DATA NEEDED FOR PROCESSING DEALER NUMBER PLATES:

SURNAME:
FIRST NAME:
OTHER NAMES:
SEX:
DATE OF BIRTH:
PLACE OF BIRTH:
MARITAL STATUS:
NATIONALITY:
ADDRESS:
PHONE NUMBER:
NAME OF COMPANY:
ADDRESS OF BUSINESS PREMISES:
BUSINESS PREMISES (OWNED/RENTED) SPECIFY:
ARRANGEMENT FOR SAFETY/SECURITY OF ITEMS BEING SOLD:
YEAR OF INCORPORATION:
NAME/RESIDENTIAL ADDRESS OF COMPANY DIRECTORS:
EMAIL:
NUMBER OF EMPLOYEES:
TYPE OF VEHICLES BEING SOLD: