DISPATCH AREA RESERVED FOR SERVICES

DATA
yes month day
(RUBRICA)

RELATIVE CLAIM REGARDING VEHICLES

FILL IN WITH UPPERCASE LETTERS
SEIZURE SURVEY
CERTIFICATE REPLACEMENT
Enrollment Assignment OF ENROLLMENT
CHANGES IN CHARACTERISTICS
CANCELLATION OF ENROLLMENT HOMOLOGATION
INSPECTION
ISSUANCE OF ENROLLMENT CERTIFICATE Certificate
OTHER/ REASON FOR THE REQUEST

Duplicate of Registration Certificate APPREHENSION

Applicant
NAME

ADDRESS

LOCALITY ZIP CODE

NIF TELEF/TELEM

FAX E-MAIL

IDENTIFICATION DOCUMENT No. EMITTER

VALIDITY
YEAR (MONTH) (DAY)

ACCESS CODE TO PERMANENT CERTIFICATE (in the case of companies)

DATA SIGNATURE
YES MONTH DAY
(IN CASE OF COMPANIES, SIGNATURE NOTARILY RECOGNIZED 1) (V.S.F.F)

VEHICLE CHARACTERISTICS

Enrollment: - - Towing? Data - - Brand

Model Approval No.

Category Type Heart

No. frame Engine number

Fuel Number of cylinders Engine displacement

Tires: Front Rear guard

Maximum admissible weights: Front Rear guard

Revocable With brake Without brake Lifting power

Type of box Maximum box length

Box width Wheelbase Gross weight total

Tara Doors: total number Right Left Rear guard Occupation

Previous registration Data - - Country of origin

Special notes

CERTIFICATION OF THE OFFICIAL BRAND REPRESENTATIVE

approved in Portugal
1 - O modelo do veículo ESTÁ NÃO ESTÁ
(Cross out what is not relevant. If applicable, fill in point 2)

2 - Ensure that the vehicle has the characteristics mentioned above

indicated corresponds to certification number (AUTHENTICATED SIGNATURE)

INSPECTION
It certifies that the vehicle has the above technical characteristics.
indicated and that is in a condition to circulate safely

Inspection date
yes month day (SIGNATURE)

Nº da licença do/ainspetor/a
Mark with an x the model that is closest.
from reality. If necessary, add axes, change TECHNICAL INFORMATION
the box and other devices, coverage, etc. If you find
Complete transcription of the plate, characteristics, manufacturer builder and other information
better make another drawing in the blank space.
that I consider useful, such as the altered characteristics.
(A strict drawing is not necessary.)

A B

G E

A B

Type of tire mounting:

Front Half Rear guard
G E
A

DISTANCES
NOTE: Incorrect or incomplete filling may require a summons for inspection
do IMT.

G E
A B Between the last drivable point behind the cabin and the midpoint of the axles
rear, except for passenger vehicles A mm

From the rear axles to the back B mm

G E
F

A B In front of the support center, only for semi-trailers C mm

Between the front and the midpoint of the first axis, only for trailers. C mm

G E
F F
Between the midpoint of the rear axes and the rearward D mm
A B

H Between the axes or between the axes and the support E mm

G E
Between consecutive axes F mm

C D

Between the front axle and the front of the vehicle G mm

H

E Box height H mm
F

C D

Maximum vehicle width mm

H

G E
IMT - opinions and calculations
F

C D

G E NOTARIAL RECOGNITION
(Another model) The applicant(s) benefiting from the exemption are exempt from recognition.
by the Service receiver or displaying a duly updated Commercial Registration certificate and the
respective identity card(s) or citizen card(s).

Cash flow projection

(Exterior dimensions)
 FILLING INSTRUCTIONS

According to the Request, please note the following:

Granting of Enrollment
You must fill in the Vehicle Characteristics group with the largest number of features.

Cancellation of Enrollment
In the Vehicle Characteristics field, just indicate the registration and the frame number.
You should attach the booklet or Registration Certificate (or copies) whenever possible.

Model approval
You must fill in the VehicleCharacteristics group with as many characteristics as possible.

Duplicate of the Enrollment Certificate

In the order field, indicate the reason.
In the Vehicle Characteristics field, just indicate the registration and the chassis number.

Replacement of Registration Certificate

In the order field, indicate the reason.
In the Vehicle Characteristics field, just indicate the registration number and the frame number.
The delivery of the Booklet or Registration Certificate to be replaced is mandatory.

Certificate
In the orders field, you must indicate the type of certificate desired.
In the Vehicle Characteristics field, just indicate the license plate and the frame number.

Apprehension
In the Vehicle Characteristics field, simply indicate the license plate and the frame number.

Inspection
In the Vehicle Characteristics field, just indicate the license plate and the frame number.

The Applicant block must be filled out and signed.

In the Vehicle Characteristics section, indicate the characteristics of the vehicle.

before any transformation. If there are any changes to this, please indicate
in the 'Technical Information' section, the characteristics after the transformation.

The certification of the official brand representative is only necessary for the
registration assignment for used imported vehicles without COC.