THE HISTORIC VEHICLE AUTHORITY of NEW ZEALAND the VINTAGE CAR CLUB of NEW ZEALAND (Inc.)

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10/2013 THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.)

VEHICLE TECHNICAL CODE CONTENTS

1. GENERAL RULES

2. DETERMINATION OF MANUFACTURE DATE

3. VEHICLE CLASSIFICATION

4. VCC VEHICLE IDENTITY CARD

5. DATE OF MANUFACTURE & AUTHENTICITY STATEMENT

6. VCC VEHICLE IDENTITY STICKER

7. VCC LIGHTING EQUIPMENT ENDORSEMENT

8. OTHER

Appendix A APPLICATION FORMS 1-7 for a VCC VEHICLE IDENTITY CARD

1. Non member Application form front page and receipt (Appendix A1) Also use Pages 2 – 7 from Appendix A 2. Application for Historic Motor Vehicle Date of Manufacture & Authenticity Statement for overseas members who bring a vehicle from overseas & enter a National/International Rally/Speed Event (Appendix A2) 3. Overseas Non member Application form & receipt. Also use page 6 from Appendix A (Appendix A3) 4. Change of Ownership Statement (Appendix A4) 5. Application form to renew a Vehicle Identity Card that has expired 6. Application for a VCC Lighting Equipment Endorsement (pages 1-2) (Appendix A6) 6A. Application for a VCC Lighting Equipment Endorsement (Motorcycles) 7. **Endorsement for 10 Second Smoke Rule (late 2006?) 8. **Endorsement for Heavy Vehicle Braking and display load (2006?) Appendix B VCC VEHICLE IDENTITY CARD

1. Date of Manufacture & Authenticity Statement VCCR&D1 (Sample) 2. Statutory Declaration for a Motor Vehicle that has Limited Documents Available 3. VCC Vehicle Windscreen Sticker (Sample) 4. NZ Transport Agency Lighting Equipment Endorsement (Samples) 5. Receipt for withdrawal of a Vehicle identity Card

Appendix C INSTRUCTIONS FOR VCC VEHICLE IDENTITY CARD APPLICATION (Pages 1 – 4)

1. Procedure to issue Vehicle Identity Card 2. Branch Verification & Responsibilities 3. National Office action 4. Practical advice 5. Identity Card status 6. Guidelines for vehicle classification

Appendix C1 7. Vehicle Classification Chart

Appendix C2 8. Vehicle Identity Card Application form set Flow Chart

Appendix C3 9. Vehicle Identity Card Renewal 10 years Flow Chart

Appendix D Assessment of Historic Racing Vehicles

Appendix E Assessment of Period Specials Group 1 & Group 2

** Provision for future – At present these forms have not been produced as not currently required PAGE 2

05/2009

1. GENERAL RULES

1.1 The overall aim is to foster interest and engage in the preservation and maintenance of motor vehicles within the categories catered for by The VCC (The Vintage Car Club of New Zealand (Inc.)).

1.2 A Historic Vehicle is a mechanically propelled vehicle, manufactured more than 30 years ago, preserved and maintained in a historically correct condition, in the care of a person or an organisation keeping it for its historic, cultural and technical interest and use.

Different vehicles

The term Historic Vehicle encompasses all vehicles propelled by an engine, intended for transportation of persons or goods: cars, motorcycles, trucks, buses, military and agricultural vehicles. Likewise the source of energy can be petrol, diesel, steam or electricity .

1.3 Historic Vehicles should in principle be preserved and used as supplied by the maker to the public, including any options and accessories that were offered by the maker or generally sold during the normal life span of the vehicle.

1.4 Any other modifications, alterations or changes should be avoided. If made, they should be in the spirit of the period when the vehicle was normally used, they must comply with current NZ Transport Agency (formerly Land Transport NZ and previously LTSA) requirements, to ensure the safe use of the vehicle on the road, or become necessary because relevant parts are no longer available or possible to make at a reasonable cost. All modifications should be completed in such a way that the vehicle could be converted back to the original condition with the least possible effort, damage and cost.

1.5 Any modifications, alterations and changes should be documented in such a way that future owners may know how the vehicle differs from the original condition. This may be done by having the vehicle dated by the Club Registrar, and the information made available to successive owners and rally organisers.

Any subsequent change to a dated vehicle shall render the Vehicle Identity Card (ID Card) null and void, and a reassessment must be made.

1.6 It is a requirement that all vehicles competing in any VCC speed event must have a current VCC Vehicle ID Card.

1.7 It is a requirement that all vehicles attending any VCC National or International Rallies must have a current VCC Vehicle ID Card.

1.8 A Historic Vehicle may be entered in VCC events that have a Current Vehicle ID Card as a compulsory entry requirement, when that vehicle is subject to an investigation by the Registrar or the Vehicle Technical Committee.

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12/2015 2. DETERMINATION OF MANUFACTURING DATE

2.1 Facts to be used determining the date of manufacture of a vehicle, or parts of a vehicle, should include any relevant information or documentation regarding the vehicle, or other vehicles of the same make and model and type, such as chassis, frame, body or engine numbers, production figures and data, registration information, documents showing date of sale or delivery etc.

2.2 The responsibility for providing the necessary documentation will always remain with the owner of the vehicle. The VCC function is to record the data.

2.3 In the case of a dispute with dating between an owner and his Branch, the matter can be submitted to the VCC Registrar for a decision. Such a decision reached by the Registrar is final.

2.3.1 The Registrar may decide to present any vehicle to the Vehicle Technical Committee for consideration and adjudication.

2.4 Vehicles should be dated according to the first available proven date commencing with (a) Day of availability from factory if documented then (b) Day of shipping or leaving factory if documented, then (c) Day of delivery (could also be first registration in country delivered to, or (d) Day of completion (if vehicle has been significantly modified or altered). For the year of manufacture of the original chassis, frame, unitary constructed chassis-body or equivalent of those, as originally recorded by the factory or maker. e.g. Ford Model T 1914, Indian Scout 1927, MG MGA 1961.

2.5 If the maker of a vehicle used a model year designation this can be indicated as follows: Chevrolet Standard 1937 (1938 model), Cadillac Eldorado 1956 (1957 model).

2.6 If the vehicle was delivered as a chassis to a coach-builder and given a body made in a different year to that of the chassis, this may be noted as follows: Rolls-Royce New Phantom 1928 (body by Hooper 1929).

2.7 If a vehicle was rebodied at a later date, this may be indicated as follows: Bentley 3-litre 1925 (body by Vanden Plas 1925, rebodied by Loitens 1934).

2.8 If the original chassis or monocoque is beyond repair, a new identical replacement can be made or substituted with numbers and identification from the old unit incorporated in the new. This information must be recorded on the application form as follows: 1948 Morgan (original chassis rusted beyond safe repair, new main rails remanufactured using some of the original brackets and mountings) MG MGB 1964 (rebodied with British Motor Heritage body shell 1992).

Note: The NZ Transport Agency (formerly Land Transport NZ and previously LTSA) requires that the remains of the old chassis or Monocoque must be destroyed and documented including a declaration of any VIN and or chassis/body numbers that will not form part of the vehicle under repair. Please use the MR16 form Application to Change Motor Vehicle Details .

Vehicles with new chassis or monocoque where no original existed may only apply for a Vehicle ID Card under Vehicle Definition Type 'C' Reproduction.

2.9 If the original engine is beyond repair, and an alternative identical replacement has been used, the vehicle will be classified as Type A Standard , (clause 3.1) & Group 4 Built up from parts , (clause 3.2) being described as an (A4) for Vehicle Identity Card purposes. When the engine has been changed from the standard specification, please refer to Appendix E Assessment of Period Specials Group 1.

2.10 Replacement engines will affect how a vehicle is dated as vehicles will be dated by the more modern of the following two components:

a) The date of manufacture of the chassis frame or Monocoque. b) The date of manufacture of the engine.

This date will establish the period category of the vehicle i.e. Veteran, Vintage, Post Vintage etc. A vehicle with a 1925 chassis and a 1935 engine will be a Post Vintage Vehicle. A vehicle with a 1916 engine and a 1919 chassis will be a Vintage Vehicle. Engine changes should be of the same type and configuration as the original engine.

Note: Land Transport NZ requires any engine number change be recorded officially. Please use the MR16 form Application to change Motor Vehicle details. PAGE 4

01/2016 3. VEHICLE CLASSIFICATION

3.1 VEHICLE DEFINITIONS

Type A : Standard Production Vehicles Vehicles to standard specification as delivered by a recognised production manufacturer. Factory approved modifications and period accessories are acceptable.

Type B: Modified Production Vehicles Vehicles which have been modified from standard production specification, for a special purpose, to represent a specific period and facet of motoring history. Refer to the VCC Code for Period Specials

Type C: Reproduction: A new vehicle, built out of period, with or without period parts, imitating a specific design of a period. Also, Authentic Reproduction Vehicles (ARV) where all components are of new manufacture. Refer to the VCC Code for Period Specials

Type D: Non Eligible Vehicles (NEV) Vehicles constructed or modified outside the limits of the VCC vehicle categories section 3.3 A to I. as listed below.

3.2 VEHICLE PRESERVATION GROUPS

Group 1: Original with little use Vehicles as originally produced with little deterioration. Only items of replacement would be wearing parts e.g. Tyres, spark plugs, battery. As a guideline, recorded mileage would be under 20.000 miles (32.000kms)

Group 2: Original a) For vehicles ‘TYPE A’ above: This preservation group is for un restored vehicles which are still in as produced condition with normal age related deterioration. Wearing parts may be replaced. b) For vehicles ‘TYPE B’ above: Use this preservation group for unrestored vehicles which have non standard mechanical modifications.

Group 3: Restored a) For vehicles ‘TYPE A’ above: This preservation group is for vehicles which have been restored as near as possible to original factory specification. b) For vehicles ‘TYPE B’ above. Use this preservation group for restored vehicles which have non standard mechanical modifications.

Group 4: Built up from parts Parts from one or more vehicles of the same model, assembled into a vehicle as close as possible to a production model. For ‘Vehicle Definitions as above in 3.1’ . Use ‘TYPE A’ where no mechanical changes were required. Use ‘TYPE B ’ where modifications and changes to standard mechanical components and bodywork have been made. Use ‘TYPE C’ where a new chassis has been manufactured and some original period parts have been used in the building of the vehicle.

Group 5: Constructed Parts from one or more vehicles assembled into a vehicle representative of one period within the age limits of the VCC. Construction methods and design should be as close as possible to the period that the vehicle purports to represent. Such vehicles must comply with the VCC Code for Period Specials. For ‘Vehicle Definitions as above in 3.1” use ‘TYPE B’ where the chassis is from an original production vehicle . Use ‘TYPE C’ when a new chassis has be manufactured.

Group 6: Non Eligible Vehicles (NEV) Vehicles which have come from an original production source which have been modified with modern mechanical components and designs which are outside the age limit groupings of the VCC. PAGE 5

12/2015

3.3 VEHICLE CATEGORIES

A. Motor Vehicles constructed prior to December 31 st 1918. Such vehicles to be known as Veteran Vehicles (VET)

B. Motor Vehicles constructed between January 1 st 1919 and December 31 st 1931. Such vehicles to be known as Vintage Vehicles (VV)

C. Motor Vehicles constructed between January 1 st 1932 and December 31 st 1945. Such vehicles to be known as Post Vintage Vehicles. (PVV)

D. Motor Vehicles constructed between 1 st January 1946 and December 31 st 1960. Such vehicles to be known as Post War Vehicles. (PWV)

E. Motor Vehicles constructed between 1 st January 1961 and 31 st December 1980. Such vehicles to be known as Post 60 Vehicles. (P60V)

F. Motor Vehicles constructed after 1 st January 1981. Provided that no vehicle is accepted for this class until January 1 st of the year that is thirty years after its original year of construction. Such vehicles to be known as Post 80 Vehicles (P80V)

G. Historic Racing Vehicles , which are at least in their thirtieth year since their year of original construction. (See Constitution, objects II, 1h). Plus Factory built racing cars no longer in production. ( HRV )

H. Period Specials: Group 1 (PS1 ) For vehicles which have been modified or built using period production components , especially a chassis originating from a production source , The vehicle must represent a particular period and facet of motoring history.(Vehicle definition and preservation groups include B2,B3,B4,B5.) Group 2 (PS2) For vehicles which have been built using some period production components to represent an exact copy of a period production vehicle or period style of vehicle where a new chassis has been made. (Vehicle definition and preservation groups C4, C5.) The above vehicles must comply with the VCC Code for Period Specials .

I. Authentic Reproduction vehicles (ARV): Vehicles constructed to the exact specifications of an original factory production model where everything has been newly made. These vehicles must comply with the VCC Code for Period Specials for vehicle definition and preservation group C1.

3.4. VEHICLE CATEGORY FOR NON VCC ELIGIBLE VEHICLE

A. Motor Vehicles constructed or modified outside the limits of The Vintage Car Club of New Zealand (Inc.) Vehicle Categories, 3.3 A - H. These vehicles may be Modified Production Vehicles with Modern Mechanicals. Such vehicles to be known as ( NEV )

3.5 VEHICLE STYLE

SE Sedan / Saloon SW Station Wagon CP Coupe TO Tourer RO Roadster SP Sports, Sports / Racing RA Racing Car MC Motor Cycle PC Power Cycle / Moped CO Commercial Vehicle MT Military Vehicle

3.6 VEHICLE STATUS

O Original, Roadworthy and Licensed R Restored, Roadworthy and Licensed U Under Restoration S In Storage (Includes Roadworthy vehicles not currently Licenced) P Incomplete N New (Authentic Reproduction Vehicles (ARV))

 The V.C.C. of N.Z. (Inc.) 1997-2013 PAGE 6

10/2009 4. THE VINTAGE CAR CLUB OF N.Z. (Inc.) VEHICLE IDENTITY CARD

4.1 The VCC Vehicle ID Card is proof of recognition issued by the Registrar to identify an approved Historic Vehicle by the Branch or a VCC representative. (Or after an inspection by the Branch or a VCC representative.) The VCC Vehicle ID Card remains the property of the VCC at all times, and its validity is for 10 years or until change of vehicle ownership within this time.

4.2 The VCC Vehicle ID Card is as specified in Appendix B of the VCC Technical Code.

4.3 The VCC, the Registrar, or a VCC appointed official can at any time withdraw a VCC Vehicle ID Card. Such document shall immediately be returned to the VCC National Office stating the reason for its withdrawal.

4.3.1 A VCC Event Organiser or Scrutineer is empowered to withdraw an incorrect Vehicle ID Card. When a Vehicle ID Card is withdrawn the official will provide the appropriate VCC receipt.

4.3.2 Organisers or Scrutineers are required to make a report to the Registrar if the Vehicle ID Card of a competing vehicle is incorrectly documented or does not correspond with the vehicle.

4.4 The VCC Vehicle ID Card is only for use within New Zealand. A FIVA Identity Card will be issued on application, for vehicles entered in overseas rallies controlled by FIVA.

4.5 The VCC Vehicle ID Card must be returned to the National Registrar when significant changes or modifications are made to a vehicle since the date of first issue, e.g. engine number change, body paint colour change, and ownership change. A replacement VCC Vehicle ID Card will then be issued.

4.6 The VCC Vehicle ID Card must be returned to the National Registrar when the ownership of the vehicle is changed. The application for a replacement Vehicle ID Card (Change of Ownership form Appendix A4) must be completed by the new owner. A replacement VCC Vehicle ID Card will then be issued for the new owner including a replacement photograph if required.

4.7 The VCC Vehicle ID Card may be used by a Transport Services Delivery Agent (WOF Agent) and a Certifier on behalf of the NZ Transport Agency (formerly Land Transport NZ and previously LTSA) to classify a vehicle’s date of manufacture and authenticity.

4.8 The VCC Vehicle ID Card can be provided for Historic Vehicles owned by non-members of the VCC for a fee of $100.00 inclusive of Goods and Services Tax (GST). The Branch will retain $30.00 to compensate for their time. If additional travel is necessary to view the Historic Vehicle, this cost is the responsibility of the Historic Vehicle owner and the amount agreed to before any travel is undertaken.

4.9 As described in 4.1 the VCC Vehicle ID Card has a Validity of 10 years. Once this date is approaching a database generated application renewal form will be posted or e-mailed if requested to the current owner/s. This computer generated form APPENDIX A7 must be completed by the owner and posted to the applicants Branch who after approval will send it to the National Office. Two (2) copies of a replacement current photograph are required if the applicant retains the expired Vehicle Identity Card.

If the vehicle has not significantly changed and this status is confirmed by the Branch Committee, the expired Vehicle Identity Card can be returned with the application for renewal form as the original photograph can be reused on the replacement Vehicle Identity Card. . PAGE 7

05/2009 5. THE VINTAGE CAR CLUB OF N.Z. (Inc.) DATE OF MANUFACTURE & AUTHENTICITY STATEMENT

5.1 The VCC Date of Manufacture & Authenticity Statement (VCCR&D1) is a provisionally numbered document only provided by the National Office of The VCC

5.2 The VCC Date of Manufacture & Authenticity Statement is as specified in Appendix B 1 of the VCC Technical Code.

5.3 The VCC, the Registrar, or a VCC appointed official can at any time withdraw a VCC Date of Manufacture & Authenticity Statement. Such document shall immediately be returned to the VCC National Office stating the reason for its withdrawal.

5.4 The VCC Date of Manufacture & Authenticity Statement must be returned to the National Registrar when significant changes or modifications are made to a vehicle since the date of first issue, e.g. engine number change, body paint colour change, and ownership change. A replacement VCC Date of Manufacture & Authenticity Statement will then be issued.

5.5 The VCC Date of Manufacture & Authenticity Statement is only for use within New Zealand.

5.6 The VCC Date of Manufacture & Authenticity Statement may be used by a Transport Service Delivery Agent (WOF Agent) and a Certifier on behalf of the NZ Transport Agency (formerly Land Transport NZ and previously LTSA), to classify a vehicle’s date of manufacture and authenticity.

5.7 The VCC Date of Manufacture & Authenticity Statement has provision on the form to advise a Certifier if the vehicle is modified in any area that may affect a vehicle Safety Standard and suggests the vehicle be certified using the Low Volume Vehicle Code.

5.8 The VCC Date of Manufacture & Authenticity Statement has provision on the form to advise a Certifier that the vehicle has been issued with a NZ Transport Agency (formerly Land Transport NZ and previously LTSA) Lighting Equipment Endorsement.

5.9 The VCC Date of Manufacture & Authenticity Statement can be provided for Historic Vehicles owned by non-members of the VCC for a fee of $100.00 inclusive of Goods and Services Tax (GST). The Branch will retain $30.00 to compensate for their time. If additional travel is necessary to view the Historic Vehicle, this cost is the responsibility of the Historic Vehicle owner and the amount agreed to before any travel is undertaken.

5.10 The VCC Date of Manufacture & Authenticity Statement can be provided for Historic Vehicles owned by overseas non-members of the VCC for a fee of $35.00 inclusive of Goods and Services Tax (GST) providing full details and documents are supplied from the overseas motoring club or organisation who verified the vehicle.

5.11 The VCC Date of Manufacture & Authenticity Statement must be returned to the National Office after the vehicle has been Certified, Registered and Road Licensed. The vehicle’s new Registration Number, (17 Digit) VIN Number and 3 identical photographs as described in Appendix B must be provided. A VCC Vehicle ID Card will then be issued.

6 THE VINTAGE CAR CLUB OF N.Z. (Inc.) VEHICLE WINDSCREEN STICKER

6.1 The VCC Vehicle ID Card Windscreen Sticker is as specified in Appendix B of the VCC Technical Code.

6.2 The VCC Vehicle ID Card Windscreen Sticker must be displayed on either the outside or inside of the appropriate vehicle within 100mm from the top or bottom, or within 50mm of the side edge of the windscreen. The sticker may be displayed on the inside with a clear sticky overlay that is supplied. Motor Cycles, Power Cycles or any vehicle without a windscreen must attach the sticker to a suitable surface or onto a plastic or metal plate and fix to a bracket that can be seen from the front or side of the motor vehicle. PAGE 8

05/2009 7. THE VINTAGE CAR CLUB OF N.Z. (Inc.) NZ Transport Agency (formerly Land Transport NZ and previously LTSA) LIGHTING EQUIPMENT ENDORSEMENT.

7.1 The VCC NZ Transport Agency (formerly Land Transport NZ and previously LTSA) NZ LIGHTING EQUIPMENT ENDORSEMENT is an endorsement found on the back page of its Vehicle ID Card, for vehicles that don’t have headlamps or for vehicles that don’t meet the requirements described in the NZ Transport Agency Vehicle Inspection Requirements Manual (VIRM).

7.2 The VCC NZ Transport Agency (formerly Land Transport NZ and previously LTSA) LIGHTING EQUIPMENT ENDORSEMENT is as specified in Appendix B4 of the VCC Technical Code.

7.3 The VCC, the Registrar, or a VCC appointed official can at any time withdraw a VCC NZ Transport Agency (formerly Land Transport NZ and previously LTSA) LIGHTING EQUIPMENT ENDORSEMENT. Such document shall immediately be returned to the VCC National Office stating the reason for its withdrawal.

7.4 The VCC NZ Transport Agency (formerly Land Transport NZ and previously LTSA) LIGHTING EQUIPMENT ENDORSEMENT is only for use within New Zealand.

7.5 The VCC Vehicle ID Card with a NZ Transport Agency (formerly Land Transport NZ and previously LTSA) LIGHTING EQUIPMENT ENDORSEMENT must be returned to the National Registrar when significant changes or modifications are made to a vehicle since the date of first issue, e.g. engine number change, body paint colour change, changes or modifications to the vehicles headlight fittings. Or if lighting equipment is retrofitted e.g. to an early Ford Model T taken from a later Ford Model T. A replacement VCC Vehicle ID Card with or without a NZ Transport Agency (formerly Land Transport NZ and previously LTSA) will then be issued.

7.6 The VCC Vehicle ID Card with a NZ Transport Agency (formerly Land Transport NZ and previously LTSA) LIGHTING EQUIPMENT ENDORSEMENT must be returned to the National Registrar when the ownership of the vehicle is changed. The new owner must complete the application for a replacement Vehicle ID Card (Change of Ownership form Appendix B. 2). A replacement VCC Vehicle ID Card with the NZ Transport Agency (formerly Land Transport NZ and previously LTSA) LIGHTING EQUIPMENT ENDORSEMENT will then be issued for the new owner including a replacement photograph if required.

7.7 The VCC Vehicle ID Card with a Land Transport NZ LIGHTING EQUIPMENT ENDORSEMENT will be used by a Transport Services Delivery Agent (TSD) at WOF time. The VCC Vehicle ID Card with a Land Transport NZ LIGHTING EQUIPMENT ENDORSEMENT must be kept with the vehicle at all times when it’s driven on the road.

7.8 The VCC Vehicle ID Card with a NZ Transport Agency (formerly Land Transport NZ and previously LTSA) LIGHTING EQUIPMENT ENDORSEMENT can be provided for Historic Vehicles owned by non-members of the VCC for a fee of $100.00 inclusive of Goods and Services Tax (GST). The Branch will retain $30.00 to compensate for their time. If additional travel is necessary to view the Historic Vehicle, this cost is the responsibility of the Historic Vehicle owner and the amount agreed to before any travel is undertaken.

7.9 The operation of the vehicle with a NZ Transport Agency (formerly Land Transport NZ and previously LTSA) LIGHTING EQUIPMENT ENDORSEMENT must meet the conditions specified on the Lighting Equipment endorsement, which can be enforced by the NZ Police. There are three Lighting Equipment endorsement conditions and any one or more of them may apply to a particular vehicle. Vehicles with a NZ Transport Agency (formerly Land Transport NZ and previously LTSA) LIGHTING EQUIPMENT ENDORSEMENT Condition (b) are not restricted from use during the day in good visibility conditions.

7.10 The Vintage Car Club can advise an applicant if they own a historic motor vehicle that cannot meet the lighting requirements in the Lighting Rule and that has not yet been inspected for entry into the New Zealand fleet.

7.11 If any Member or Non-Member who has a current Headlamp Endorsement issued before October 28 th 2005 for their vehicle that they now believe is disadvantaging them in any way can advise the VCC National Office in writing. An adjustment will be considered. PAGE 9

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Continued…

Section 1: Endorsement for Headlamps

There are three headlamp endorsement conditions. One or more of them may apply to a particular vehicle.

Condition (a) • The vehicle is not fitted with headlamps and therefore must not be operated on the road during hours of darkness or in conditions of poor visibility. This covers vehicles from all categories,

This covers vehicles manufactured without headlamps and vehicles that have had headlamps permanently removed. As long as the vehicle is definitely the vehicle pictured and described in the Vehicle ID Card, the headlamp requirements in the Vehicle Inspection Requirements Manual don’t apply.

Condition (b) • The vehicle manufactured before 31 December 1918 is fitted with headlamps that have a limited performance and therefore the vehicle may not be operated on the road during hours of darkness, or in conditions of poor visibility unless the dipped beam(s) of the headlamp(s) is/are able to illuminate the road and substantial objects on it at a distance of at least 30m ahead and the vehicle is operated at a speed of less than 30km/h

This covers veteran vehicles manufactured with headlamps that aren’t bright enough to meet the requirements in the rule. Vehicle inspectors don’t need to test the performance of the headlamps, but should be satisfied that the headlamps are well maintained and would operate. These vehicles are not restricted from use during the day in good visibility conditions.

Condition (c)

• The vehicle is fitted with additional headlamps of a configuration not described in the Land Transport Rule: Vehicle Lighting 2004 (the Lighting Rule) because it was originally manufactured (OE) with that equipment. These may continue to be fitted but if they serve the primary headlamp function they must meet performance requirements in the rule.

This covers vehicles manufactured with headlamps or headlamp configurations that aren’t common today (e.g. a centrally mounted high-beam headlamp). Vehicle inspectors will check that headlamps are correctly aligned and dip at the correct rate. Centrally mounted high-beam headlamps must either dip or extinguish when low beam is required.

Section 2: Endorsement for Direction Indicators on Historic Motorcycles

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There are several situations in which historic motorcycles can operate without the direction indicators specified in section 6.3 of the Lighting Rule, but the rider must comply with section 3.10: Drivers Signals in Land Transport (Road User) Rule 2004 (the Road User Rule). This states that an intention to turn must be indicated either by an approved signalling device or by an arm signal that is clearly visible to other road users.

To increase visibility it is recommended that the rider wears reflective clothing particularly if operating the motorcycle during hours of darkness or in conditions of poor visibility.

Condition (a) • The motorcycle manufactured before 1st January 1978 is not fitted with Direction Indicators to the front and to the rear but may be used on the road providing the rider uses clearly visible arm signals to indicate intention to turn.

This covers motorcycles manufactured before direction indicators were mandatory in New Zealand.

Condition (b) • The motorcycle was exempted by Gazette Notice by make and model from the requirements in the Traffic Regulations 1976 to have Direction Indicators, but may be used on the road providing the rider uses clearly visible arm signals to indicate intention to turn.

This covers motorcycles manufactured during the period when direction indicators were still being made mandatory in New Zealand. You may be able to find evidence that your make and model was exempted by notice in the New Zealand Gazette.

Section 3: Endorsement for Stop Lamps on Historic Motorcycles

There are several situations in which historic motorcycles can operate without the stop lamps specified in section 4.3 of the Lighting Rule, but the rider must comply with section 3.10: Drivers Signals in Land Transport (Road User) Rule 2004 (the Road User Rule). This states that an intention to stop or reduce speed must be indicated either by an approved signalling device or by an arm signal that is clearly visible to other road users.

To increase visibility it is recommended that the rider wears reflective clothing particularly if operating the vehicle during hours of darkness or in conditions of poor visibility.

Condition (a) • The motorcycle manufactured before 1st January 1978 is not fitted with one or two stop lamps to the rear but may be used on the road providing the rider uses clearly visible arm signals to indicate intention to stop or reduce speed.

This covers motorcycles manufactured before stop lamps were mandatory in New Zealand.

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Condition (b) • The vehicle was exempted by Gazette Notice by make and model from the requirements in the Traffic Regulations 1976 to have one or two stop lamps to the rear but may be used on the road providing the rider uses clearly visible arm signals to indicate intention to stop or reduce speed.

This covers motorcycles manufactured during the period when stop lamps were still being made mandatory in New Zealand. You may be able to find evidence that your make and model was exempted by notice in the New Zealand Gazette.

8. OTHER

8.1 Any further rules or decisions taken and published by The VCC after the publication of this Vehicle Technical Code must be considered as part of this Code.

Page 1 of 7 10/2015 THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND. The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.) APPLICATION FOR VEHICLE IDENTITY CARD / AUTHENTICITY STATEMENT

Name of Vehicle owner ...... ……………...... …...

Name of Applicant ...... ……………...... …....

Address...... …………...... Postcode...... …...... …………....…………

Telephone No. (H) ...... (W /Cell) ...... ….... Fax No...... E -mail…………...... …...... …………....…

VCC Member No...... …...... … Branch ...... ………………………. Original V IC Number ...... …………………....

I UNDERSTAND THIS APPLIC ATION IS A SELF-DECLARATION & DECLARE ALL INFORMATION TO BE TRUE & CORRECT TO THE BEST OF MY / OUR KNOWLEDGE.

It is recommended that the applicant retain a completed copy of this application form set

MAKE ..……...... DATE OF MANUFACTURE ...... …/...... ……./.....…..…...

CAR No. ……...... CHASSIS / FRAME No...... ……......

TYPE / MODEL / SERIES ....……………………...... ………………...... MILEAGE ......

BODY No. ...…………………...... ………... BODY MANUFACTURE DATE .....……......

COLOUR ...... ………………...... …………. TYPE OF BODY/MAKER ...... …………......

ENGINE No...... …………...... …………. ENG INE MANUFACTURER ...... …...... …..

No. OF CYLINDERS ……...... CAPACITY (IN C.C.s) ...... ………………......

LICENCE PLATE No...... VIN No. (CURRENT) (PLEASE NOTE: THIS VIN NUMBER HAS 17 DIGITS)

LICENCE PLATE No. (IF PREVIOUSLY REGISTERED IN NEW ZEALAND) ...... …......

COUNTRY OF PREVIOUS REGISTRATION IF IMPORTED ...... …...... …..

YEAR THAT RESTORATION / REBUILD WAS COMPLETED ......

RESTORATION COMPLETED BY WHOM ……...... …...... ……......

…………………………………………………………………………………………………………………......

………………………………………………………………………………………………………………………………………………………………………………

PLEASE RETURN COMPLETED FORM SET TO YOUR BRANCH SECRETARY Page 2 of 7

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Please print clearly in BLOCK CAPITALS and use a black pen to mark only one box per line e.g.

HISTORY OF VEHICLE …………………………………………………………………………………………………………...……..… NOTE 1 : Where & when was it obtained? What condition was it in? etc NOTE 2: For Period Specials and newly constructed vehicles, describe the period and date that the vehicle represents.

……………………………………………………………………………………………………………………………………………….………………………………

………………………………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………….………………………………

PREVIOUS OWNERS (IF KNOWN) ...... …………………......

………………………………………………………………………………………………………………………………………………………………………………

1. CHASSIS / FRAME.

MAKE…………………………………..…………………. MODEL ………..……………..………….………………………… YEAR ……………….………..

(a) How is chassis / frame identified & where ...... ………………………......

(b) Is chassis / frame the original one for this vehicle? Yes No

(d) If changed, state changes…………………...... …………………......

……...... ………………………………...... ……………...... 2. FRONT AXLE / SUSPENSION

MAKE……………………………………………………… MODEL…………………………………………………………….. YEAR…………………………..

(a) Is front axle / suspension the original one for this vehicle? Yes No

(b) If not, is front axle / suspension to original specification? Yes No

……...... ………………………………...... ……………......

2. REAR AXLE / SUSPENSION / FINAL DRIVE.

MAKE……………………………………………………… MODEL…………………………………………………………. YEAR…………………………

(a) Is rear axle / ratio / suspension the original one for this vehicle? Yes No

(b) If not, is rear axle / ratio / suspension to original specification? Yes No

……...... ………………………………...... ……………......

4. ENGINE

MAKE ………………………………………………………. MODEL……………………………………………………………. YEAR…………………………

(a) Is the engine the original one for this vehicle? Yes No

(b) If not, is engine to original specification? Yes No

(d) Clutch (cone, multi-plate, single-plate)? ...... ………………………......

(e) Starting equipment (electric, air, no electric starter)? ...... …………......

(f) Engine valve operation: (Side, OHV, OHC, DOHC) etc? ...... …………......

5. IGNITION

(a) Type (magneto, coil etc) ...... …………………………………………......

(b) Is system to original specification? Yes No

……...... ………………………………...... ……………......

6. CARBURETTOR / INJECTION SYSTEM

(a) System: carburettors / injection / other ...... …………………………......

(b) If carburettors: make ...... type / size...... quantity ......

(d) If not, state changes ...... ………………………………………………......

10/2015 Please Print clearly in BLOCK CAPITALS and use a black pen to mark only one box per line e.g.

7. FUEL SYSTEM

(a) Type (gravity, mechanical, electric pump etc) ..…………………………………………………......

(b) Is system to original specification? Yes No

8. GEAR BOX

MAKE……………………………………………………… MODEL………………………………………………… YEAR…………………………..

(a) Type of gearbox & number of gears / overdrive (if fitted) …………...... ……......

(b) Is gearbox the original for this vehicle? Yes No

(d) If not, state changes & date of change ...... …………………......

……...... ………………………………...... ……………...... 9. BRAKING METHOD

(a) Method of operation front / rear (mechanical with cables / rods, hydraulic etc)

(b) Is braking system to original specification? Yes No

……...... ………………………………...... ……………...... 10. STEERING RHD LHD

(a) Is steering to original specification? Yes No

(b) If not, state changes & date of change …………………………………………………………..……………………………………………………..………..

……...... ………………………………...... ……………......

11. WHEELS / TYRES

Size and type (beaded edge, well base etc) …………………………………………………………………………………………………………………………….

(a) Are wheels to original size and specification? Yes No

(b) Are tyres to original size and specification? Yes No

12. BODY

(a) Type (Sidecar (if motorcycle), 2-Seater sports, sedan, coach, tourer, coupe etc. - use maker’s designation) ...... …………………………………....

……...... ………………………………...... ……………......

(b) Present body was made by (factory, coachbuilder, restorer etc) ...... …………………………………………………......

……...... ………………………………...... ……………......

(d) Is the body the original one for this vehicle? Yes No

(e) If not, is body to original specification? Yes No

(f) If not , state changes & date of change .……………………………………………......

……...... ………………………………...... ……………...... 13. INTERIOR

(a) Is the interior (seats / saddle / upholstery) to original specification) Yes No

(b) If not, state changes and date of change …………………………...... ………...... …

……...... ………………………………...... ……………......  The V.C.C. of N.Z. (Inc.) 1997-2013 Page 5 of 7 11/2015 Please print clearly in BLOCK CAPITALS and use a black pen to mark only one box per line e.g.

14. INSTRUMENTS / ACCESSORIES

(a) Are instruments and accessories to original or period specification? Yes No

(b) If not, state changes or additions ...... …………………………………………...... ………....

...... ………………………………………………...... 15. LIGHTING

(a) Lighting system (electric, acetylene or none etc) ...... ……………………………………......

(b) Is lighting system to original specification? Yes No

...... ………………………………………………...... 15a. HEADLAMP or other LAMP ENDORSEMENT (d) I have applied for a lighting endorsement: Condition (a) Condition (b) Condition (c) Other PLEASE NOTE: You must use the separate Lighting Equipment Endorsement Application Form set to apply for this endorsement.

IMPORTANT! All questions must be answered (even if the answer is “unknown”, “none fitted” or “not applicable”) for the application to be considered . It is recommended that the applicant retain a completed copy of this application form set.

Restoration is progressing and is planned for completion within five years N/A YES NO

I require an Authenticity Statement to assist with vehicle compliance & VIN YES NO

HOW DO YOU VIEW YOUR VEHICLE’S CLASSIFICATION? Please use a black pen to mark only one box per line e.g. (For further Information see page 7 of this application form set, or see the VCC Vehicle Identification Manual)

A B C D 3.1 DEFINITION 1 2 3 4 5 6

3.2 PRESERVATION

GROUP VET VV PVV PWV P60V P80V HRV ARV PSG1 PSG2 NEV 3.3 CATEGORIES (PERIOD) SE SW CP TO RO SP RA MC PC CO MT 3.4 STYLE O R U S P N 3.5 STATUS

I UNDERSTAND THIS APPLICATION IS A SELF-DECLARATION & DECLARE ALL INFORMATION TO BE TRUE & CORRECT TO THE BEST OF MY / OUR KNOWLEDGE.

Signed: …………………………………… (Joint Member) Signed: ………….…………………

PRIVACY ACT : The information gathered on this form will be used to compile statistical data for the purposes of maintaining records within the Club’s environs. Subject to screening, some information may be made available at times for the purposes of presenting certain data for the purposes of submissions to authorities such as NZ Transport Agency (formerly Land Transport NZ, previously LTSA), etc.

DECLARATION - I wish to have my vehicle information suppressed Yes No Suppression is of ALL information, which means your name etc will NOT appear on any membership lists. All information used for administration purposed.

This application form will be kept and stored with the National Archives of The Vintage Car Club of New Zealand (Inc.) complete with (1) supplied Photo. The VCC of N.Z (Inc.) National Office will retain (1) Photo. The third supplied Photo will form part of the Vehicle I.D. card that is issued to the applicant.  The V.C.C. of N.Z. (Inc.) 1997-2013 IMPORTANT PLEASE READ PAGE 6 & 7 Page 6 of 7 11/2015 Please print clearly in BLOCK CAPITALS and use a black pen to mark only one box per line e.g.

PLEASE ATTACH A COPY OF ANY OTHER DOCUMENTS THAT ARE AVAILABLE TO SUPPORT THIS APPLICATION, TO THE BACK PAGE. E.g.

NZ Certificate of Registration. (Ownership Papers), Factory Build Sheets, Sales Brochures, Book or Magazine articles, British Motor Heritage Trust. Production Record Trace Certificate. Factory serial number lists and dates. Letters from one Marque Clubs, any Authentic Documents to assist with dating.

This application MUST be accompanied by 3 IDENTICAL PRINTS of a (R3, 3R, 9cm x 13cm) colour photograph of the vehicle in its present form. If a Car or a Commercial vehicle the photograph should show a three-quarter front view of the complete vehicle. If a Motorcycle, a side view from either side. (One side only) 3______(This Section to be completed by the local VCC Branch) We the ………………………………………………. Branch have inspected the details provided by the applicant, and made appropriate inspections, and to the best of our knowledge consider the details declared. (According to the VCC Technical Code, Section 3) as below: (For further Information see page 7 of this application form set, or see the VCC Vehicle Identification Manual)

A B C D 3.1 DEFINITION 1 2 3 4 5 6 3.2 PRESERVATION GROUP VET VV PVV PWV P60V P80V HRV ARV PSG1 PSG2 NEV 3.3 CATEGORIES

(PERIOD) SE SW CP TO RO SP RA MC PC CO MT

3.4 STYLE O R U S P N 3.5 STATUS

Is the above-described vehicle modified? If yes LVVTA # ______Yes No Only modifications that affect a required safety standard need to be considered when answering the above

An Authenticity Statement is required to assist with vehicle compliance & VIN Yes No

Signed: ……………………………………………………. Date: ……../……../……..

Signatory Name (Print): …..………………………………Phone: ………………………….……..……..

Status of Signatory: …………………………………………………………………………………………

Signatories Comments:……………………………………………………………………………………… ______(This Section to be completed by the National Office) VCC ID Number ______LVVTA Y / N Statutory Declaration Form Y / N LVVTA #______Authenticity Statement (DOMAS) Y / N #______NZ Transport Agency Headlamp Endorsement Y / N #______NZ Transport Other # ______Privacy Act Information Held Y / N Date Entered ____/____/ 20______Data Entered by National Office ______PRINT SIGN Registrar ____/____/ 20_____ APPROVED / DECLINED______ The V.C.C. of N.Z. (Inc.) 1997-2013 SIGN Page 7 of 7

12/2015 3. VEHICLE CLASSIFICATION 3.1 VEHICLE DEFINITIONS

Type A : Standard Production Vehicles: Vehicles to standard specification as delivered by a recognised production manufacturer. Factory approved modifications and period accessories are acceptable. Type B: Modified Production Vehicles: Vehicles which have been modified from standard production specification, for a special purpose, to represent a specific period and facet of motoring history. Refer to the VCC Code for Period Specials Type C: Reproduction: A new vehicle, built out of period, with or without period parts, imitating a specific design of a period. Also, Authentic Reproduction Vehicles (ARV) where all components are of new manufacture. Refer to the VCC Code for Period Specials Type D: Non Eligible Vehicles (NEV): Vehicles constructed or modified outside the limits of the VCC vehicle categories section 3.3 A to I. as listed below.

3.2 VEHICLE PRESERVATION GROUPS

Group 1: Original with little use: Vehicles as originally produced with little deterioration. Only items of replacement would be wearing parts e.g. Tyres, spark plugs, battery. As a guideline, recorded mileage would be under 20.000 miles (32.000kms) Group 2: Original: a) For vehicles ‘TYPE A’ above: This preservation group is for un restored vehicles which are still in as produced condition with normal age related deterioration. Wearing parts may be replaced. b) For vehicles ‘TYPE B’ above: Use this preservation group for unrestored vehicles which have non standard mechanical modifications. Group 3: Restored: a) For vehicles ‘TYPE A’ above: This preservation group is for vehicles which have been restored as near as possible to original factory specification. b) For vehicles ‘TYPE B’ above. Use this preservation group for restored vehicles which have non standard mechanical modifications. Group 4: Built up from parts: Parts from one or more vehicles of the same model, assembled into a vehicle as close as possible to a production model. For ‘Vehicle Definitions as above in 3.1’ . Use ‘TYPE A’ where no mechanical changes were required. Use ‘TYPE B’ where modifications and changes to standard mechanical components have been made. Also if a new body has been built. Use ‘TYPE C’ where a new chassis has been manufactured and some original period parts have been used in the building of the vehicle. Group 5: Constructed: Parts from one or more vehicles assembled into a vehicle representative of one period within the age limits of the VCC. Construction methods and design should be as close as possible to the period that the vehicle purports to represent. Such vehicles must comply with the VCC Code for Period Specials. For ‘Vehicle Definitions as above in 3.1” use ‘TYPE B’ where the chassis is from an original production vehicle . Use ‘TYPE C’ when a new chassis has be manufactured. Group 6: Non Eligible Vehicles (NEV): Vehicles which have come from an original production source which have been modified with modern mechanical components and designs which are outside the age limit groupings of the VCC.

3.3 VEHICLE CATEGORIES

A. Motor Vehicles constructed prior to December 31 st 1918. Such vehicles to be known as Veteran Vehicles (VET) B. Motor Vehicles constructed between January 1 st 1919 and December 31 st 1931. Such vehicles to be known as Vintage Vehicles (VV) C. Motor Vehicles constructed between January 1 st 1932 and December 31 st 1945. Such vehicles to be known as Post Vintage Vehicles. (PVV) D. Motor Vehicles constructed between 1 st January 1946 and December 31 st 1960. Such vehicles to be known as Post War Vehicles. (PWV) E. Motor Vehicles constructed between 1 st January 1961 and 31 st December 1980. Such vehicles to be known as Post 60 Vehicles. (P60V) F. Motor Vehicles constructed after 1 st January 1981. Provided that no vehicle is accepted for this class until January 1 st of the year that is thirty years after its original year of construction. Such vehicles to be known as Post 80 Vehicles (P80V) G. Historic Racing Vehicles , which are at least in their thirtieth year since their year of original construction. (See Constitution, objects II, 1h). Plus Factory built racing cars no longer in production. ( HRV ) H. Period Specials: Group 1 (PS1 ) For vehicles which have been modified or built using period production components , especially a chassis originating from a production source , The vehicle must represent a particular period and facet of motoring history.(Vehicle definition and preservation groups include B2,B3,B4,B5.) Group 2 (PS2) For vehicles which have been built using some period production components to represent an exact copy of a period production vehicle or period style of vehicle where a new chassis has been made. (Vehicle definition and preservation groups C4, C5.) The above vehicles must comply with the VCC Code for Period Specials. I. Authentic Reproduction vehicles (ARV): Vehicles constructed to the exact specifications of an original factory production model where everything has been newly made. These vehicles must comply with the VCC Code for Period Specials for vehicle definition and preservation group C1.

3.4 VEHICLE CATEGORY FOR NON VCC ELIGIBLE VEHICLE A. Motor Vehicles constructed or modified outside the limits of The Vintage Car Club of New Zealand (Inc.) Vehicle Categories, 3.3 A - H. These vehicles may be Modified Production Vehicles with Modern Mechanicals. Such vehicles to be known as ( NEV )

3.5 VEHICLE STYLE SE Sedan / Saloon SW Station Wagon CP Coupe TO Tourer RO Roadster SP Sports, Sports / Racing RA Racing Car MC Motor Cycle PC Power Cycle / Moped CO Commercial Vehicle MT Military Vehicle

3.6 VEHICLE STATUS O Original, Roadworthy and Licensed R Restored, Roadworthy and Licensed U Under Restoration S In Storage (Includes Roadworthy vehicles not currently Licenced) P Incomplete N New (Authentic Reproduction Vehicles (ARV))

 The V.C.C. of N.Z. (Inc.) 1997-2015 PAGE 1 of 6 APPENDIX A1 07/2010 THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND. The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.) APPLICATION FOR VEHICLE IDENTITY CARD / AUTHENTICITY STATEMENT

FOR NON MEMBERS

Name of Vehicle owner...... ……………...... …...

Name of Applicant...... ……………...... …....

Address...... …………...... Postcode...... …...... …………....…………

Telephone No. (H) ...... (W/Cell) ...... ….... Fax No...... E-mail…………...... …...... …………....…

Original Vehicle ID Card Number if known ...... …………………....

I UNDERSTAND THIS APPLICATION IS A SELF-DECLARATION & DECLARE ALL INFORMATION TO BE TRUE & CORRECT TO THE BEST OF MY / OUR KNOWLEDGE.

MAKE ...... DATE OF MANUFACTURE ...... …/...... ……./.....…..…...

CAR No...... CHASSIS / FRAME No......

TYPE / MODEL / SERIES ....……………………...... ………………...... MILEAGE ......

BODY No. ...……...... ………... BODY MANUFACTURE DATE ......

COLOUR ...... …………. TYPE OF BODY / MAKER ......

ENGINE No...... …………. ENGINE MANUFACTURER ...... …..

No. OF CYLINDERS ...... CAPACITY (IN C.C.s) ......

LICENCE PLATE No...... VIN No. (CURRENT) (PLEASE NOTE: THIS VIN NUMBER HAS 17 DIGITS)

LICENCE PLATE No. (IF PREVIOUSLY REGISTERED IN NEW ZEALAND) ......

COUNTRY OF PREVIOUS REGISTRATION IF IMPORTED ...... …..

YEAR THAT RESTORATION / REBUILD WAS COMPLETED ......

RESTORATION COMPLETED BY WHOM ...... ……......

• BRIEF HISTORY OF VEHICLE – PLEASE PROVIDE A SEPARATE PAGE • PREVIOUS OWNERS (IF KNOWN) – PLEASE PROVIDE A SEPARATE PAGE  The V.C.C. of N.Z. (Inc.) 1997- 2010 IF MORE SPACE IS NEEDED PLEASE USE SEPARATE SHEET AND ATTACH TO THE BACK OF THIS FORM. Please cut for applicant RECEIPT OF PAYMENT We the ______Branch of the Vintage Car Club of New Zealand (Inc.) acknowledge the receipt of $100.00 inclusive of GST for a Vehicle Identity Card from: (The branch may charge an additional fee for travel if the vehicle owner is unable to bring their vehicle to the branch signatory – this is to be arranged between the two parties) MR/MRS/MS ______VEHICLE ______

ADDRESS ______DATE ______

______SIGNED ______STATUS OF VCC SIGNATORY ______

PLEASE RETURN COMPLETED FORM SET TO YOUR LOCAL BRANCH

PAGE 1 APPENDIX A2 10/2013

THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND. The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.) APPLICATION FOR HISTORIC MOTOR VEHICLE DATE OF MANUFACTURE & AUTHENTICITY STATEMENT

FOR OVERSEAS MEMBERS WHO BRING A VEHICLE FROM OVERSEAS & ENTER A NATIONAL / INTERNATIONAL RALLY / SPEED EVENT

Name of Vehicle owner...... ……………...... …...

Name of Applicant...... ……………...... …....

Address...... …………...... Postcode...... …...... …………....…………

Telephone No. (H) ...... (W/Cell) ...... ….... Fax No...... E-mail…………...... …...... …………....…

Original Vehicle ID Card Number if known ...... ………………….... I UNDERSTAND THIS APPLICATION IS A SELF-DECLARATION & DECLARE ALL INFORMATION TO BE TRUE & CORRECT TO THE BEST OF MY / OUR KNOWLEDGE.

Signed: ______It is recommended that the applicant retain a completed copy of this application form set

MAKE ..……...... DATE OF MANUFACTURE ...... …/...... ……./.....…..…...

CAR No. ……...... CHASSIS / FRAME No...... ……......

TYPE / MODEL / SERIES ....……………………...... ………………...... MILEAGE ......

BODY No. ...…………………...... ………... BODY MANUFACTURE DATE .....……......

COLOUR ...... ………………...... …………. TYPE OF BODY/MAKER ...... …………......

ENGINE No...... …………...... …………. ENGINE MANUFACTURER ...... …...... …..

No. OF CYLINDERS ……...... CAPACITY (IN C.C.s) ...... ………………......

LICENCE PLATE No...... VIN No. (CURRENT) (PLEASE NOTE: THIS VIN NUMBER HAS 17 DIGITS) LICENCE PLATE No. (IF PREVIOUSLY REGISTERED IN NEW ZEALAND) ...... …......

COUNTRY OF PREVIOUS REGISTRATION IF IMPORTED ...... …...... …..

YEAR THAT RESTORATION / REBUILD WAS COMPLETED ......

RESTORATION COMPLETED BY WHOM ……...... …...... ……...... BRIEF HISTORY OF VEHICLE – PLEASE PROVIDE A SEPARATE PAGE PREVIOUS OWNERS (IF KNOWN) – PLEASE PROVIDE A SEPARATE PAGE  The V.C.C. of N.Z. (Inc.) 1997- 2009 IF MORE SPACE IS NEEDED PLEASE USE SEPARATE SHEET AND ATTACH TO THE BACK OF THIS FORM. VCC BRANCH APPROVAL

BRANCH: ______of the Vintage Car Club of New Zealand (Inc.) DATE ______SIGNED ______STATUS OF VCC SIGNATORY ______

PLEASE RETURN THIS COMPLETED FORM & SUPPORTING DOCUMENTS TO THE HOSTING BRANCH PAGE 1 APPENDIX A3 10/2013

THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND. The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.) APPLICATION FOR HISTORIC MOTOR VEHICLE DATE OF MANUFACTURE & AUTHENTICITY STATEMENT

FOR OVERSEAS NON MEMBERS ENTERING A NATIONAL OR INTERNATIONAL RALLY Name of Vehicle owner...... ……………...... …...

Name of Applicant...... ……………...... …....

Address...... …………...... Postcode...... …...... …………....…………

Telephone No. (H) ...... (W/Cell) ...... ….... Fax No...... E-mail…………...... …...... …………....…

Signed: ______It is recommended that the applicant retain a completed copy of this application form set

MAKE ..……...... DATE OF MANUFACTURE ...... …/...... ……./.....…..…...

CAR No. ……...... CHASSIS / FRAME No...... ……......

TYPE / MODEL / SERIES ....……………………...... ………………...... MILEAGE ......

BODY No. ...…………………...... ………... BODY MANUFACTURE DATE .....……......

COLOUR ...... ………………...... …………. TYPE OF BODY/MAKER ...... …………......

ENGINE No...... …………...... …………. ENGINE MANUFACTURER ...... …...... …..

No. OF CYLINDERS ……...... CAPACITY (IN C.C.s) ...... ………………......

LICENCE PLATE No...... VIN No.

NAME OF YOUR MOTORING CLUB THAT VERIFIED THIS VEHICLE ...... ………......

DOCUMENTS ATTACHED ….………………………………….…………...... ……......

YEAR THAT RESTORATION / REBUILD WAS COMPLETED ......

RESTORATION COMPLETED BY WHOM ...... ……...... ……...... • BRIEF HISTORY OF VEHICLE – PLEASE PROVIDE A SEPARATE PAGE • PREVIOUS OWNERS (IF KNOWN) – PLEASE PROVIDE A SEPARATE PAGE  The V.C.C. of N.Z. (Inc.) 1997- 2009 IF MORE SPACE IS NEEDED PLEASE USE SEPARATE SHEET AND ATTACH TO THE BACK OF THIS FORM. Please cut for applicant RECEIPT OF PAYMENT

We the ______Branch of the Vintage Car Club of New Zealand (Inc.) acknowledge the receipt of $NZ35.00 for a Historic Motor Vehicle Date of Manufacture & Authenticity Statement from: MR/MRS/MS ______VEHICLE ______ADDRESS ______DATE ______SIGNED ______STATUS OF VCC SIGNATORY ______

PLEASE RETURN COMPLETED FORM SET TO THE HOSTING BRANCH PAGE 1 APPENDIX A4 11/2015 THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND. The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.) APPLICATION FOR A REPLACEMENT VEHICLE IDENTITY CARD

CHANGE OF OWNERSHIP (NON VCC MEMBERS - $100.00 CHARGE)

Name of Vehicle owner...... ……………...... …...

Name of Applicant...... ……………...... …....

Address...... …………...... Postcode...... …...... …………....…………

Telephone No. (H) ...... (W/Cell) ...... ….... Fax No...... E-mail…………...... …...... …………....…

VCC Member No...... …...... … Branch ...... ………………………. Original VIC Number...... …………………....

I UNDERSTAND THIS APPLICATION IS A SELF-DECLARATION & DECLARE ALL INFORMATION TO BE TRUE & CORRECT TO THE BEST OF MY / OUR KNOWLEDGE. It is recommended that the applicant retain a completed copy of this application form set

MAKE ..……...... DATE OF MANUFACTURE ...... …/...... ……./.....…..…...

CAR No. ……...... CHASSIS / FRAME No...... ……......

TYPE / MODEL / SERIES ....……………………...... ………………...... MILEAGE ......

BODY No. ...…………………...... ………... BODY MANUFACTURE DATE .....……......

COLOUR ...... ………………...... …………. TYPE OF BODY/MAKER ...... …………......

ENGINE No...... …………...... …………. ENGINE MANUFACTURER ...... …...... …..

No. OF CYLINDERS ……...... CAPACITY (IN C.C.s) ...... ………………......

LICENCE PLATE No...... VIN No. (CURRENT) (PLEASE NOTE: THIS VIN NUMBER HAS 17 DIGITS)

NAME OF PREVIOUS OWNER ………...……………………...... ……......

BRIEF HISTORY OF VEHICLE – PLEASE PROVIDE A SEPARATE PAGE Has this vehicle been restored or altered since the previous VIC was issued? If so, please provide relevant data. This Application must be accompanied by 3 identical prints of a (R3, 3R, 9cm x 13cm) colour photograph of the vehicle in its present form (if the old ID Card is not enclosed or the picture does not depict the vehicle correctly any longer). If a car or a commercial vehicle the photograph should show a three-quarter front view of the complete vehicle. If a Motorcycle, a side view from either side. (One side only)

THE ORIGINAL VEHICLE IDENTITY CARD ISSUED TO THE PREVIOUS OWNER MUST ACCOMPANY THIS FORM

VEHICLE IDENTITY CARD RETURNED ? Yes No IF NO, PLEASE MAKE SURE YOU SUPPLY NEW PHOTOS AS INSTRUCTED ABOVE.

PRIVACY ACT: The information gathered on this form will be used to compile statistical data for the purposes of maintaining records within the Club’s environs. Subject to screening, some information may be made available at times for the purposes of presenting certain data for the purposes of submissions to authorities such as NZ Transport Agency (formerly Land Transport NZ, previously LTSA), etc.

DECLARATION - I wish to have my vehicle information suppressed Yes No (The system can not accommodate partial suppression)

Signed: …………………………………… (Joint Member) Signed: ………….…………………  The V.C.C. of N.Z. (Inc.) 1997-2009 Please return this form and VCC ID Card/New Photos, direct to the VCC National Office, PO Box 2546, Christchurch 8140

PAGE 1 APPENDIX A5 12/2015

HISTORIC MOTOR VEHICLE APPLICATION FOR VEHICLE IDENTITY CARD RENEWAL If change of ownership to a non member - Fee is $100.00. If a renewal is for an existing non member - Fee is $50.00

JOE BLOGS ABERDEEN STREET MAIREHAU CHRISTCHURCH

Please advise any alteration to owners name and address

VCC Members No. Branch

Telephone No: (H) (W/Cell) Fax E-mail Please advise of any changes

MAKE Date of Manufacture

CAR NO Chassis/Frame No.

TYPE/MODEL/SERIES Current Mileage

BODY No. Body Manufacture Date

COLOUR Type of Body/Maker New Colour

ENGINE No. Engine Manufacturer New Eng Number If your Engine is not the original for this vehicle, it is important that you advise us of the follow: DATE , MAKE & MODEL OF REPLACEMENT ENGINE:

DATE WHEN THE REPLACEMENT TOOK PLACE:

No. OF CYLINDERS Advise Change? Capacity (in cc's) Advise Change?

REGISTRATION No. VIN No.

3.1 DEFINITION In Accordance with Technical Code 3.1 VIC No.

3.2 PRESERVATION GROUP In Accordance with Technical Code 3.2 Light Endorsement No.

3.3 CATEGORIES (PERIOD) In Accordance with Technical Code 3.3 VIC Due to Expire

Has your vehicle undergone any alterations, restoration, modifications, since the ID Card was issued 10 years ago? Please advise us of the full details, on the reverse of this form.

This application MUST be accompanied by 2 IDENTICAL colour photographs of the vehicle (R3, 3R, 9cm x 13cm) in its present form (UNLESS you are returning your expired ID Card and the appearance of the vehicle in that photo is unchanged). If a car or a commercial vehicle the photograph should show a three-quarter front view of the complete vehicle. If a motorcycle, a side view from either side. (One side only)

I UNDERSTAND THIS APPLICATION IS A SELF-DECLARATION & DECLARE ALL INFORMATION TO BE TRUE & CORRECT TO THE BEST OF MY / OUR KNOWLEDGE.

Signed ...... Date...... /...... /......

The information recorded on this Application for a Renewal of a Vehicle Identity Card is based on declared information provided by the applicant/owner at the time of the original application for a Vehicle Identity Card 10 years ago.

Any changes to any of the vehicle specification, its identifying numbers and the applicants details must be entered in the boxes provided to the right or the boxes provided underneath of the information recorded on this form. PLEASE RETURN COMPLETED FORM, PHOTO'S AND VEHICLE ID CARD (DUE TO EXPIRE) TO YOUR BRANCH SECRETARY Branch & Certifier: …………………………………………………………………………………………………….. …….. Date: ……../ ………../ ……

Signed by National Office: …………………………………………………………………………………………….. Date Processed: ……../ ………../ …… AUTHORISED BY The VINTAGE CAR CLUB of NEW ZEALAND (Inc.) NATIONAL REGISTRAR R. L. Brayshaw.  The V.C.C. of N.Z. (Inc.) 2015 PAGE 1 APPENDIX A6 10/2013

THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND. The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.) APPLICATION FOR A REPLACEMENT VEHICLE IDENTITY CARD

APPLICATION FOR LIGHTING EQUIPMENT ENDORSEMENT (HEADLAMPS)

Name of Vehicle owner...... ……………...... …...

Name of Applicant...... ……………...... …....

Address...... …………...... Postcode...... …...... …………....…………

Telephone No. (H) ...... (W/Cell) ...... ….... Fax No...... E-mail…………...... …...... …………....…

VCC Member No...... …...... … Branch ...... ………………………. Original VIC Number...... …………………....

I UNDERSTAND THIS APPLICATION IS A SELF-DECLARATION & DECLARE ALL INFORMATION TO BE TRUE & CORRECT TO THE BEST OF MY / OUR KNOWLEDGE.

It is recommended that the applicant retain a completed copy of this application form set

MAKE ...... DATE OF MANUFACTURE ...... …/...... ……./.....…..…...

CAR No...... CHASSIS / FRAME No......

TYPE / MODEL / SERIES ....……………………...... ………………...... MILEAGE ......

BODY No. ...……...... ………... BODY MANUFACTURE DATE ......

COLOUR ...... …………. TYPE OF BODY / MAKER ......

ENGINE No...... …………. ENGINE MANUFACTURER ...... …..

No. OF CYLINDERS ...... CAPACITY (IN C.C.s) ......

LICENCE PLATE No...... VIN No. (CURRENT) (PLEASE NOTE: THIS VIN NUMBER HAS 17 DIGITS)

HEADLAMP TYPE...... OTHER LAMP TYPE...... …………...... ……......

BRIEF HISTORY OF VEHICLE – PLEASE PROVIDE A SEPARATE PAGE

This Application may be accompanied by 3 identical prints of a (R3, 3R, 9cm x 13cm) colour photograph of the vehicle in its present form. If a car or a commercial vehicle the photograph should show a three-quarter front view of the complete vehicle. If a Motorcycle, a side view from either side. (One side only)

THE ORIGINAL VEHICLE IDENTITY CARD ISSUED TO THE PREVIOUS OWNER MUST ACCOMPANY THIS FORM Please advise the reason if the original card is not supplied. …………………………………………..

VEHICLE IDENTITY CARD RETURNED ? Yes No

PRIVACY ACT: The information gathered on this form will be used to compile statistical data for the purposes of maintaining records within the Club’s environs. Subject to screening, some information may be made available at times for the purposes of presenting certain data for the purposes of submissions to authorities such as NZ Transport Agency (formerly Land Transport NZ, previously LTSA), etc.

DECLARATION - I wish to have my vehicle information suppressed Yes No (The system can not accommodate partial suppression)

Signed: …………………………………… (Joint Member) Signed: ………….…………………  The V.C.C. of N.Z. (Inc.) 1997-2009

PAGE 2 APPENDIX A6 10/2013 1. CHASSIS / FRAME.

(a) How is chassis / frame /body identified & where ...... ………………………......

(b) Is chassis / frame the original one for this vehicle? Yes No

(d) If changed, state changes & date of change ...... …………………......

……...... ………………………………...... ……………...... 2. LIGHTING

(a) Lighting system (electric, acetylene or none etc) ...... ……………………………………......

(b) Is lighting system to original specification? Yes No

...... ………………………………………………...... (d) I wish to apply for a Lighting Equipment endorsement: Condition (a) Condition (b) Condition (c) Other

Condition (a) The vehicle is not fitted with headlamps and therefore must not be operated on the road during hours of darkness or in conditions of poor visibility. This endorsement covers vehicle that were originally manufactured without headlamps.

Condition (b) The vehicle is fitted with headlamps that have a limited performance and therefore the vehicle may only be operated on the road during hours of darkness, or in conditions of poor visibility, provided that the dipped beam(s) of the headlamp(s) is/are able to illuminate the road and substantial objects on it at a distance of at least 30m ahead and the vehicle is operated at a speed of less than 30km/h. This endorsement covers vehicles manufactured with headlamps that aren’t bright enough to meet the requirements in the Vehicle Inspection Requirements Manual . Vehicles with a NZ Transport Agency LIGHTING EQUIPMENT ENDORSEMENT (HEADLAMPS) condition (b) are not restricted from use during the day in good visibility conditions.

Condition (c) The vehicle may have headlamps that are of a non-standard configuration because it was originally manufactured with that specific equipment. This endorsement covers veteran vehicles manufactured with headlamps or headlamp configurations that aren’t standard today (e.g. a centrally mounted high-beam headlamp). Vehicle inspectors will be required to check that the headlamps dip at the correct rate. Centrally mounted high-beam headlamps must either dip or extinguish when low beam is required.

A Current Lighting Equipment Endorsement will allow the vehicle to be driven so long as it has a valid and current Vehicle Identity Card with the correct Lighting Equipment endorsement displayed. It is a requirement that the Vehicle Identity Card with the Lighting Equipment endorsement be kept with the vehicle at all times when it’s driven on the road. The operator of the vehicle must meet the conditions specified on the Lighting Equipment endorsement, which can be enforced by the Police. One or more of the three Lighting Equipment endorsement conditions (a), (b) or (c) may apply to a particular vehicle. ------We the ………………………………………………. Branch have inspected the details provided by the applicant, And have made appropriate inspections, and to the best of our knowledge consider the details declared as correct.

Signed: …………………………… Status of Signatory ……………………………..…… Date: ……/……./…….  The V.C.C. of N.Z. (Inc.) 1997-2009 ------(This Section to be completed by the National Office) VCC ID Number ______NZ Transport Agency Lighting Equipment Endorsement Y / N #______Privacy Act Information Held Y / N Data Entered by National Office ______Print Sign Date Entered ______Date approved/declined by Registrar ______Print Sign

Approved Y / N PAGE 1 Appendix A.6a 10 /20 13 The VINTAGE CA R CLUB OF NEW ZEALAND (Inc.)

APPLICATION FOR LIGHTING EQUIPMENT ENDORSEMENT (MOTORCYCLES).

Name of Vehicle owner ...... ……………...... …...

Name of Applicant ...... ……………...... …....

Address...... …………...... Postcode...... …...... …………....…………

Telephone No. (H) ...... (W/Cell) ...... ….... Fax No...... E-mail …………...... …...... …………....…

VCC Member No...... …...... … Branch ...... ………………………. Original VIC Number ...... …………………....

I UNDERSTAND THIS APPLICATION IS A SELF-DECLARATION & DECLARE ALL INFORMATION TO BE TRUE & CORRECT TO THE BEST OF MY / OUR KNOWLEDGE.

It is recommended that the applicant retain a completed copy of this application set.

MAKE ...... DATE OF MANUFACTURE ...... …/...... ……./.....…......

CAR No...... CHASSIS / FRAME No......

TYPE / MODEL / SERIES ....……………………...... ………………...... MILEAGE ......

BODY No...... BODY MANUFACTURE DATE ......

COLOUR ...... TYPE OF BODY / MAKER ......

ENGINE No...... ENGINE MANUFACTURER ......

LICENCE PLATE No...... VIN No. (CURRENT) (PLEASE NOTE: THIS VIN NUMBER HAS 17 DIGITS)

...... …...... HEADLAMP TYPE. MOTORCYCLE LAMP TYPE. This Application MUST be accompanied by 3 identical prints of a (R3, 3R, 9cm x 13cm) colour photograph of the vehicle

in its present form. If a Car or a Commercial Vehicle the Photograph should show a three quarter front view of

the complete vehicle. If a Motorcycle, a side view from either side. (one side only)

THE ORIGINAL VEHICLE IDENTITY CARD IF ISSUED MUST ACCOMPANY THIS FORM SET . YES NO VEHICLE IDENTITY CARD RETURNED?

Please advise the reason if the original card is not supplied. ………………………………………………………………………………………. PRIVACY ACT: The information gathered on this form will be used to compile statistical data for the purposes of maintaining records within the Club’s environs. Subject to screening, some information may be made available at times for the purposes of presenting certain data for the purposes of submissions to authorities such as the New Zealand Transport Agency, etc. YES NO DECLARATION: I wish to have my vehicles information suppressed (The system cannot accommodate partial suppression.) Signed: ………………………………………………………. . (Joint Member) Signed: ………………………………………………..

 The V.C.C. of N.Z. (Inc.) 2003 -200 9

PLEASE RETURN COMPLETED FORM SET (2 PAGES) TO THE NEAREST BRANCH 15/02/16 PAGE 2 Appendix A.6a 10 /20 13 Please use a black pen to mark only one box per line eg

1. CHASSIS / FRAME / BODY.

(a) How is chassis / frame / body identified & where ......

(b) Is chassis / frame the original one for this vehicle? yes no

......

2. LIGHTING.

(a) Lighting system (electric, acetylene or none etc) ......

(b) Is lighting system to original specification? yes no (c) If not, state changes & Date ......

......

(d) I wish to apply for Motorcycle Endorsement: - Direction Indicators Condition (a) (b Stop Lamps Condition (a) (b)

Section 2: Conditions for Lighting Endorsement (Direction indicators)

Condition (a) The motorcycle manufactured before 1st January 1978 is not fitted with Direction Indicators to the front and to the rear but may be used on the road providing the rider uses clearly visible arm signals to indicate intention to turn. This covers motorcycles manufactured before direction indicators were mandatory in New Zealand. It is recommended that if operated during hours of darkness or in conditions of poor visibility the rider is wearing reflective clothing.

Condition (b) The motorcycle was exempted by Gazette Notice by make and model from the requirements in the Traffic Regulations 1976 to have Direction Indicators, but may be used on the road providing the rider uses clearly visible arm signals to indicate intention to turn. This covers motorcycles manufactured during the period when direction indicators were still being made mandatory in New Zealand. You may be able to find evidence that your make and model was exempted by notice in the New Zealand Gazette. Section 3: Conditions for Lighting Endorsement (Stop Lamps)

Condition (a) The motorcycle manufactured before 1st January 1978 is not fitted with one or two stop lamps to the rear but may be used on the road providing the rider uses clearly visible arm signals to indicate intention to stop or reduce speed. This covers motorcycles manufactured before stop lamps were mandatory in New Zealand. It is recommended that if operated during hours of darkness or in conditions of poor visibility the rider is wearing reflective clothing.

Condition (b) The vehicle was exempted by Gazette Notice by make and model from the requirements in the Traffic Regulations 1976 to have one or two stop lamps to the rear but may be used on the road providing the rider uses clearly visible arm signals to indicate intention to stop or reduce speed. This covers motorcycles manufactured during the period when stop lamps were still being made mandatory in New Zealand. You may be able to find evidence that your make and model was exempted by notice in the New Zealand Gazette. A Current Lighting Equipment Endorsement will allow the vehicle to be driven so long as it has a valid and current Vehicle Identity Card with the correct Lighting Equipment Endorsement displayed. It is a requirement that the current Vehicle Identity Card with the Lighting Equipment Endorsement be kept with the vehicle at all times when it’s driven on the road. The operator of the vehicle must meet the conditions specified on the Lighting Equipment Endorsement, which can be enforced by the Police. One or more of the Endorsement conditions (a), or (b), may apply to a particular vehicle.

We the ………………………………………………. Branch have inspected the details provided by the applicant, And have made appropriate inspections, and to the best of our knowledge consider the details declared as correct.

Signed: …………………………… Status of Signatory: ……………………………..…… Date: ……/……./ 2___

 The V.C.C. of N.Z. (Inc.) 2003 -20 09 (This Section to be completed by National Office) REGISTRAR ... … /…… / 2___ REGISTER NO. APPROVED DATA ENTERED BY………………………… YES NO # Signed: ...... ………... NATIONAL PRIVACY ACT INFORMATION HELD MC OFFICE ... … /…… / 2___ EN

Page 1 APPENDIX B 05/2009 Remarks, modifications, history, etc:

T H E H IS T O R IC V E H IC L E A U T H O R IT Y O F N E W Z E A L A N D T h e V IN T A G E C A R C L U B O F N E W Z E A L A N D (In c.)

VEHICLE IDENTITY CARD

(Appendix B in Accordance wit h V.C.C. Technical Code)

STATUS IDENTIFICATION No. 7

9 DATE ...... 9 1 ) . c n I ( . Z .

This Vehicle Identity Card is based on information provided by the N f o

owner at the time of application, is intended solely for i dentification . C .

and authenticity purposes, and is not to be used for commercial C . V V

purposes or proof of the vehicle's history. It will be the owners e h responsibility to advise of any alterations and modifications to the T SIGNATURE ...... © described vehicle since the date of thi s card. This Vehicle Identity Card V.C.C. REGISTRAR remains the property of The V.C.C. of N.Z.(Inc.) and must be returned upon request. VALIDITY : 10 YEARS, OR CHANGE OF OWNERSHIP

In accordance with New Zeal and Transport Agency requirements when endorsements are approved and described as part of this document, this Vehicle Identity Card must be ke pt with the Vehicle at all times when it is operated on the road.

MAKE YEAR MADE

TYPE / MODEL

. m m CHASSIS No / VEHICLE No r o f

t n e

BODY No. s e r

p n

ENGINE No. MAKE i e l

c i

No. OF CYL/s CAPACITY h e (PHOTO LAMINATED V f AND OVER STAMPED) NAMES OF OWNERA M P L o E h

RESTORATION DATE p a r g o

ADDRESS t o

NAME OF OWNER h P ADDRESS V.I.N. No. REG No. In Accordance VEHICLE CLASSIFICATION with Technical

Code 3.1 & 2 . o

In Accordance D I VEHICLE CATEGORIES with Technical Code 3.3 & 4

ISSUE DATE VCC MEM No PAGE 1 APPENDIX B1 05/2009

HISTORIC MOTOR VEHICLE DATE OF MANUFACTURE & AUTHENTICITY STATEMENT

Name of Vehicle owner ...... ……………...... …...

Address ...... …………...... …....…..

Telephone No. (H) ...... (W) ...... ….... Fax No...... E-mail ...... …...... …………....…

VCC Member No...... ….....… Branch ...... …. STATEMENT No...... …………………....

MAKE ...... DATE OF MANUFACTURE ………………………………...…..…...

CAR No...... CHASSIS / FRAME No......

TYPE / MODEL / SERIES ....……………………...... ………………......

BODY No. ...……...... ………... BODY MANUFACTURE DATE ......

COLOUR ...... …………. TYPE OF BODY / MAKER ......

ENGINE No...... …………. ENGINE MANUFACTURER ...... …..

No. OF CYLINDERS ...... CAPACITY (IN C.C.s) ......

REGISTRATION No...... ……………...... VIN No...... ………………………………...... …………

REGISTRATION No. (IF PREVIOUSLY REGISTERED IN NEW ZEALAND) ......

COUNTRY OF PREVIOUS REGISTRATION IF IMPORTED ...... …..

YEAR THAT RESTORATION / REBUILD WAS COMPLETED ......

RESTORATION COMPLETED BY WHOM ...... ……...... S A M P L E NZ TRANSPORT AGENCY Lighting Equipment Endorsement Approved 3.1 DEFINITION In Accordance with Technical Code 3.1

Signed: ……………………………………. 3.2 PRESERVATION GROUP In Accordance with Technical Code 3.2

Condition ( ) 3.3 CATEGORIES (PERIOD) In Accordance with Technical Code 3.3 Will be displayed on Vehicle Identity Card when issued.

YES NO The above-described vehicle has modifications that affect a required safety standard?

YES NO PROVISIONAL REGISTER NO . PR LOW VOLUME VEHICLE CODE

AUTHORISED BY The VINTAGE CAR CLUB of NEW ZEALAND (Inc.) NATIONAL REGISTRAR R. L. Brayshaw.

Signed: ……………………………………….. Date: ……………../…………../……………….

This Historic Motor Vehicle Date of Manufacture & Authenticity Statement is based on information provided by the owner at the time of application for a Vehicle Identity Card. It is intended solely for identification and authenticity purposes, and is not to be used for commercial purposes or proof of the vehicle’s history.

 The V.C.C. of N.Z. (Inc.) 1999-2009 PAGE 1 APPENDIX B2 09/2015

STATUTORY DECLARATION FOR A MOTOR VEHICLE THAT HAS LIMITED DOCUMENTS AVAILABLE

Name of Vehicle owner

Address

Telephone No. (H) (W) Fax No. E-mail

MAKE DATE OF MANUFACTURE

CAR No. CHASSIS / FRAME No.

TYPE / MODEL / SERIES

BODY No. BODY MANUFACTURE DATE

COLOUR . TYPE OF BODY / MAKER

ENGINE No. ENGINE MANUFACTURER

REGISTRATION No. VIN No.

I, ______of ______(Full Name) (Address) ______(Occupation)

Solemnly and sincerely declare that the information provided by me is true and correct. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957.

Declared at ______this ______day of ______20 __

Before me: (A Justice of the Peace, or a Barrister or Solicitor of the High Court, or a Notary Public, or the Registrar or Deputy Registrar of the High Court or District Court, or Member of Parliament, or Officer of the Crown or other person authorised to take a statutory declaration) ______(Signature of Witness) (Full Name) ______(Address) (Occupation)

If N Z Transport Agency find any discrepancies Registration can be withdrawn.

Documents that must accompany this form if available.

1. Old Registration (Ownership) papers showing ownership trail 2. Old licence plate from motor vehicle 3. Old photographs showing the above described motor vehicle with a licence plate 4. Old licence label & / or WoF label from windscreen 5. Bill of sale, Auction Invoice or receipt for purchase 6. Date of Manufacture & Authenticity Statement from The Vintage Car Club of New Zealand (Inc.) 7. Vehicle of Interest inquiry to New Zealand Police. This form is available from VTNZ Ref (VTTE050 Rev: 2 or later) or from NZ Transport Agency Ref (VIRM: Entry Certification, version 2) Numbers 5. 6. 7. are Mandatory.

 The V.C.C. of N.Z. (Inc.) 2015 APPENDIX B3 08/2009

THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND. The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.)

VCC WINDSCREEN STICKER SAMPLES (prior to June 2009)

VCC WINDSCREEN STICKER SAMPLES (After August 2009)

In June 2009 a decision was made to place the expiration date of the ID card on all windscreen stickers and at the August AGM, to place the Vehicle Classification. Whenever the ID card is renewed, the windscreen sticker will also be renewed. APPENDIX B4 05/2009

THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND. The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.)

LIGHTING EQUIPMENT ENDORSEMENT (HEADLAMPS)

In accordance with 1.4(4) and 13.7(b) of Land Transport Rule: Vehicle Lighting 2004 (the Lighting Rule), this vehicle must be operated only under the following conditions:

This vehicle is not fitted with headlamps and therefore must not be operated on the road during hours of darkness or in conditions of poor visibility.

The valid & current Vehicle Identity Card must be kept with this vehicle at all times when it is operated on the road. Issued by The Vintage Car Club of New Zealand (Inc.) Christchurch. ID # Valid from 15-Feb-16 Position of LTSA Headlamp Endorsement on Vehicle Identity Card, before 27 th February 2005. Condition (a)

LIGHTING EQUIPMENT ENDORSEMENT (HEADLAMPS)

In accordance with 1.4(4) and 13.7(b) of Land Transport Rule: Vehicle Lighting 2004 (the Lighting Rule), this vehicle must be operated only under the following conditions: This vehicle is fitted with headlamps that have a limited performance and therefore the vehicle may only be operated on the road during hours of darkness, or in conditions of poor visibility, provided that the dipped beam(s) of the headlamp(s) is/are able to illuminate the road and substantial objects on it at a distance of at least 30 m ahead and the vehicle is operated at a speed of less than 30 km/hr The valid & current Vehicle Identity Card must be kept with this vehicle at all times when it is operated on the road.

Issued by The Vintage Car Club of New Zealand (Inc.) Christchurch. ID # Valid from 15-Feb-16 Position of Lighting Equipment Endorsement (Headlamps) or (other) on Condition (b) Vehicle Identity Card after the introduction of the Lighting rule, 27 February 2005.

LIGHTING EQUIPMENT ENDORSEMENT (HEADLAMPS)

In accordance with 1.4(4) and 13.7(b) of Land Transport Rule: Vehicle Lighting 2004 (the Lighting Rule), this vehicle must be operated only under the following conditions:

This vehicle may have headlamps that are of a non-standard configuration because it was originally manufactured with that specific equipment.

The valid & current Vehicle Identity Card must be kept with this vehicle at all times when it is operated on the road. Issued by The Vintage Car Club of New Zealand (Inc.) Christchurch. ID # Valid from 15-Feb-16 Position of Lighting Equipment Endorsement (Headlamps) or (other) on Vehicle Identity Card after the Name Condition (c) change to NZ Transport Agency 1 st August 2008

PAGE 1 APPENDIX B5 10/2013

THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND. The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.)

RECEIPT FOR THE WITHDRAWL OF A VEHICLE IDENTITY CARD

Name of Vehicle Owner ………...... …………...

Address...... …………...... Postcode...... …...... …………....…………

Telephone No. (H) ...... (W/Cell) ...... ….... Fax No...... E-mail…………...... …...... …………....…

MAKE ...... DATE OF MANUFACTURE ...... …/...... ……./.....…..…...

CAR No...... CHASSIS / FRAME No......

TYPE / MODEL / SERIES ....……………………...... ………………......

BODY No. ...……...... ………... BODY MANUFACTURE DATE ......

COLOUR ...... …………. TYPE OF BODY / MAKER ......

ENGINE No...... …………. ENGINE MANUFACTURER ...... …..

No. OF CYLINDERS ...... CAPACITY (IN C.C.s) ......

LICENCE PLATE No...... VIN No. (CURRENT) (PLEASE NOTE: THIS VIN NUMBER HAS 17 DIGITS)

REASON FOR THE WITHDRAWAL OF THE VEHICLE IDENTITY CARD: ...... …………...... ………………………

...... …………...... ………………………

We the ______Branch of the Vintage Car Club of New Zealand (Inc.) acknowledge the withdrawal of the Vehicle Identity Card # ……………………… from:

MR/MRS/MS ______VEHICLE ______ADDRESS ______DATE ______SIGNED ______

STATUS OF VCC SIGNATORY ______

 The V.C.C. of N.Z. (Inc.) 1997- 2009 IF MORE SPACE IS NEEDED PLEASE USE SEPARATE SHEET AND ATTACH TO THE BACK OF THIS FORM. Please cut and provide this to the vehicle owner

We the ______Branch of the Vintage Car Club of New Zealand (Inc.) acknowledge the withdrawal of the Vehicle Identity Card # ……………………… from:

MR/MRS/MS ______VEHICLE ______ADDRESS ______DATE ______SIGNED ______STATUS OF VCC SIGNATORY ______

PAGE1 Appendix C 08/2014

THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND. The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.)

INSTRUCTIONS FOR VCC IDENTITY CARD APPLICATION

1 PROCEDURE TO ISSUE VEHICLE ID CARD

1.1 OBTAIN APPLICATION FORM

The Applicant obtains forms from National Office or Branch Committee.

1.2 COMPLETION

The applicant to complete pages 1 – 5, and sign at the bottom of page 5 as a self- declaration. (Approx. 30 minutes)

2 BRANCH VERIFICATION & RESPONSIBILITIES

2.1 The applicant returns completed forms to the Branch Committee for verification. The Branch Committee complete page 6, examines and evaluates the information provided and according to the Vehicle Technical Code P1-9 completes the five areas of classification. Please ensure the Applicant has signed the application.

2.1.1 The appointed Branch Signatories MUST ensure that all sections of the application form are completed fully and copies of important supporting documents i.e. old ownership papers, old photographs, bill of sale, auction invoices, or receipts for purchase MUST accompany the application or it will be returned to the branch.

2.1.2 If questions arise, the Branch Committee can return the Application Form to the Applicant for correction or amendment.

2.2 INSPECTION

In some circumstances a vehicle inspection may be required, either requested by the applicant or requested by the Branch Committee. (The National Registrar must be kept informed when an inspection is imminent.) The aim of an inspection is to confirm, correct, or complete the statements of the applicant by checking the vehicle physically and with the help of any documents to be produced by the applicant.

2.2.1 IMPLEMENTATION OF INSPECTION

The Applicant makes the vehicle available to the Branch committee. The Applicant produces the proof of what is claimed either physically on the vehicle or with the help of appropriate documents whom the applicant is responsible to provide. The National Registrar may if required consult a Marque Club or Specialist Group for further advice. After the forms are completed the applicant/s sign the declaration on page 5.

2.3 The Branch Committee sends the completed verified Application Forms to the National Office. (It is recommended that the Branch Secretary collate completed forms during a calendar month and mail together in one mailing).

3 NATIONAL OFFICE ACTION

3.1 The National Office receives the completed applications & Branch Committee verified application forms.

3.2 National Office enters application into computer and generates a provisional No.( PR ) only.

3.3 Batches of provisionally numbered application forms are sent to the National Registrar or an appointed assistant for final verification and classification check. PAGE2 Appendix C 08/2014

3.4 The National Registrar may request more information from the Branch Committee if queries result. If a dispute arises an inspection (see: 2.2 & 2.2.1) may be required.

3.4.1 The National Registrar decides according to the case: - To issue a VCC VEHICLE ID CARD - To refuse a VCC VEHICLE ID CARD - To postpone issue for further information on the classification and the dating of the vehicle, in accordance with the Technical Code. - To submit the vehicle for adjudication with the Vehicle Technical Committee.

3.4.2 All applications (regardless of any concern of authenticity) are given a provisional number ( PR ) and are retained by the VCC even if a Vehicle ID CARD is not issued . The purposes of retaining this information are:

(a) To have a recorded history of all applications to enable current and future identification of Historic Vehicles.

(b) To ensure the integrity of the registration system.

3.4.3 If the vehicle has been modified it may be directed to a Low Volume Vehicle Certifier. The modified vehicle will need to comply with the VCC of N.Z. (Inc.) Code of Practice, being part of the Low Volume Vehicle Code issue 8, 1 September 2012 or any published amendments since this date.

All modifications must comply with the Vehicle Safety Requirements (VSRs) or the Low Volume Vehicle Standards. The Registrar will notify a VCC of N.Z. (Inc.) official scrutineer/signatory who will examine the vehicle.

3.4.4 Vehicles that have been recently imported, or being registered for the first time will need a “Historic Motor Vehicle Date of Manufacture & Authenticity Statement” (Form VCCR&D 1) to assist with compliancing the motor vehicle. This form is provided by the National Office after a completed application form for a Vehicle ID Card has been accepted by any Branch of the VCC and approved by the National Registrar, along with a “Statutory Declaration for a Motor Vehicle that has Limited Documents available” form. After completion of the compliance examination and the vehicle has received a VIN (Vehicle Identification Number) sticker or a VIN engraved number, a Form MR2A will be issued (Application to Register a Motor Vehicle) the vehicle can be registered, licensed and issued with a Warrant of Fitness.

3.4.5 Vehicles that were previously registered in New Zealand before 1991 and do not have a lapsed licence, provided they meet W.O.F. criteria for structural condition and have not been de-registered as a result of a write-off (when referral to a repair certifier will be required), may (until further notice from NZ Transport Agency (formerly Land Transport NZ and previously LTSA)) be checked against current ISI (Initial Safety Inspection) type procedures, are not required to have a Certification examination.

3.5 The National Registrar authorises removal of the ( PR ) Provisional status.

3.6 National Office computer generates a VCC VEHICLE ID CARD. One supplied photo is laminated to the appropriate page. Both completed pages are embossed stamped.

3.7 Completed VEHICLE ID CARD mailed to the applicant. (This is the one and only original).

3.8 National Office files the original application forms with one of the 3 supplied photos. The 3rd photo is filed in category and numerical order, separately for security, at the National Office.

3.9 When a vehicle is sold overseas, or when a vehicle is wrecked or destroyed, the National Office and the National Registrar must be notified, as the vehicle records must be updated and filed in the Club Database under number 99/15741.

PAGE3 Appendix C 08/2014 4 PRACTICAL ADVICE

4.1 HOW TO FILL IN APPLICATION / QUESTIONNAIRE FORMS

4.1.1 Summary description page 1. This is the essential data that allows us to identify a vehicle. Great importance must be paid to the accuracy of the information. The New Zealand Motor Registration or Licence certificate for the vehicle must be examined as valuable indications are contained therein: Owner, Registration No., Serial No., Body / Frame No., Chassis No. etc.

In some circumstances the data may not be entirely in line with the vehicle. This deserves an explanation: the chassis, the body or frame has been changed, or a saloon is now a drop-head or a competition vehicle. It is best to provide a copy of the Registration Certificate attached to the application.

History: What is required is the early history of the vehicle, possibly its racing history, (not its recent appearance in a VCC sprint meeting). If racing history is quoted it will only be accepted with supporting documents as proof. Wording such as “thought to have participated“ must not be taken into account. In fact the wording “vehicle bought from Mr.... in (Date)” or “coming from the collection.....” is more precise and useful.

4.1.2 DETAILED QUESTIONS

Pages 2 3 4 Each time it is possible please add details, in particular if some details are likely to be out of period, e.g. type of dampers, alternator instead of dynamo, electric fuel pump, radial tyres. etc. Dimensions of wheels and tyres ( No. 11 ) may have been modified by the manufacturer or by the owner in the course of the normal use of the vehicle, for reasons of fashion, technology or simple availability of tyres.

Please sign only the bottom section of page 4 as a self-declaration in the appropriate area.

5 The VINTAGE CAR CLUB of NEW ZEALAND (Inc.) VEHICLE IDENTITY CARD

5.1 The VCC VEHICLE ID CARD will be Valid for 10 Years and must be updated when significant changes or modifications are made to the vehicle, or when the vehicle changes ownership. In this case the former owners name will be recorded on a replacement Vehicle ID Card. The original card must be returned to the National Office of the VCC.

5.2 The VCC VEHICLE ID CARD is intended for identification and authenticity purposes, The VCC will disclaim from any guarantee of the vehicle’s history. It is impossible to always monitor what an owner may change to a vehicle after the Vehicle ID Card issue.

5.3 Vehicles that currently have a VCC Register No. will retain it if the Branch Committee is satisfied it is the same vehicle and it still complies. This original and Historic Register No. will appear on the VCC VEHICLE ID CARD.

5.4 Vehicles under restoration (PR) will be issued with a No. with a suffix added e.g. 1234PR This status will only be removed after the Registrar’s acceptance of the vehicle’s completion and compliance. e.g. 1234

5.5 All Historic Racing Vehicles and Factory-Built Racing Cars that are no longer in production (HRV) MUST have a VCC VEHICLE ID CARD.

5.6 Remarks, modifications, history etc

5.6.1 Remarks such as the year model (if different from that of manufacture), the name of body, or coachbuilder, can be indicated here. The main modifications described in the questionnaire will be summarised here. History Only the main events of the vehicles life will be noted. If this section remains clear draw a horizontal line, joined to a diagonal line, down to the bottom of the section joined with a horizontal line, e.g.

PAGE4 Appendix C 01/2016

Continued….

5.6.2 The NZ Transport Agency (formerly Land Transport NZ and previously LTSA) Lighting Equipment Endorsement sticker will be entrapped in this section under the lamination and embossed stamped.

5.6.3 Clauses from Eligibility 4 & 5 of Section 23B Speed Event Regulations will be recorded here for racing saloons.

6 GUIDELINES FOR VEHICLE CLASSIFICATION

This is the most important aspect for the Branch Committee to understand and distinguish between the vehicle preservation groups (3.2 of The Technical Code)

If difficulties are experienced with the above the National Registrar should be consulted.

PAGE 1 APPENDIX C1.7 01/2016

VCC of NZ (Inc) Vehicle Classifications for Vehicle Identity Cards Page 1) for Vehicle Definitions Type ‘A’ Standard.

Is this vehicle as originally produced Classification: A1 to standard specification as Note: These vehicles are extremely delivered by the manufacturer, rare, with very low mileage and are unaltered with little deterioration? possibly only original manufacturer Completely original including interior YES undelivered vehicles or vehicles, and exterior finish, except for tyres, which have never been used. spark plugs, battery and other Mileage under 20,000 miles (32,000 perishables. kms)

Is the vehicle, as originally produced Classification: A2 to standard specifications, as Note: “Period replacement” means: delivered by the manufacturer, used Paint to original colour, Upholstery but never restored? To original type (leather) to original colour. This specifications with continuous history YES classification is for unrestored and in original deteriorated condition. original vehicles. Parts that normally wear have been Period accessories are acceptable renewed with parts to original including alternative carburettors, specifications. Period replacement ignition, wheels and tyres. of paint work, plating and upholstery is permitted.

Is this vehicle as originally produced Classification: A3 to standard specification as delivered by the manufacturer, with a Note: The main criteria are the known continuous history, wholly or known identity of the complete partly dismantled, reconditioned and YES vehicle before restoration was re assembled. Original commenced. The vehicle must have manufacturers parts or replica parts existed as a complete unit with very used in the rebuild. The interior and little left to the imagination of the exterior finish is as close as possible restorer. This is the main category to that of the period specification. for restored vehicles. Period accessories are acceptable as in A2 above.

Has the vehicle been assembled, or to be assembled from parts from one or more vehicles of the same model and type and assembled into one vehicle as close as possible to the YES makers original specifications. Parts Classification: A4 may have been manufactured or Body panels should be substituted in the process of predominantly from production restoration such as: engine parts, sources. If bodywork is all new, go body and other non-identity carrying to B4. parts (chassis is from original production source). Interior and exterior is as close as possible to period specifications and visually correct.

GO TO CLASSIFCATION B & C

PAGE 2 APPENDIX C1.7 01/2016 VCC of NZ (Inc.) Vehicle Classifications for Vehicle Identity Cards Page 1) for Vehicle Definitions Type ‘B’ Modified.

Is the chassis or monocoque from an Go to Group “C” for reproduction original production source? new chassis or monocoque NO

YES

Is the vehicle an original unrestored Classification: B2 production vehicle which has had non standard mechanical YES This is the basic starting point for all modification. period specials i.e. mechanical changes from standard.

As above but in restored condition Classification: B3 YES

Is the vehicle built up from production mechanical components which have been modified to Classification: B4 replicate a production model? These vehicles with appearance YES Bodywork must match a standard matching a production model are production model. sometimes referred to as a a replica.

Is the vehicle built up from Classification: B5 production mechanical components, sometimes from various different Body work different to a standard makers, into a non standard design YES production model but must be representing a paricular period and representative of a type of vehicle facet of motoring history? which was built in period.

GO TO CLASSIFCATION group ‘C’

NOTES: 1. The above vehicles will be dated by the more modern of the two components, the chassis or the engine. 2. The following questions must also be asked of a period special; Could what is to be built, have happened in the period the vehicle purports to represent? If yes, would it have happened in that period? If the answer to these questions is no, then the vehicle may not be acceptable to the VCC. 3. For road registration, if mechanical components have been modified from standard, NZ Transport Agency certification will be required. 4. For an Authenticity Statement or Vehicle Identity Card to be issued for the above classifications the vehicle requires approval of the VCC Vehicle Technical Committee.

PAGE 3 APPENDIX C1.7 01/2016 VCC of NZ (Inc.) Vehicle Classifications for Vehicle Identity Cards Page 1) for Vehicle Definitions Type ‘C’ Reproduction.

Vehicle has a new chassis or monocoque where no original was available from a factory production source.

YES

Vehicles constructed as a very close copy in all respects to an original Classification: C1 factory production model of a These vehicles designated as recognised design, where all "Authentic Reproduction Vehicles components have been newly made. YES (ARV)"

Vehicle is a very close copy of a vehicle which existed within the dating periods of the VCC. These YES Classification: C4 vehicles are sometimes known as a These vehicles are double dated Replica. Some parts may have using date of original parts and date come from original production of completion of the building of the sources, such as engine, gearbox, vehicle. suspension.

Vehicle has a new chassis, and correct running gear for a VCC period vehicle and the body style correct for the period the vehicle Classification: C5 purposts to represent. Ie everything YES is correct to period but not necessarily a ‘replica’ of a vehicle which existed.

This is the limit of VCC eligibility. Vehicle will have to have been in existance for over 30 years to be VCC acceptable.

NOTES: 1. For road registration vehicles in classification C1, C4 and C5 will require NZ Transport Agency certification, via LVVTA. 2. For an Authenticity Statement or Vehicle Identity Card to be issued for the above classifications, the vehicle requires the approval of the VCC Vehicle Technical Committee . 3. Vehicles that may look correct but use modern or incorrect mechanical components are not acceptable to the VCC.

PAGE 4 APPENDIX C1.7 01/2016

VINTAGE CAR CLUB OF NZ (Inc.) VIC CLASSIFICATIONS EXAMPLES OF VEHICLE DEFINITIONS AND PRESERVATION GROUPS

A1 A production vehicle in absolutely original condition with very little wear and deterioration on any component. Such a vehicle would have had little use and spent much of its life in storage. For this category the maximum mileage must be under 20,000 miles (32,000 kms).

A2 A production vehicle in original used condition , with a continuous history of use. Reconditioning of worn parts and general upkeep is permitted ie re-painting, re-chroming and re-upholstery is permitted. Period accessories are permitted including: Alterative Carburettors, Ignition, wheels and tyres.

A3 A production vehicle as in A2 but having been fully restored to original condition. Period accessories are permitted as in A2.

A4 A production vehicle having been built up, or to be built up, from production components with no modifications. The parts may have come from more than one vehicle. The bodywork panels should be predominantly from original production sources. Examples: 1) Where the original engine has been replaced with another engine from the same make and model. 2) Use this code for kit sets of parts which are to be built into a vehicle. 3) An Austin 7 Chummy built up from original parts where the chassis may have originally been used on a different model.

A5 This classification is not possible

Group B is used for vehicles which were originally from a production source but have been modified. The vehicle chassis, monocoque, or frame, must have originally come from a production source and be identified with an original factory chassis number. These vehicles come under Categories (Period ) PSG1)

B1 This classification is not possible

B2 (Mechanical changes only) A production vehicle in original un restored condition, which has had mechanical changes made such as : different engine, brakes, gearbox, steering , rear axle. Examples: Ford Model A with a ‘B’ Model engine. MG Sports car fitted with a later specification gearbox of different manufacture. Where an overdrive has been fitted when not a factory option. Replicas of ‘GT’ versions of standard production models such as a standard Mini changed to Mini Cooper Specification.

B3 (Mechanical changes only) As above in B2 but having been restored. PAGE 5 APPENDIX C1.7 01/2016 B4 Is for a vehicle which has been built up using modified production components to be a very close copy of a production model. Some parts may have required modification to represent the production parts such as: lowering or adjusting a production chassis length or style. The newly built bodywork must be an close copy of a production model. Examples: Replicas of: Riley Brooklands. Austin 7 Ulster, MG M type.

B5 (Unique period body style) Is for a vehicle which has been built up using modified production components to build up a unique vehicle for a special purpose such as : sports , racing or commercial vehicle. The style of the vehicle must be representative of a period and facet of motoring history. Examples. Traditional NZ home built sport or racing cars. Cars which have been trucked. One off homebuilt bodies.

Group C is used for Vehicles where a new Chassis, Monocoque or Frame has been made where no unit was available from an original production source. These vehicles come under Categories (Period ) PSG2) where some original period mechanical components are used or ARV ( Authentic Reproduction Vehicles) where all components are newly made.

C1 This category is used for Authentic Reproduction Vehicles (ARV) where all components in the vehicle are newly made to represent a very close copy of a previously manufactured vehicle which was at one time made by a production manufacturer. These vehicles must be dated by the year that the construction and assembly of the vehicle is completed.

C2 This classification is not possible

C3 This classification is not possible

C4 This category is used for vehicles where a new very close copy has been made of a production model vehicle. Some parts may have come from original production sources such as engine, gearbox and suspension. These vehicles are double dated using the date of the original production parts used and the date that the building of the vehicle is completed . Note that if a vehicle has a fibre glass body where original production models had a metal body then the vehicle becomes a C5

C5 This category is used where a new vehicle has been built up out of period mechanical parts on a new chassis, monocoque or frame for a special purpose to be representative of a particular period and facet of motoring history. The vehicle need not be a copy of a production model but must be representative of one period within the age limit groups of the Vintage Car Club of NZ (Inc.)

D6 NEV (Non Eligible Vehicles) Use this category for vehicles which have been modified outside VCC of NZ (Inc.) acceptability and require a VCC of NZ (Inc.) authenticity document for road registration purposes. The VCC of NZ (Inc.) has obligations to NZ Land Transport to provide this service to Non Members.

APPENDIX C2 05/2009 APPLICATION FORM SET BRANCH APPROVAL

Th V.e C.C .o fN.Z. (I nc.) 1999 The V.C. C. of N.Z. (Inc .)1 9 99

 

( c) If not , stat e cha nges ...... … i s i ssued to the a pplicant .

26- 02-99 Please use a black fe lt pe n to mark only one box per lin e e. g. Ph oto w ill form part of the Ve hi cle I.D. card th at N .Z. (Inc. ) Nat io nal O ffice w ill retai n ( 1 ) Phot o. Th e thi rd sup plied P AGE 1 PA GE 3 compl et e wi th ( 1 ) suppl ie d Pho to . The V .C.C o f

26-02- 99 26-02- 99 Pl ease use a bl ack fel t pen to mark onl y one bo x per line e.g. PAGE 4

( b) Is system t o or igi nal specificat ion ?

yes no t he Nat i onal Archi ves o f Th e Vi nta ge Car Cl ub of New Zeala nd (Inc. ) Ap pe ndix A Th is appl i cation form w i ll b e kept and st ored wi th

8. GEA RBOX.

( a) Type ( gravity, m echanical , elect ric pum p et c) ......

14. INST RUMEN TS / ACCE SSO RIES. P RIVACYACT INF ORM ATIONHELD

The VIN TAGE CAR CLU B OF N EW ZEAL AND (Inc .) ( a) Type of gear box & num ber of gear s / over dr ive ( if fitted ) ......

YES NO 7. FUE L S YSTE M.

APPLI CATI ONFOR VEHICLE IDENTITYCARD. ( a) Are i nstrument s and accessor ies to o riginal or per i od speci fic ation ? yes no

DATA ENTERED BY S igned :...... ………...... ( b) Is gearb ox the origin al one for th is vehicle ? yes no ………………………………………………...…………….

N ame of V ehicle ow ner ...... ( b) If not , stat e cha nges or addi tion s ...... … ( d) If not , stat e cha nges ......

( c) If not , is gear box to origin al specificat ion ? yes no

......

REGIS TER NO. L. V. V. C. VERIFIED yes no a tion of the vehicle?

Name of Appl icant ...... ( c) A re ma ke, type & quantity to original speci fic ( d) If not , st ate changes ......

YES 15. LI GHT ING. YES NO

...... ty pe / si ze...... quant ity ......

Address...... ( b) If carbur et tor s : make ......

( a) Light ing system ( el ectric, acet ylene et c ) ...... (This Sec tion tobe comple ted by N ational Office)

...... ( a) System : car bur ettors / i nject ion /o ther .... 9. BRA KING SYS TEM.

T elephone N o. (H) ...... (W) ...... …... . Fax No...... E-mai l ...... … ( b) Is lig hti ng syste m to original speci ficatio n ? yes no

6. CA RBU RETT OR / INJECT ION S YSTE M.

( a) Met hod of oper atio n front / rear ( mechani cal with wires / rod s, h ydraul ic etc ) ………………………………. S tatus of S igna tory :

Member No...... … Branch ...... …. Orig inal V.C.C. Regi ster No...... ………………………………………………………………………………………………………………………...... ( c) If not , stat e cha nges ......

( b) Is bra king syst em t o or igi nal specificat ion ? yes no

F ul l J o int

Date : / / ...... ( c) If not , stat e cha nges ...... …………………. .. …...... …....

S igned :

I U NDERS TAND THI S APPL ICATION IS A SE LF D ECLA RAT ION & DECLARE ALL I NFORMA TION ( c) If not , stat e changes ...... …………………………………………………………

TO BE TRUE & COR R ECT T O T HE BEST OF MY / OU R KNOWL EDGE . yes no YES NO N/A

( b) Is system t o or igi nal specificat ion ?

It is recommended that the appl ic ant ret ain a comple ted copy of th is appl icati on s et. Ifa Moto r Cyc le a side view fromeith er sid e

...... Restora tion is p rogre ssing an d isplanned for co mpletionw ithinfiv e years

and are attach ed to pa ge 4 . Che ck they showa thre e quarte rfro nt view of the co mp letevehicle ......

M AKE ...... D ATE OF MA N UFACT URE ...... …/...... ……./ .... .…...... ( a) Type ( magnet o, coil et c)......

P lease en sure that the3 id entical prints of a co lo ur photo grap h ,hav ebeen provided ,

10. STEE RING. ( R3 9cm x 13cm )

5. IGNITI ON. PL EASE ATTAC H A COPY OF AN Y OTH ER DOCUMENT S THAT ARE A VAI LABLE . e.g.

C A R N o...... C HASS IS / FRA ME N o......

r ic st ar ter ) ? ...... ( e) Star t ing equipm ent ( elect ric, air, no el ect ( a) Is st eer ing to original speci fication ? yes no andard need to be considered when answer ing the above question.

N . Z. Cer tificate of Regi strat ion. ( Owner ship Paper s ) O nly modi fications that affect a requi red saf ety st

Is the above described vehic le modified ?

………………………..………..…………………………………….. ( d) Clut ch ( cone, multi-plat e, singl e-p lat e ) ? ( b) If not , st ate changes ......

T Y PE / M ODE L / SE R IES...... Fact or y Bui ld Sheet s.

YES NO

......

( c) If not , stat e cha nges ......

B ODY No...... B ODY MA N U FACTU RE DATE ...... British Motor Heritage Tr ust. P roduct ion Recor d T race Cer tificate. 3.5STATUS

( b) If not , is engine to or igin al specification ?

yes no RHD LHD

O P

11. WHE ELS / TYR ES. RUS

le ?

...... ( a) Is the engi ne the original one fo r thi s vehic C OLOU R T YPE OF BOD Y / MA KER IMPO RTA NT ! All quest ions must be answered ( even if the ans wer is “ unkno wn “, “ no ne fitt ed “ or 3.4STYLE

yes no

4. EN GINE. ( a) Size and type ( beaded edge, we ll base e tc ) ...... “ not appl i cable “) f or t he a pplication to be consi dered. S E C P RA MC CO

E N GIN E No...... E NGIN E MA NUFAC T URER ...... yes no T O RD SP

3.3CATEGORIES (PERIOD) ...... ( b) Are wheels to original size and specificat ion ? App licat ion mu st be accom panie d by 3 id entical p rints of a ( R3 9cm x 13cm) colo ur photo graph of th e vehi cle

N o. OF CY LIN DER S...... CAPAC ITY ( IN C.C. s ) ...... ( c) If not , stat e cha nges ...... ( c) Are tyres to or igina lsi ze a nd speci ficat ion ? V ET P VV PW V P 60VH RV PS

yes no i n its present for m. If a Car or a Com mer cial Ve hicle th e Pho togr aph sh ould sho w a thr ee qu arter front vi ew of VV

3.2PRESERVATI ONGROUP

R E GIS TRATION No ...... V IN No ...... yes no original speci fic ati on ? ( b) If not , is rear axle / rat io / suspens ion to ( d) If not , st ate changes ......

t he com ple te v ehicle. If a Motor cycle, a side view from ei the r side. 5 1 2 3 4

It is recommend ed th at the appli can t retain a comp leted copy o f this app licati on set. 3.1DEF INITION a l one for th is vehicle ? ( a) Is rear axle / ratio / suspensi on th e or igi n ......

R E GIS TRATION No . ( IF PREVIOUSLY RE GISTER ED IN NE W ZEA LAN D) ...... yes no

3. REAR AXLE / SU SPEN SION / FINAL DRIVE .

12. BODY / SIDE CAR ( for motorcycl e ) PLEASE ATTACH 3 PHOTOS HERE B

C OU NTRY OF PREVIOUS RE GIS TRATION IF IMP ORT ED......

( For furt her Information see V.C.C. Secretaries Ma nual 21B - 21G & Appendi x C )

......

Tech nic alCo de, Section 3) as be low :- ( a) Type ( 2-Seater spor t s, sedan, coach, t ourer coupe etc .- u se maker ’s design atio n ) ...... (Acc ord ing to the V.C.C.

Y E AR THA T REST ORAT ION / REB UIL D W AS C OMPLETED...... HOW DO YOUVIEW YOU R VEHICLE’SCLASSIF ICATION ?

and madeappropriate insp ections,and to the b esto f ourknowle dgecons ider the deta ils d eclared ......

( c) If not , stat e cha nges ...... …...... Please use a black fel t pen to mark onl y one b ox pe r l in e e. g.

...... Bran chhav e inspec ted thedetails provid ed b y the ap plicant, R E STOR A TION C OMPLETE D BY WHOM. Weth e ……………………………………………….

( b) If not , is front axle / suspensi on to or igi nal specificat ion ?

yes no ( b) Present body was made by ( fact ory, coachbui lder , restor er et c. ) ...... ( For furt her Informati on see p age 6 of th is appli cati on set , or see the V.C.C. S ecret ari es Manual 21B - 21G & Appendi x C )

Branc h) B R IEF HIST ORY OF VEHIC LE ……………………………………………………………………………………………………… ACB (This Section to be complete d by the local V .C.C. r this vehicle ?

NATIONAL OFFICE ( a) Is front axle / suspension t he or igi nal one fo …......

yes no 2. FRONT AXL E / SUSP ENS ION. ( c) Body made in what year ? ...... 3.1DEF INI TION

………………………………………………………………………………………………………………………………………………………. 1 2 3 4 5 (The syst em can not acco mmod ate part ial suppressi on.) I w ish to have my vehicl es i nformati on sup pressed

......

...... ( d) Is the body the original on e for th is ve hicle ? yes no D E C LARAT ION:

………………………………………………………………………………………………………………………………………………………. 3.2PRESERVATION GROUP YES NO

c ertai n d ata for the purpo ses of sub missi ons to a ut horiti es such as Land Tran sport Safet y Au thori t y, et c.

......

( d) If not , stat e cha nges ...... ( e) If not , is body to original spe cification ? V ET VV PVV P WV P60VH R V P S

t he C lub’s envi rons. Su bj ect to screeni ng, s ome i nformation may be made avai l abl e at times for the purpos es of present ing yes no yes no

………………………………………………………………………………………………………………………………………………………. cation ?

( c) If not , is chassis / frame to or igin al specifi

t o compi le st atist ical data for the purpo ses of mai nt ai nin g records w ithi n ( f) If not , st ate changes ...... … 3.3CATEGORIES (PERIOD) T he in format io n gath ered on thi s form wi ll be u sed

S E C P TO RD SP RA MC CO

………………………………………………………………………………………………………………………………………………………. P R IVA C Y A CT: ( b) Is chassis / fr ame the or igi nal one for th is vehi cle ?

yes no ......

. (J oint Member) Signed: 3.4STYLE S igned: ………………………………………………………. ………………………………………………..

...... ( a) How is chassis / frame id entifie d & wher e 13. I NTER IOR.

P REV IOUS OWNERS ( IF KN OWN ) ………………………………………………………………………………………………. O RUS P

( a) Is the inte rior ( seats / saddl e / uph olster y ) to o rig inal speci ficat ion ? yes no TRU E & C ORREC T TO THE BES T O F MY / O U R KNO WLE D GE.

1. CHAS SI S / FR AME.

N & DECL ARE A LL IN FORMA T ION T O BE 3.5STATUS I UN DERS TAND THIS APPL ICAT ION IS A S ELF DE CLARA TIO

………………………………………………………………………………………………………………………………………..……………. .. ( b) If not , st ate changes ...... YES NO ?

26-02- 99

PAGE 2 PAGE 5 P leas e use a b lack f elt pen to mark only one box per line e. g. Pl ease u se a bla ck felt p en to mark onl y one box per line e. g.  The V.C .C. o fN.Z. (I nc.) 1999 IF MORE SPACE I S NEEDED PLEAS E USE SEP ARATE SHEET AN D AT T ACH TO THE B ACK OF THIS FORM. Is the above described vehic le modified ? 26- 02-99 ......  T he V.C.C. of N.Z. ( Inc. )1 999  Th V.C.e C. o fN.Z. (I nc.) 1 9 99

INPUT DATA

ALLOCATE (PR) # & VERIFY REGISTRAR

SCAN PHOTO HRV & PERIOD SPECIALS G1 & G2 B4 B5 C4 C5 & APPROVE DECLINE ANY OTHER SELECTED RETAIN 1 PHOTO APPLI CATION

VEHICLE TECHNICAL COMMITTEE

NATIONAL OFFICE E-MAIL OR COURIER OK

PRINT PRINT

VCCR&D1 CARD

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR ISSUE DATE………………

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VCCVINTAGE MEMINC. No ...... ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.) CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

(PERIOD)

THE HISTORIC VEHICLE AUTHORITY OF NEW ZEALAND. INC ZEALAND NEW OF CLUB CAR TechnicalVINTAGE INC. Code 3.3.4 ZEALAND W NE Photograph of Vehicl D No.I OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

VEHICLE CATEGORIES UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. In AccordanceZEALAND NEW with OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

HISTORIC MOTOR VEHICLE DATE OF MANUFACTURE & AUTHENTICITY STATEMENT Technical Code 3.1.2

VEHICLEINC CLASSIFICATIONZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. In AccordanceZEALAND NEW with OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

Name of Owner ...... ………......

V.I.N. No...... REGCA No...... VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

Address. ………...... ………...... ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

...... Telephone No. (H) ...... (W) ...... ….... Fax No...... E-mail ...... ADDRESSINC ...... ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

...... NAMECA OF OWNERVINTAGE INC...... ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

Member No ...... … Branch ...... STATEMENT No . … … ……… ……… ……… ……… ……… ……… .………… .. AND OVER STAMPED)

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

(PHOTO LAMINATED

CAPACITY...... No.ZEA OF CYL/sNEW OF ...... CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE MAKE ...... ………………. DATE OF MANUFACTURE ...... …/...... ……./.....…...... C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

e present form. in MAKE ...... ENGINEINC No. ZEALAND .....………...... NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

CAR No...... CHASSIS / FRAME No...... ……...... ………………....

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

...... BODYCA No...... VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

TYPE / MODEL / SERIES ......

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

...... CHASSISZEA NEW No.OF ...... CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

BODY No...... …...... …...... BODY MANUFACTURE DATE ...... …………………..

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

...... TYPEINC / MODELZEALAND ...... NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

COLOUR ...... TYPE OF BODY / MAKER ...... ….....… ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

MAKE ...... C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. YEARZEALAND NEW MADE OF ...... CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW ENGINE No...... …...... ENGINE MANUFACTURER …...... …...... INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

No. OF CYLINDERS...... …...... CAPACITY ( IN C.C.s ) ...... …......

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC

VALIDITY : ? YEARS, OR CHANGE OF OWNERSHIP request.

VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA

e returned upon

REGISTRATION No...... ….....…. VIN No...... …...... the property of The V.C.C. of N.Z.(Inc.) and must b

NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA described vehicle since the date of this card. This identity card remains

h ..C of ) C. Z.N. © The V.C. (Inc. 1997

responsibility to advise of any alterations and modifications to the CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC

REGISTRATION No. ( IF PREVIOUSLY REGISTERED IN NEW ZEALAND) ...... …...... SIGNATURE ......

purposes or proof of the vehicle’s history. It will be the owners

VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA

and authenticity purposes, and is not to be used for commercial

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA

...... …… …...... NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND IN y for identification COUNTRY OF PREVIOUS REGISTRATION IF IMPORTED. owner at the time of application, is intended solel

CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC This Vehicle identity card is based on information provided by the

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA

YEAR THAT RESTORATION / REBUILD WAS COMPLETED...... …...... …...... VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CL

NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC RESTORATION COMPLETED BY WHOM...... …...... …...... CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NE DATE ......

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA

In Acc ordance VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CL

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA 3.1 DEFINITION with Te chnical NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND IN

Code 3.1 CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA In Acc ordance VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CL

3.2 PRESERVATION GROUP with Te chnical

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA

Code 3.2 NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND IN

CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC

IDENTIFICATION STATUS No .

In Acc ordance

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA 3.3 CATEGORIES (PERIOD) with Te chnical VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CL

Code 3.3

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA YES NO NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND IN

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC

The above described vehicle has modifications that affect a required safety standard ? CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NE

VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA

NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA

e) YES NO (Appendix B in Accordance with V.C.C. Technical Cod W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC

PROVISIONAL REGISTER No. Low Volume Vehicle Code. CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NE

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA PR VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CL

VEHICLE IDENTITY CARD

NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC

AUTHORISED BY The VINTAGE CAR CLUB of NEW ZEALAND (Inc.) NATIONAL RE GISTRAR R. L. Brayshaw. CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NE

THE HISTORIC VEHICL E AUTHORITY OF NEW ZEALAND

VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA

The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.)

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA Signed: ……………………………………….. . Date: ……………../…………../………………. NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND IN

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC This Historic Motor Vehicle Date of Manufacture & Authenticity Statement is based on information provided by the owner at the time of application for a Vehicle Identity CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NE

Card. It is intended solely for identification and authenticity purposes, and is not to be used for commercial purposes or proof of the vehicle’s history.

VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA

Remarks, modifications, history, etc:

NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C.

 The V.C.C. of N.Z. (In c.) 1999 P.O Box 2546, Christchurch. Telephone (03) 366-4461. Fax (03) 366-0273 FORM VCCR&D 1 IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. MAKE ...... YEAR MADE ...... IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W TYPE / MODEL ...... NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CHASSIS No...... CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. BODY No...... IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W

ENGINE No...... ………...... MAKE ...... NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR ein present form.

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB

No. OF CYL/s ...... CAPACITY...... CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE SEND TO ARCHIVES

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C.

LAMINATE & STAMP NAME OF OWNER ...... IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W ADDRESS ...... NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB ...... CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. REG No...... V.I.N. No...... IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB

In Accordance with CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W

VEHICLE CLASSIFICATION NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

Technical Code 3.1 & 2

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB In Accordance with CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

VEHICLE CATEGORIES

W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W Technical Code 3.3 & 4 NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR I No.D Vehicl of Photograph

C. VINTAGE CAR CLUB OF NEW ZEALAND INC. VINTAGE CA VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE C. IN ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW

T he V.C. C. of N.Z .(Inc .) 1999

 TheV. C.C.of N. Z. (I nc. ) 19 99

 UB OF NEW ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEA NEW OF CLUB CAR VINTAGE INC. ZEALAND NEW OF UB CL CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR VINTAGE

Photo will form part of the Vehicle I. D. card that is issued to the a pplica nt.

...... …

ISSUE DATE……………… VCC MEM No ...... (c ) If not, stat e changes ......

26 -02 -99 Please use a black felt pen to mark only one box per l ine e.g. N.Z. (Inc.) Na tional Office will retain ( 1 ) Photo. The third s upplied PAGE 1 PAGE 3 c omplete with ( 1 ) supp lie d Photo. The V.C.C of

26 -02-99 26 -02-99 (b) I s system t o original specificat ion ? Please use a black felt pen to mark only one bo x per line e.g. PAGE 4 W ZEALAND INC. VINTAGE CAR CLUB OF NEW ZEALAND INC ZEALAND NEW OF CLUB CAR VINTAGE INC. ZEALAND W NE OF CLUB CAR VINTAGE INC. ZEALAND NEW OF CLUB CAR

yes no the Na tional Archives of The Vintage Car Club of Ne w Ze ala nd (Inc.) Appendix A This a pplication form will be kept and stored with

8. GEAR BOX.

(a) Type ( grav ity, mechanic al, electri c pump etc ) ...... 14. INSTRUMENTS / ACCESSORIES. PRIVACY ACT INFORMATION HELD

The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.) (a) Type of gearbox & number of gears / overdriv e ( if fi tted ) ......

YES NO 7. FUEL SYSTEM.

APPLICATION FOR VEHICLE IDENTITY CARD. (a) Are inst ruments and access ories to original or period s pecific ation ? yes no

......

DATA ENTERED BY yes no Signed: ...... ………... (b) I s gearbox the original one f or this vehicle ? … …………………………………………….. .…………….

(b) If not , state changes or additions ......

...... … Name of Vehicle owner ...... (d) I f not, st ate changes ......

(c ) If not, is gearbox to ori ginal specification ? yes no

...... VERIFIED

ation of the vehicle?

Name of Applicant ...... (c ) Are make, type & quant ity to original s peci fic (d) I f not, state changes ......

YES

15. LIGHTING. YES NO ...... type / size...... quantity ......

Address...... (b) I f carburet tors : make ......

(a) Lighting syst em ( elect ric, acetylene etc ) ...... (This Section to be completed by National Office) ......

(a) Syst em : carburettors / inj ection / other ... . 9. BRAKINGSYSTEM.

Telephone No. (H) ...... (W) ...... ….... Fax No...... E-mail ...... … (b) Is lighting sy stem to original specif ication ? yes no

6. CARBURETTOR / INJECTION SYSTE M.

Status of Signa tor y : (a) Method of operation front / rear( mechanical with wires / rods, hydraulic etc ) ………………………………. ………………………………………………………………………………………………………………………...

...... Member No...... … Branch ...... …. Original V.C.C. Register No...... (c) If not, state changes ......

(b) I s braking sys tem to origi nal specifi cation ? yes no

Ful l Jo int Date : / / (c ) If not, stat e changes ......

… ……... …...... …....

...... ………… Signe d : I UNDERSTAND THIS APPLICATION IS A SELF DECLARATIO N & DECL ARE ALL INFORMATIO N …………………………………………………………

(c ) If not, state changes ......

TO BE TRUE & CORRECT TO T HE BEST O F M Y / OUR KNOWLED GE. yes no YES NO N/A (b) I s system t o original specificat ion ?

It is recommended that the applicant reta in a completed c opy of this a pplication set. If a Motor Cycle a side view from either side

...... Resto ration is progr essing and is plann ed for completion within five y ears

and are attached to pag e 4. Check they show a three quarter front view of the co mplete vehicle......

MAKE ...... DATE OF MANUFACTURE ...... …/...... ……./. ....…...... (a) Type ( magnet o, coil etc)......

Please e nsure that the 3 identical prints of a colou r pho tograph , have been pro vided ,

10. STEERING. ( R3 9cm x 13cm )

5. IGNI TION.

PLEASE ATTACH A COPY OF ANY OTHER DOCUMENTS THAT ARE AVAI LABLE. e. g.

ric starter ) ? ...... (e) Starting equipment ( electric, air, no el ect yes no andard need to be co nsidered when answering t he ab ove questi on. CAR No...... CHASSIS / FRAME No...... (a) I s steering to original specification ? O nly mo dificatio ns th at affect a requi red safety st

N. Z. Certificat e of Registration. ( Ownership Papers )

SEND TO OWNER Is the above described vehicle modified ? ……………………….. ………. .……………………………………..

(d) Clutch ( cone, multi-plate, single-plate ) ? (b) I f not, state changes ......

TYPE / MODEL / SERIES...... Factory Build Sheets.

YES NO

......

(c ) If not, stat e changes ......

BODY No...... BODY M ANUFACTURE DATE ...... British Motor Heritage Trust. Production Record Trace Certificate. 3 .5 STATUS yes no

(b) I f not, is engine to original specificat ion ? RHD LHD

O P

11. WHEELS / TYR ES. RUS

(a) I s the engine the original one f or this vehicle ?

COLOU R ...... TYPE O F BO DY / MAKER ...... IMPORTANT ! Al l questions must be answered ( even if the answer is “ unknown “, “ none fi tted “ or 3 .4 STYLE

yes no

4. ENGINE. (a) Size and t ype( beaded edge, well baseetc ) ......

SE CP RA MC CO “ not applicable “) for the application to be considered. TO RD SP

ENGINE No...... ENGINE MANUFACTURER ......

3 .3 CATEGORIES (PERI OD) ...... (b) Are wheel s tooriginal size and spec ification ? yes no

Applicat ion must be ac companied by 3 identical prints of a ( R3 9cm x 13cm) colour photograph of the vehicle

(c ) If not, stat e changes ...... VET PVV PWV P60VHRV PS

No. O F CYLINDERS...... CAPACITY ( IN C.C.s ) ...... (c ) Are tyres t o original size and specification ? yes no VV

in its pres ent form. If a Car or a Commerci al Vehicle the Photograph shoul d show a three quarter front view of 3 .2 PRESERVATION GROUP

yes no

original specificati on ?

REGISTRATIO N No...... VIN No...... (b) I f not, is rear axle / rat io / suspens ion to (d) I f not, state changes ......

5 1 3 4 the complet e vehicle. If a Motorcycle, a si de view from either side. 2

(a) I s rear axle / ratio / sus pension the original one f or this vehicle ?

...... It is rec omme nde d th at the applicant re tain a comple ted c opy of this app lication set. 3 .1 DEFINITION

REGISTRATIO N No. ( IF PREVI OUSLY REGISTERED IN NEW ZEALAND) ...... yes no

3. REAR AXLE / SUSPENSION / FINAL DRIVE.

12. BOD Y / SIDECAR ( for motorcycle ) PLEASE ATTACH 3 PHOTOS HERE B

COUNTRY O F PREVIOUS REGISTRATIO N IF IMP ORTED......

( For further Information see V.C.C. Secretaries Ma nual 21B - 21G & Appendix C )

......

Technic al Code, Se ction 3) a s below :-

(a) Type ( 2-Seater s ports, s edan, c oac h, tourer c oupe etc. - use maker’s designation) ...... HOW DO YOU VIEW YOUR VEHICLE’S CLASSIFICATION ? (Acco rding to the V.C.C.

YEAR THAT RESTOR ATION / REBUI LD WAS COMPLETED......

(c ) If not, stat e changes ......

f our kno wledge con sider the details decla red

…...... Ple ase use a black felt pen to ma rk only one box per line e .g. and made appropriate inspections, and to the best o

We the Branch hav e inspected the details provided by the app licant,

RESTORATION COMP LETED BY WH OM...... … ……………………………………………. yes no

specificati on ?

(b) I f not, is front ax le / suspens ion to original (b) Present body was made by ( fac tory, coachbuilder,res torer etc. ) ...... ( For further Information see page 6 of this application set, or see the V.C.C. Secretaries Manual 21B - 21G & Appendix C )

(This Section to be completed by the local V.C.C. Branch) r thi s vehicle ? The VINTAGE CAR CLUB OF NEW ZEALAND (Inc.) (a) I s front axle / sus pension the ori ginal one fo BRIEF HISTORY OF VEHICLE ……………………………………………………………………………………………………… …...... ACB

THE HISTORIC VEHICLE AUTHORIT Y OF NEW ZEALAND. yes no 2. FRONT AXLE / SUSPENSION. 3 .1 DEFINITION

… ……………………………………………………………………………………………………………………………………… ……………. (c ) Body made inwhat year ? ......

(The system c annot acc omm odate partial suppression.)

HISTORIC MOTOR VEHICL E DATE OF MANUFACTURE & AUTHENTICIT Y STATE MENT 1 2 3 4 5 I wish to have m y vehicles information suppre ssed ......

(d) I s the body the original one for this vehicle ? yes no DECLARATION :

Name of Owner...... ………...... … ……………………………………………………………………………………………………………………………………… ……………. 3 .2 PRESERVATION GROUP YES NO c ertain data for the purposes of sub missions to a uthorities such a s La nd Tra nsport Safe ty Au thority, etc.

......

(d) I f not, st ate changes ...... (e) I f not, is body to ori ginal specification ? VET VV PVV PWV P60VHRV PS the Club’s environs. Subject to sc reening, s ome info rma tion ma y be made a vaila ble at times for the purpos es of pre senting yes no yes no

A ddress. ………...... ………...... … ……………………………………………………………………………………………………………………………………… ……………. (c ) If not, is chassis / frame to origi nal specifi cation ?

to c om pile statistical data for the purposes of ma inta ining records within

(f) If not , state changes ...... … 3 .3 CATEGORIES (PERI OD) The informa tion gathered on this form will be used

Telephon e No. (H) ...... (W) ...... ….... Fax No...... E- mail...... SE CP TO RD SP RA MC CO PRIVAC Y ACT: (b) I s chassis / frame the original one for this vehi cle ?

… ……………………………………………………………………………………………………………………………………… ……………. yes no ......

. Signed: (Joint Member) Signed:

………………………………………………..

3 .4 STYLE ……………………………………………………….

...... (a) How is chas sis / frame identifi ed & where 13. IN TERIOR. M ember No ...... … B ranch ...... STATEMENT No . … … … … … …… … … … …… … … … ….… … … … … ..

PREVIOUS OWNER S ( IF KNOW N ) ………………………………………………………………………………………………. O RUS P TRUE & CORRE CT TO THE BEST OF MY / OUR KNOWLEDGE .

MAKE ...... …… …… ……. DATE OF MANUFACTURE ...... …/...... … …./.....…...... 1. CHA SSI S / FRAME. (a) I s the interi or( seats / saddle / upholst ery ) t o original s pecif ication ? yes no N & DECLARE ALL INFORMAT ION TO BE 3 .5 STATUS I UNDERSTAND THIS APPLICATION IS A SELF DECLARA TIO

… ……………………………………………………………………………………………………………………………………..……………... YES NO ?

CAR No...... CHASSIS / FRAME No...... ……...... ……… ……… .... 26 -02-99 (b) I f not, state changes ......

PAGE 2 PAGE 5 Please use a black felt pen to mark only one box per line e.g. Please use a black felt pen to mark only one bo x perline e.g.  T he V.C. C. of N.Z .(Inc .) 1999 IF MOR ESPACE IS NEEDED PLEASE USE SEPARA TE SHEET ANDATTA CH TO THE BAC K O FTH IS FORM. 26 -02-99 ...... I s the above described vehicle modified ? TYPE / MODEL / SERIES ......   Th e V.C. C. of N. Z . (Inc .) 1999 Th eV. C. C. ofN. Z . (Inc. )19 99

BODY No...... …...... … ...... BODY MANUFACTURE D ATE ...... …… ……… ……..

COLOUR ...... TYPE OF BODY / MAKER ...... ….....…

ENGINE No ...... … ...... ENGINE MANUFACTURER …...... …......

No. OF CYLINDERS...... …...... CAPACITY ( IN C.C .s ) ...... …......

REGISTRATION No ...... ….....…. VIN No...... …......

REGISTRATION No . ( IF PREVIOUSLY REGISTERED IN NEW ZEALAND) ...... …......

COUNTRY OF PREVIOUS REGISTRATION IF IMPORTED...... …… …......

YEAR THAT RESTORATION / REBUILD WAS COMPLETED...... …...... …......

RESTORATION COMPLETED BY W HOM...... …...... …......

InAcco rd ance 3.1 DEFINITION wit h Tech ni cal Cod e3 .1

InAcco rd ance 3.2 PRESERVATION GROUP wit h Tech ni cal Cod e3 .2

In A ccordan ce 3.3 CATEGORIES (PERIOD) w i thT echni cal C ode 3. 3 YES NO The above described vehi cle has modifications that affect a required safety standard ?

YES NO PROVISIONAL REGISTER No. PR Low Volume Vehicle Code.

AUTHORI SED BY The VINTAGE CAR CLUB of NEW ZEALAND (Inc.) NATIONAL REGISTRAR R. L. Br ayshaw.

Signed: … ……… ……… ……… ……… …….. . Date: …… ……… ../… ……… ../… ……… ……. This Historic Moto r Vehicle Da te of Manufacture & Authe nticity Statemen t is b ased on in forma tio n pro vid ed b y the o wner at the time of application fo r a Vehic le Id en tity Card . It is intended solely fo r id entifica tio n an d au then tic ity purp ose s, and is not to be u sed fo r comm ercial p urposes o r proof of the ve hicle ’s history .

 The V.C.C.of N.Z. ( Inc. ) 1999 P.O Box 2546, Christc hurch. Tele phone (03) 366-4461. Fax (03) 366-0273 FORM VCCR&D 1

OWNER REGISTERS VEHICLE

RECEIVE COMPLETED APPLICATION FORM SET & 1 PHOTO AT ARCHIVES

 The V.C.C. of N.Z. (Inc.) 1999 -200 9 APPENDIX C3 05/2009 VIC RENEWAL 10 YEARS BRANCH APPROVAL