BMV FORM NO. 2021-22|REV. Aug-16-2021 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES BUREAU OF MOTOR VEHICLES APPLICATION FOR THE MANUFACTURE OF A SAFARI BMV STX - Patrick Sweeny Headquarters RR-01 Box 10065 St. Croix, V.I. 00850-9705 Tel: (340) 713-4268 BMV STJ - Government Complex Cruz Bay St. John, V.I. 00831 Tel: (340) 776-6262 BMV STT 8101 Sub-Base #72 St. Thomas, V.I. 00802 Tel: (340) 774-4268 APPLICANT / BUSINESS INFORMATION BUSINESS INFO BUSINESS NAME TRADE NAME BUSINESS OWNER(S) DLCA BUSINESS NUMBER BUSINESS PHONE CONTACT PERSON NAME CELL EMAIL ADDRESS CITY & ISLAND ZIP CODE PHYSICAL ADDRESS ADDRESS |PO BOX CITY & ISLAND ZIP CODE MAILING ADDRESS PROPOSED MANUFACTURER NAME ID NUMBER TRADE NAME ADDRESS CITY & ISLAND ZIP CODE PHYSICAL ADDRESS ADDRESS / PO BOX CITY & ISLAND ZIP CODE MAILING ADDRESS VEHICLE INFORMATION VEHICLE INFO VIN MAKE MODEL DETAILED LIST OF MODIFICATIONS AND INTENDED USE OF THE VEHICLE (Use separate sheet if needed) SEATING CAPACITY PAGE 1 OF 2 BMV FORM NO. 2021-22|REV. Aug-16-2021 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES BUREAU OF MOTOR VEHICLES APPLICATION FOR THE MANUFACTURE OF A SAFARI REQUEST FOR SAFARI MANUFACTURING INSTRUCTIONS • This form must be filled out by the owner of the vehicle who is requesting manufacturing of their Safari. • Include with the application photos of the vehicle as it is currently; Front, back and both sides of the vehicle and the VIN. • Required documents: o Business License o Copy of driver’s license of the contact person o Letter stating that the contact person can do business on behalf of the company, if not the owner. • This application must be approved prior to the start of the manufacturing of the Safari. • Final seating capacity of the manufactured safari shall not exceed twenty (20) passengers. • Upon completion of the process, the safari must be inspected by the Bureau of Motor Vehicles before it can be registered as a complete vehicle. • Written approval from the Virgin Islands Taxicab Commission must also be submitted to the BMV in order to register the vehicle as a Taxi. PAGE 2 OF 2