ABOUT YOUR VEHICLE (a). Make   -- Select -- AIXAM ASIA AUSTIN AUSTIN/MORRIS BEDFORD CHEVROLET CITROEN DACIA DAIHATSU DODGE EBRO FIAT FORD FREIGHT ROVER FSO GEM HONDA HYUNDAI ISUZU IVECO JEEP KIA LADA LAND ROVER LDV LEYLAND DAF MAZDA MERCEDES-BENZ MG MITSUBISHI NISSAN NISSAN/DATSUN PEUGEOT PIAGGIO PROTON RELIANT RENAULT RENAULT/DODGE ROVER SANTANA SEAT SKODA SSANGYONG SUBARU SUZUKI TALBOT TATA TOYOTA VAUXHALL VOLKSWAGEN YUEJIN YUGO (b). Model   -- Select -- (c). Year of manufacture   -- Select -- (d). Engine size and type   -- Select -- (e). How many seats does the    -- Select -- 2 3 4 5 6   vehicle have?   (f). Where is the vehicle            -- Select -- Public Road Drive Private Property Car Park Locked compound Garaged   normally kept overnight?   (g). When did you purchase the   Month January February March April May June July August September October November December / Year 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901   vehicle? Not purchased yet   (h). What is the type of fuel used   -- Select -- Diesel Electric Gas Petrol (i). Estimated value £  (j). Registration number   (leave empty if not known)   (k). Is your vehicle right hand drive? Yes   No  (l). Is the vehicle fitted with an alarm? Yes   No  (m). Is the vehicle fitted Manufacturer's Fitted    Other  No    with an immobiliser?   (n). Is the vehicle fitted with Yes   No    a tracking device?   (o). Is the vehicle a grey or parallel Yes   No    import?   (p). Has the vehicle been modified from the Yes   No    manufacturer's original specification?   (q). Is your vehicle fitted with internal racking? Yes   No  (r). Does your vehicle include signage? Yes   No                             -- Please confirm your vehicle --