct.

First registered operator’s signature

Date

Second registered operator’s signature

Date

Note: If the vehicle is being registered in two names, both registered operators need to sign this application, however, certain future transactions will

require only one signature.

Office/Agency use only

Identification sighted?

Yes

Concession card sighted?

Yes

Physical card

Digital wallet

Concession code

Specify codes

Concession card number

Date of issue