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Modification Application Form - Transport Tasmania

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PAGE 5 OF 7 MODIFICATION APPLICATION<br />

8. WHEELS & TYRES<br />

Manufacturers standard fitted wheels: FRONT REAR<br />

Steel/alloy<br />

Rim width<br />

Rim diameter<br />

Wheel track in mm<br />

Wheel Track (Wheel track is measured across the car between the centres of the tyres with the wheels<br />

fitted).<br />

Proposed wheels to be fitted: FRONT REAR<br />

Steel/alloy<br />

Rim width<br />

Rim diameter<br />

Wheel track in mm<br />

NOTE: The National Code of Practice specifies the requirements.<br />

TYRES<br />

Original tyre size (Quote tyre size as marked on tyre placard or sidewall of tyre, eg 185/70SR13 94 H).<br />

Front:_____________________________________Rear:____________________________________<br />

Proposed tyres:<br />

Front:_____________________________________Rear:____________________________________<br />

9. TRANSMISSION (gear box) (Write “standard” if unchanged from original specifications)<br />

Proposed modifications, describe any new/modified mounting points.<br />

_________________________________________________________________________________<br />

_________________________________________________________________________________<br />

Transmission Original Proposed<br />

Make/model<br />

Manual/automatic<br />

Number of forward gears<br />

Produced by Vehicle Operations Branch<br />

10 Murray Street, Hobart Tas 7000 Revised 01/06/12<br />

Telephone: (03) 6233 5347 <strong>Modification</strong> <strong>Application</strong> <strong>Form</strong>.doc

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