VDP ENQUIRY SHEET



Section A - Complete this section fully for all applications. Sheet 1 of 2

|Name |      |Order Date |(SVTECH) |

|Address |      | Tel |      |

| |      | Fax |      |

| |      | Mobile |      |

| |      |Email address: |

| | |      |

| |      | |

|Post Code |      |Company Web |      |

| | | | |

|Contact Name |      |Your Reference |      |

| | | | |

|Purc.Order No. | |Vehicle Usage: | |

| |      |Motorhome, Living Van+Goods |      |

|Reg. |1st Reg. Date |Year of Manuf. |Engine Type/Size + BHP |Base Vehicle Make (e.g Fiat) |

| | | | |      |

|      |      |      |      | |

|Full 17 Digit Chassis/VIN No. |Wheelbase/OAS (mm) | Gearbox |Base Vehicle Model (e.g Ducato) |

| |(distance from centre front wheel to |Manual (M) | |

|      |centre back wheel) |Auto (A) |      |

| | | | |

| |      | | |

| | | | |

| | |     | |

|Motorhome Make |      |Body Type | |

| | |e.g. A-Class, |      |

| | |Coachbuilt, Van, | |

| | |other list. | |

|Motorhome Model/Version | | | |

| |      | | |

Details from VIN\Chassis plate –

• IMPORTANT - Please supply photos of all VIN/Chassis plates fit to vehicle.

• There may be more than one, so please supply photos of all VIN plates. Example of VIN plates

e.g.

|Tyre Data |TYRE SIZE | LOAD INDEX | Single or |

| | | |Twin tyres |

| |e.g. 215/70R15 |(found on tyre wall | |

| | |e.g 109 / 107 R) | |

|Axle 1 |      |      |      |

| Axle 2 |      |      |      |

| |

| |Towbar fitted - Yes or No |      |

Brake & Suspension System

|Axle 1 | |Axle 2 | |

|Disc or Drum |      |Disc or Drum |      |

|Suspension Type | |Suspension Type | |

|(e.g leaf/strut/Air) |      |(e.g leaf/strut/Air/Rubber) |      |

| |

|ABS fit (tick for yes) | |

|Section B - Complete this section fully for all applications. |

|Please list the conversion type and weight required |Conversion Type |Weight Required ** |

|e.g. Uprate – weight required 3850kg; Downrate – 3500kg. |      |      |

|** FOR ALL DOWNRATES, A WEIGHT TICKET IS REQUIRED IN ALL INSTANCES.- click to download declaration form |

|Please also list condition of vehicle when weight was recorded e.g. ½ fuel, ½ water, with/without driver/passenger etc. |

| | | |

|Where did you hear about us? |      |

|ENQUIRY ONLY or PROCESS APPLICATION |      |

Have you tried our weight calculator on our website? ( svtech.co.uk/lda

Section C – This page only needs completing where changes have been made to the vehicle that differ from pg1.

Post Conversion Detail Sheet 2 of 2

|AXLE WEIGHTS | Required Weights if known| |TYRES to be fit | LOAD INDEX |Single or Twin |

| | | | |e.g. 109R (Ply rating) | |

|Axle 1 |      | |      |      |      |

|Axle 2 |      | |      |      |      |

|GVW |      | | |

|GTW |      | | |

|Wheelbase / | |Centre line front axle to: |Front of vehicle |rear end of chassis |Overall Length |

|Outer Axle Spread |      M | |      |      |      |

|(Centre 1st axle to centre rear| | | | | |

|axle) | | | | | |

|If adding/changing suspension type list |Ax1 - |Ax2 - |Brand Name/Make + PN # |

|details of kit to be fit. Inc. Make/Model |(e.g Steel/Rubber/Air/Air-ride) |(e.g Steel/Rubber/Air/Air-ride) |      |

|No. |      |      | |

| |

|Category or vehicle **Post - conversion |

|      |

Section E – Documents to include with your application

| |

|TECHNICAL DRAWING AND LAYOUT OF CONVERSION TO INCLUDE MODIFICATIONS MADE TO CHASSIS, BRAKES, SUSPENSION, BODY, ETC – ONLY REQUIRED IF CHANGED FROM FACTORY STANDARD.|

|i.e. homebuild. |

|COPY OF VEHICLE LOGBOOK/V5C – Inside of page 2 required only. (not essential but helps us advise of changes). |

|PHOTO SHOWING EXTERIOR VIEW OF VEHICLE. – Not required where full model type provided on pg1. and unchanged from factory build. |

| |

|IF VEHICLE MODIFIED FROM FACTORY BUILD WE MAY ALSO REQUIRE PHOTOS OF THE CONVERSION |

|or NEED TO INSPECT THE VEHICLE. THIS WILL BE ARRANGED ONCE WE HAVE ASSESSED YOUR CONVERSION. |

Disclaimer

I declare that, to the best of my knowledge, the above information is a true description of the converted vehicle. I understand that failure to disclose information or the vehicle not being to this condition may cause the application to be refused.

|Signed |       | |Print Name |       |

|(signature not required for email applications) | |Date |      |

Have you tried our weight calculator on the web? ( svtech.co.uk/lda

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What we do with your information: svtech.co.uk/GDPR

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