Application for a Tempo 100 Examination PSVC01

PSVC01 (may 2005)
Application for a Tempo 100 Examination
of a public service vehicle PSVC 1
Please read these notes before you complete this application.
Failure to complete accurately could cause delay.
Form PSVC1 must be used when applying for a Tempo 100
examination whether or not it is intended to have another
examination carried out at the same time (eg Certificate of Initial
Fitness examination).
When to apply
Applications for examinations must be sent not less than 1 month
before the date requested.
On Completion
Send your application, together with the appropriate payment to:
VOSA
PSV Section
91-92 The Strand
SWANSEA
SA1 2DH
When completing this form please remember to write in
BLOCK CAPITALS
Question 1 It is essential to give the identification mark of the
vehicle. If the vehicle has been registered give the registration
mark and chassis number, even if it is not currently licensed. If it
is not registered give the chassis number (See Question 3).
Question 11 Examinations will normally be conducted at Goods
Vehicle Testing Stations. It may however be possible to conduct
the examination at another location but only with the agreement
of the local Certifying Officer who may be contacted through the
local Goods Vehicle Testing Station.
Goods Vehicle Testing Stations and their numbers
South East
Bicester 25 Hastings 07 Norwich 38
Canterbury 05 Ipswich 40 Peterborough 39
Chelmsford 35 Lancing 08 Purfleet 02
Cowes 12 Leicester 31 Royston (Herts) 36
Crimplesham 34 Leighton Buzzard 37 Southampton
Derby (Alvaston) 30 Mitcham 04 (Botley) 10
Edmonton 03 Newbury 11 Weedon 32
Gillingham 06 Nottingham Yeading 01
Grantham 33 (Watnall) 29
Guildford 09
South Wales & West
Aberystwyth 75* Gloucester 23 St Austell 73*
Ammanford 62 Haverfordwest 77* Salisbury 14
Birmingham Hereford 21 Shrewsbury 24
(Garrett’s Green) 26 Kidderminster 22 South Molton 72*
Bristol 16
Llandrindod Wells 76* Stoke-on-Trent
Calne 13 Llantrisant 60 (Swynnerton) 28
Camborne Plymouth 19 Taunton 17
(Redruth) 20 Pontypool 61 Wolverhampton
Exeter 18 Poole 15 (Featherstone) 27
Scotland and North
Aberdeen 67 Grimsby 45 Newcastle-upon­
Barrow-in-Furness 70* Heywood 55 Tyne 51
Berwick-on-Tweed 52 Inverness 65 Newton Stewart 78*
Beverley 42 Keighley 50 Perth 68
Bredbury 54 Keith 84* Portree 91*
Bromborough 53 Kilmarnock 66 St Boswells
Caernarfon 74* Kirkcaldy 82* (Charlesfield) 80*
Carlisle 57 Kirkham 56 Scarborough 41
Darlington 49 Kirkwall 90* Sheffield 46
Doncaster 44 Lairg 87* Stornoway 92*
Dumfries 79* Leeds 48 Walton (Yorks) 43
East Fortune 81* Lerwick 89* Wick 88*
Edinburgh Liverpool Workington 69*
(Livingston) 64 (Simonswood) 58 Wrexham 59
Fort William 86* Lochgilphead 85*
Glasgow Milnthorpe 71
(Bishopbriggs) 63 Montrose 83*
All stations except those marked with an asterisk, are open from
08.00-17.00 on Mondays to Thursdays and 08.00-16.30 on Fridays.
Stations marked with an asterisk are smaller and although they are
capable of testing most vehicles are only open on demand.
Questions 12, 13 A lower charge will apply if a Tempo 100
examination is carried out at the same time as an examination for
Certificate of Initial Fitness. Details of current charges are
available on request from your local Goods Vehicle Testing Station,
or the PSV Section, Swansea.
Sending the wrong payment may cause delay in your vehicle
being examined.
Cheques and postal orders should be crossed and made payable
to the ‘VOSA’. Do not under any circumstances send notes, or
coins or Giro transfers in the post.
NOTE. The payment enclosed with this application only covers the
examination. When you receive the documentation from the
Certifying Officer you should send one copy of his report and the
fee for the Tempo 100 permit and decal to the West German
authorities. The Certifying Officer will be able to give you further
advice at the time of the examination.
Question 14 For limited Companies, partnerships or sole
proprietor, the registered name should be given. If a trading name
is used, it should be given.

1 What is the REGISTRATION MARK
2 What is the
KERB WEIGHT
Kg
Make
Model Year Full Identification Number
3 What are the CHASSIS details
4 What are the BODY details
Make
Model Year Serial Number
5 What are the ENGINE details
7 What is the CARRYING CAPACITY
Make
- seated upper deck
- seated lower deck
- crew seat(s) excluding driver
Model
Power
Kw
6 What are the MAXIMUM
(DESIGN) WEIGHTS as
shown on the
Manufacturer’s Plate
Axle
1
Weight in Kgs
8 How many AXLES does the vehicle have - (if more
than 2 please state arrangement)
2
3
9 What is the BRAKE SYSYTEM TYPE APPROVAL Number
Gross
10 what are the TYRE details
Axle Make Size Load Indices Speed Rating Single/Dual
1
2
3
11 When would you like the examination
ASAP or Date Month or (alternative) Date Month
Where is your choice of testing station Name Number
Alternative examination location
Name, etc.
12 Is an examination for Certificate of Initial Fitness
required at the same time (Please tick box)
No
Yes
complete form PSV 417 and attach to this application
13 Fee - Please enclose appropriate fee.
Enter the value and number of your cheque/crossed
postal orders; or give your pre-funded customer
account number.
£ No:
14 To whom would you like the
appointment letter sent
Name
Do Not Write Here
Address
Postcode
Telephone number (include STD code)
15 Who will operate the vehicle
Name
Operating base address
16 Which Dtp. testing station is nearest
to the vehicle operating base (for issue
of Tempo 100 permit and decal)
Declaration
Full name
Name
Number
I declare that to the best of my knowledge and belief all
statements in this application are true.
Signature
Date
Position in company