Get Malta VEH 39 2011

VEH 39 DECLARATION FORM Transport Malta Land Transport Directorate Telephone 00356 2556 0000 Website www. transport. gov*mt Jien/a hawn taht iffirmat/a I the undersigned bin-numru ta karta ta l-identita niddikjara bearing I. D. card number declare that a Liil-licenzja tal-vettura tieghi numru I the road licence disc for vehicle number vehicle logbook/plates of my vehicle registration numru bin-numru uniku. number bearing unique number c my driving licence/counterpart with category/categories d KUNSENS/CONSENT Jiena qieghed nawtorizza lil- bil-karta ta l-identita numru I hereby authorise Mr/Mrs bearing ID Card No sabiex jigbor id-dokument/licenzja/pjanca/i f ismi. to collect the documents/licence/s or registration plates on my behalf* ------------------------------------------------------------------------------------------------------------------------------------------------------------------------DIKJARAZZJONI TA L-APPLIKANT Jien/a nifhem li l-o ett li jien/a applikajt g alih permezz ta din id-dikjarazzjoni ji i rrevokat u rritornat lil Awtorita g atTrasport f Malta u li jistg u jittie du pro eduri kriminali kontra tieg i fejn xi dettalji u informazzjoni li jien/a tajt f din iddikjarazzjoni jew fejn xi dokument i li jien/a ppresentajt in sostenn ta din l-applikazzjoni huma foloz ji gwidaw huma inkompleti jew inkorretti. APPLICANT S DECLARATION and correct. I understand that the item I applied for by means of this declaration form will be revoked and returned to the Authority for Transport in Malta and that criminal action may be taken against me where any of the details and the information I have given in this declaration form or where any document s I presented in support of this declaration form are false misleading incomplete or incorrect. An Administration fee of 8. 00 must be paid Ghandu jsir hlas amministrattiv ta 8. 00 Version 2 1/7/2011 Firma ta l-Applikant Signature of Applicant. transport. gov*mt Jien/a hawn taht iffirmat/a I the undersigned bin-numru ta karta ta l-identita niddikjara bearing I. D. card number declare that a Liil-licenzja tal-vettura tieghi numru I the road licence disc for vehicle number vehicle logbook/plates of my vehicle registration numru bin-numru uniku. D. card number declare that a Liil-licenzja tal-vettura tieghi numru I the road licence disc for vehicle number vehicle logbook/plates of my vehicle registration numru bin-numru uniku. number bearing unique number c my driving licence/counterpart with category/categories d KUNSENS/CONSENT Jiena qieghed nawtorizza lil- bil-karta ta l-identita numru I hereby authorise Mr/Mrs bearing ID Card No sabiex jigbor id-dokument/licenzja/pjanca/i f ismi. number bearing unique number c my driving licence/counterpart with category/categories d KUNSENS/CONSENT Jiena qieghed nawtorizza lil- bil-karta ta l-identita numru I hereby authorise Mr/Mrs bearing ID Card No sabiex jigbor id-dokument/licenzja/pjanca/i f ismi. to collect the documents/licence/s or registration plates on my behalf* ------------------------------------------------------------------------------------------------------------------------------------------------------------------------DIKJARAZZJONI TA L-APPLIKANT Jien/a nifhem li l-o ett li jien/a applikajt g alih permezz ta din id-dikjarazzjoni ji i rrevokat u rritornat lil Awtorita g atTrasport f Malta u li jistg u jittie du pro eduri kriminali kontra tieg i fejn xi dettalji u informazzjoni li jien/a tajt f din iddikjarazzjoni jew fejn xi dokument i li jien/a ppresentajt in sostenn ta din l-applikazzjoni huma foloz ji gwidaw huma inkompleti jew inkorretti. .