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    Mvir

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    Rex Regis
    This document is a motor vehicle inspection report form used by the Land Transportation Office of the Philippines. It collects information about a vehicle's ownership documentation, identification details, physical inspection results, and operational safety test results. Inspectors are to fill out the form completely and accurately, certifying that all information provided is true and correct.

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    Download as XLS, PDF, TXT or read online from Scribd

    Mvir

    Uploaded by

    Rex Regis
    562 views2 pages
    This document is a motor vehicle inspection report form used by the Land Transportation Office of the Philippines. It collects information about a vehicle's ownership documentation, identification details, physical inspection results, and operational safety test results. Inspectors are to fill out the form completely and accurately, certifying that all information provided is true and correct.

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    mvir

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    This document is a motor vehicle inspection report form used by the Land Transportation Office of the Philippines. It collects information about a vehicle's ownership documentation, identification details, physical inspection results, and operational safety test results. Inspectors are to fill out the form completely and accurately, certifying that all information provided is true and correct.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    562 views2 pages

    Mvir

    Uploaded by

    Rex Regis
    This document is a motor vehicle inspection report form used by the Land Transportation Office of the Philippines. It collects information about a vehicle's ownership documentation, identification details, physical inspection results, and operational safety test results. Inspectors are to fill out the form completely and accurately, certifying that all information provided is true and correct.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 2

    Republic of the Philippines DEPARTMENT OF TRANSPORTATION AND COMMUNICATIONS LAND TRANSPORTATION OFFICE

    East Avenue, Quezon City


    TO MV INSPECTOR - THIS FORM WILL BE USED AS A SOURCE DOCUMENT IN COMPUTERIZATION. FILL UP COMPLETELY AND ACCURATELY IN INK.

    MOTOR VEHICLE INSPECTION REPORT


    OWNERSHIP AND DOCUMENTATIONS
    AGENCY

    MVIR NO.
    DATE

    OWNER'S COMPLETE NAME AND ADDRESS

    AUTHORIZED AGENCY (FOR HIRE ONLY)

    FILE NUMBER

    ACQUIRED FROM (COMPLETE NAME AND ADDRESS)

    TYPE OF REGISTRATION

    1. NEW
    MVRR NUMBER (LATEST)

    2. RENEWAL

    3. OTHERS________________________
    CHPG CONTROL NO.

    ENCUMBRANCE (COMPANY NAME AND ADDRESS)

    CERT. OF PAYMENT (C.P.)

    INFORMAL ENTRY NUMBER (I.E.)

    INSURER

    POLICY NUMBER

    KIND OF VEHICLE

    EXPIRY DATE

    CERT. OF COVER NO.

    ENDORSEMENT NOL.

    1. NEW 2. 2ND HAND 3. REBUILT

    4. CAR 5. TRUCK 6. HIRE

    7. MC 8. TC 9. OTHERS__________________
    DATE OF ENDORSEMENT AMOUNT OF COVERAGE PL TPL

    I HEREBY CERTIFY THAT ALL INFORMATION AND THE STENCIL BELOW ARE TRUE AND CORRECT.
    INSPECTOR'S PRINTED NAME AND SIGNATURE

    IDENTIFICATION AND INSPECTION


    CLASSIFICATION MAKE PLATE NO. DENOMINATION STICKER NO. VALIDATION STICKER NO.

    MOTOR NUMBER

    SERIAL/CHASSIS NUMBER

    BODY NUMBER

    SERIES

    TYPE OF BODY

    COLOR

    NO. OF DOOR

    YR. MODEL

    TOTAL PISTON DISPLACEMENT (cu./cm.) RADIO CB

    NO. CYL

    FUEL USED

    BODY DOOR/WINDOW WINDSHIELD


    CAPACITY MARKING

    1. SAFE 1. GOOD 1. GOOD 1. COMPLETE 1. NEAT 1. GOOD 1. GOOD 1. NEAT 1. GOOD 1. GOOD

    2. UNSAFE 2. LOOSE 2. DEFECTIVE 2. INCOMPLETE 2. FAIR 2. UNSAFE 2. UNSAFE 2. FAIR 2. DEFECTIVE 2. LEAKING

    3. DILAPIDATED ACCESSORIES 3. UNSAFE 3. NONE 3. INACCURATE 3. UNSIGHTLY 4. NONE MAX HEIGHT DRIVE

    YELPER AIRCON

    SPARE TIRE TOLLS

    EWD BATTERY

    AUTOMATIC POWER
    MAX LENGTH MAX WIDTH

    OVER CONVENTIONAL
    OVER HANG EXCESS OVERHANG WHEEL BASE

    APPEARANCE CHASSIS SPRING SEAT BATTERY FULL TANK

    3. WEAK 3. WORN OUT 3. LEAKING 3. UNSAFE

    4. LOOSE

    FRONT SEAT

    NO. OF AXLE
    FRONT

    SIZE OF TIRES REAR

    FRONT

    KIND OF TIRES REAR

    T R U C K

    GROSS WEIGHT

    WEIGHT EMPTY

    SHIPPING WEIGHT

    NET WEIGHT

    PASS. CAPACITY

    C A R PASS. CAPACITY

    I HEREBY CERTIFY THAT ALL INFORMATION CONTAINED HEREIN ARE TRUE AND CORRECT.
    INSPECTOR'S PRINTED NAME AND SIGNATURE

    OPERATION AND SAFETY TEST


    IGNITION SYSTEM ENGINE HEAD LIGHTS STOP LIGHTS PARK LIGHTS SIGNAL LIGHTS INTERIOR LIGHTS DIMMER SWITCH TIRES WHEELS STEERING WIPER

    1. GOOD 1. NEAT 1. COMPLETE 1. GOOD 1. GOOD 1. GOOD 1. GOOD 1. GOOD 1. GOOD 1. NORMAL 1. NORMAL 1. GOOD

    2. DEFECTIVE 2. FAIR 2. NO DIMMER 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. WORN OUT 2. UNSAFE 2. STIFF 2. DEFECTIVE

    3. LOOSE 3. DIRTY 3. GLARING 3. NONE 3. NONE 3. NONE 3. INCOMPLETE 3. NONE 3. UNSAFE 3. WOBBLY 3. LOOSE 3. NONE 4. SPARE
    4. UNALIGNED

    TRANSFER LEVER CLUTCH SYSTEM HORN FOOT BREAK HAND BREAK PANEL GAUGES SMOKE EMISSION

    1. GOOD 1. GOOD 1. NORMAL 1. GOOD 1. GOOD 1. GOOD 1. NORMAL

    2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. SMOKE BELCHER

    3. LOOSE 3. LOOSE 3. ILLEGAL 3. LOOSE 3. LOOSE 3. COMPLETE


    INCOMPLETE

    I HEREBY CERTIFY THAT ALL INFORMATION HEREIN ARE TRUE AND CORRECT AND THAT AN ACTUAL TEST WAS CONDUCTED.

    INSPECTOR'S PRINTED NAME AND SIGNATURE

    4. UNSAFE

    NOTED BY
    TDO PRINTED NAME AND SIGNATURE

    MOTOR NO. STENCIL HERE

    CHASSIS/SERIAL/BODY NUMBER STENCIL HERE

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