Submitter
Submitter's name
*
Company name
*
Submitter's Email
*
Submitter's Contact number
*
Operator Name
*
Deadline / Required by?
Require quotation?
*
Yes
No
Signed Quote / Purchase Order
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Combination type
r12d12
r22d12
r23d12
r12d22
r22d22
r12d23
r12d33
p12s3
p12s4
p12s12
p12s21
p12s22
p12s13
p12s3s3
p12s2c2s2
p12s3c2s3
p12s3c3s3
Other
Other - Type Combination Type
Project Type
Request type
*
PBS Inspection required
Addition of identical units
Request
PBS Inspection required
Scope of Project
*
Inspection details
What needs to be inspected?
Requested Inspection date?
Requested time?
6:00 am
7:00 am
8:00 am
9:00 am
10:00 am
11:00 am
12:00 pm
1:00 pm
2:00 pm
3:00 pm
4:00 pm
5:00 pm
6:00 pm
Contact for inspection (if different to above)
Location of inspection
Vehicle type
Tipper
Tanker
Skeletal
Flat deck
Drop deck
Curtainsider
Van
Timber jinker
Car carrier
Other
V Number
Existing PBS Vehicle Approval (VA) - if adding to existing
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Existing PBS Vehicle Approval (VA) (if adding to an existing approval)
Ratings letter(s)
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Drawing(s)
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Any additional details
Addition of identical units
Scope / Quantities of Unit(s) being added
*
V Number
Existing PBS Vehicle Approval - MC
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Existing PBS Vehicle Approval number
Ratings letter(s)
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Drawing
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Other Information
Any Additional Comments
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