VTI registration form

How would you like to be addressed?

Mr.

Mrs. / Ms.

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First name

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Last name

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Your e-mail

Please fill in a valid email address.

Phone number (Optional)

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Company information

Company

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Company Website (Optional)

This field is required. If you choose not to provide the information right now, please be aware that we might ask for this information at a later moment, it could slow down the approval process.

VAT Number (Optional)

This field is required. If available, please enter your VAT-number

Upload Chamber of Commerce Registration*

(.pdf, max. 6 MB) This field is required.

Company address (Optional)

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Postal Code*

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City*

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Country*

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Company address

Invoicing address if different from company address (Optional)

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Postcal Code (Optional)

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City (Optional)

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Country (Optional)

This field is required. Choose a country

Company legal representative information

First name*

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Last Name*

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Email*

Please fill in a valid email address.

Preferred language*

This field is required. Choose your preferred language

Preferred User ID (Optional)

This field is required. Requirements for user id: Minimal 5, maximum 20 characters, allowed characters: 0..9, a..z. After your registration is accepted an initial password will be communicated.

Company category*

This field is required. Company category

Desired access (at least one must be selected!)

Test Center

Competent Authority

Other

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Motivation (Optional)

This field is required. If you choose not to provide the information right now, please be aware that we might ask for this information at a later moment, it could slow down the approval process.

Data consent

I agree that my personal data will be send to the DAF PTI department. I hereby allow DAF Trucks N.V. to save my personal data and use it for future contact purposes.

This field is required

VTI registration form

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