Page 140 - Improve_Your_Written_English [Marion_Field]
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126 / P ART TW O: E NGLIS H IN ACT ION
Make of vehicle: Model: Engine size:
No. of doors:
Date of first registration: Registration number:
Value of vehicle: Current mileage:
Date of purchase:
Do you own the vehicle?
Is it kept in a garage?
It is a right-hand drive?
How long have you held a driving licence?
What type is it?
Are you the main driver?
If not, please give details of other drivers:
Have you or any other mentioned drivers been involved
in an accident or suffered loss in connection with any
vehicle during the past five years?
If ‘yes’, please give details:
Was a claim made?
Did the accident result in a conviction?
If ‘yes’, please give details:
Signature: Date:
Fig. 14. Car insurance form.
