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    Philippine Forms - Motor Vehicle Inspection Report

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    denciopo
    This document is a motor vehicle inspection report form used by the Land Transportation Office of the Philippines. It contains sections to record 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 based on an actual inspection conducted.

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    Philippine Forms - Motor Vehicle Inspection Report

    Uploaded by

    denciopo
    8K views1 page
    This document is a motor vehicle inspection report form used by the Land Transportation Office of the Philippines. It contains sections to record 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 based on an actual inspection conducted.

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    This document is a motor vehicle inspection report form used by the Land Transportation Office of the Philippines. It contains sections to record 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 based on an actual inspection conducted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    8K views1 page

    Philippine Forms - Motor Vehicle Inspection Report

    Uploaded by

    denciopo
    This document is a motor vehicle inspection report form used by the Land Transportation Office of the Philippines. It contains sections to record 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 based on an actual inspection conducted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    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 MOTOR VEHICLE INSPECTION REPORT MVIR NO.
    ACCURATELY IN INK.

    OWNERSHIP AND DOCUMENTATIONS


    OWNER'S COMPLETE NAME AND ADDRESS AGENCY DATE

    AUTHORIZED AGENCY (FOR HIRE ONLY) FILE NUMBER

    ACQUIRED FROM (COMPLETE NAME AND ADDRESS) TYPE OF REGISTRATION

    1. NEW 2. RENEWAL 3. OTHERS________________________


    MVRR NUMBER (LATEST) 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 4. CAR 7. MC
    2. 2ND HAND 5. TRUCK 8. TC DATE OF ENDORSEMENT AMOUNT PL TPL
    OF
    3. REBUILT 6. HIRE 9. OTHERS__________________ COVERAGE
    P P

    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 NO. CYL FUEL USED
    DISPLACEMENT
    (cu./cm.)
    BODY 1. SAFE 2. UNSAFE 3. DILAPIDATED RADIO YELPER SPARE TIRE EWD
    ACCESSORIES
    DOOR/WINDOW 1. GOOD 2. LOOSE 3. UNSAFE CB AIRCON TOLLS BATTERY

    WINDSHIELD 1. GOOD 2. DEFECTIVE 3. NONE DRIVE AUTOMATIC OVER


    CAPACITY MARKING 1. COMPLETE 2. INCOMPLETE 3. INACCURATE 4. NONE POWER CONVENTIONAL
    APPEARANCE 1. NEAT 2. FAIR 3. UNSIGHTLY MAX HEIGHT MAX LENGTH MAX WIDTH OVER HANG EXCESS WHEEL BASE
    OVERHANG
    CHASSIS 1. GOOD 2. UNSAFE

    SPRING 1. GOOD 2. UNSAFE 3. WEAK 4. LOOSE FRONT SEAT NO. OF AXLE SIZE OF TIRES KIND OF TIRES
    FRONT REAR FRONT REAR
    SEAT 1. NEAT 2. FAIR 3. WORN OUT

    BATTERY 1. GOOD 2. DEFECTIVE 3. LEAKING T GROSS WEIGHT WEIGHT EMPTY SHIPPING WEIGHT
    R C
    FULL TANK 1. GOOD 2. LEAKING 3. UNSAFE
    U A
    NET WEIGHT PASS. CAPACITY PASS. CAPACITY
    C R
    K

    I HEREBY CERTIFY THAT ALL INFORMATION CONTAINED HEREIN


    ARE TRUE AND CORRECT.
    INSPECTOR'S PRINTED NAME AND SIGNATURE
    OPERATION AND SAFETY TEST
    IGNITION SYSTEM 1. GOOD 2. DEFECTIVE 3. LOOSE TRANSFER LEVER 1. GOOD 2. DEFECTIVE 3. LOOSE
    ENGINE 1. NEAT 2. FAIR 3. DIRTY CLUTCH SYSTEM 1. GOOD 2. DEFECTIVE 3. LOOSE
    HEAD LIGHTS 1. COMPLETE 2. NO DIMMER 3. GLARING HORN 1. NORMAL 2. DEFECTIVE 3. ILLEGAL
    STOP LIGHTS 1. GOOD 2. DEFECTIVE 3. NONE FOOT BREAK 1. GOOD 2. DEFECTIVE 3. LOOSE
    PARK LIGHTS 1. GOOD 2. DEFECTIVE 3. NONE HAND BREAK 1. GOOD 2. DEFECTIVE 3. LOOSE
    SIGNAL LIGHTS 1. GOOD 2. DEFECTIVE 3. NONE PANEL GAUGES 1. GOOD 2. DEFECTIVE 3. COMPLETE INCOMPLETE

    INTERIOR LIGHTS 1. GOOD 2. DEFECTIVE 3. INCOMPLETE SMOKE EMISSION 1. NORMAL 2. SMOKE BELCHER
    DIMMER SWITCH 1. GOOD 2. DEFECTIVE 3. NONE I HEREBY CERTIFY THAT ALL
    INFORMATION HEREIN ARE TRUE AND
    TIRES 1. GOOD 2. WORN OUT 3. UNSAFE 4. SPARE
    CORRECT AND THAT AN ACTUAL TEST
    WHEELS 1. NORMAL 2. UNSAFE 3. WOBBLY 4. UNALIGNED WAS CONDUCTED. INSPECTOR'S PRINTED NAME AND SIGNATURE
    STEERING 1. NORMAL 2. STIFF 3. LOOSE 4. UNSAFE
    WIPER 1. GOOD 2. DEFECTIVE 3. NONE NOTED BY
    TDO PRINTED NAME AND SIGNATURE
    MOTOR NO. STENCIL HERE CHASSIS/SERIAL/BODY NUMBER STENCIL HERE

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