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Mvir

This document is a motor vehicle inspection report form used by the Land Transportation Office of the Philippines. It collects 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.

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Rex Regis
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© Attribution Non-Commercial (BY-NC)
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Download as XLS, PDF, TXT or read online on Scribd
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678 views2 pages

Mvir

This document is a motor vehicle inspection report form used by the Land Transportation Office of the Philippines. It collects 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.

Uploaded by

Rex Regis
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
Download as xls, pdf, or txt
Download as xls, pdf, or txt
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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 ACCURATELY IN INK.

MOTOR VEHICLE INSPECTION REPORT


OWNERSHIP AND DOCUMENTATIONS
AGENCY

MVIR NO.
DATE

OWNER'S COMPLETE NAME AND ADDRESS

AUTHORIZED AGENCY (FOR HIRE ONLY)

FILE NUMBER

ACQUIRED FROM (COMPLETE NAME AND ADDRESS)

TYPE OF REGISTRATION

1. NEW
MVRR NUMBER (LATEST)

2. RENEWAL

3. OTHERS________________________
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 2. 2ND HAND 3. REBUILT

4. CAR 5. TRUCK 6. HIRE

7. MC 8. TC 9. OTHERS__________________
DATE OF ENDORSEMENT AMOUNT OF COVERAGE PL TPL

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 DISPLACEMENT (cu./cm.) RADIO CB

NO. CYL

FUEL USED

BODY DOOR/WINDOW WINDSHIELD


CAPACITY MARKING

1. SAFE 1. GOOD 1. GOOD 1. COMPLETE 1. NEAT 1. GOOD 1. GOOD 1. NEAT 1. GOOD 1. GOOD

2. UNSAFE 2. LOOSE 2. DEFECTIVE 2. INCOMPLETE 2. FAIR 2. UNSAFE 2. UNSAFE 2. FAIR 2. DEFECTIVE 2. LEAKING

3. DILAPIDATED ACCESSORIES 3. UNSAFE 3. NONE 3. INACCURATE 3. UNSIGHTLY 4. NONE MAX HEIGHT DRIVE

YELPER AIRCON

SPARE TIRE TOLLS

EWD BATTERY

AUTOMATIC POWER
MAX LENGTH MAX WIDTH

OVER CONVENTIONAL
OVER HANG EXCESS OVERHANG WHEEL BASE

APPEARANCE CHASSIS SPRING SEAT BATTERY FULL TANK

3. WEAK 3. WORN OUT 3. LEAKING 3. UNSAFE

4. LOOSE

FRONT SEAT

NO. OF AXLE
FRONT

SIZE OF TIRES REAR

FRONT

KIND OF TIRES REAR

T R U C K

GROSS WEIGHT

WEIGHT EMPTY

SHIPPING WEIGHT

NET WEIGHT

PASS. CAPACITY

C A R PASS. CAPACITY

I HEREBY CERTIFY THAT ALL INFORMATION CONTAINED HEREIN ARE TRUE AND CORRECT.
INSPECTOR'S PRINTED NAME AND SIGNATURE

OPERATION AND SAFETY TEST


IGNITION SYSTEM ENGINE HEAD LIGHTS STOP LIGHTS PARK LIGHTS SIGNAL LIGHTS INTERIOR LIGHTS DIMMER SWITCH TIRES WHEELS STEERING WIPER

1. GOOD 1. NEAT 1. COMPLETE 1. GOOD 1. GOOD 1. GOOD 1. GOOD 1. GOOD 1. GOOD 1. NORMAL 1. NORMAL 1. GOOD

2. DEFECTIVE 2. FAIR 2. NO DIMMER 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. WORN OUT 2. UNSAFE 2. STIFF 2. DEFECTIVE

3. LOOSE 3. DIRTY 3. GLARING 3. NONE 3. NONE 3. NONE 3. INCOMPLETE 3. NONE 3. UNSAFE 3. WOBBLY 3. LOOSE 3. NONE 4. SPARE
4. UNALIGNED

TRANSFER LEVER CLUTCH SYSTEM HORN FOOT BREAK HAND BREAK PANEL GAUGES SMOKE EMISSION

1. GOOD 1. GOOD 1. NORMAL 1. GOOD 1. GOOD 1. GOOD 1. NORMAL

2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. DEFECTIVE 2. SMOKE BELCHER

3. LOOSE 3. LOOSE 3. ILLEGAL 3. LOOSE 3. LOOSE 3. COMPLETE


INCOMPLETE

I HEREBY CERTIFY THAT ALL INFORMATION HEREIN ARE TRUE AND CORRECT AND THAT AN ACTUAL TEST WAS CONDUCTED.

INSPECTOR'S PRINTED NAME AND SIGNATURE

4. UNSAFE

NOTED BY
TDO PRINTED NAME AND SIGNATURE

MOTOR NO. STENCIL HERE

CHASSIS/SERIAL/BODY NUMBER STENCIL HERE

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