Motor Vehicle Entitlements

Motor Vehicle Selection Form

Please complete this form indicating your motor vehicle preference in accordance with your contractual entitlements.
If you are unsure of your entitlement email motorvehicle-l@adm.monash.edu.au.
Please ensure that you complete each field before submitting

Title	Please Choose Mr. Mrs. Ms. Prof. Assoc.Prof. Dr.
Name
Personnel Number
Department
Faculty
Position
Mileage of current motor vehicle (in kms)

Preferred Motor Vehicle

Please nominate your vehicle colour preference from the range of colours provided on the manufacturers websites.
Note: you may need to use Internet Explorer 5+ or Netscape 6+ and Flash Player to view these sites in full

					Fuel consumption litres per 100km
	Holden Commodore Omega		Holden website		10.9
	Holden Berlina		Holden website		10.9
	Holden Calais		Holden website		11.3
	Holden Astra CD Hatch (4cyl)		Holden website		8.2
	Ford Falcon XT		Ford website		10.7
	Ford Futura		Ford website		10.7
	Ford Fairmont		Ford website		10.7
	Ford Fairmont Ghia		Ford website		10.2
	Toyota Aurion AT-X		Toyota website		9.9
	Toyota Aurion Prodigy		Toyota website		9.9
	Toyota Corolla Conquest (4cyl)		Toyota website		7.5
	Toyota Camry Altise (4 cyl)		Toyota website		8.9
	Toyota Camry Ateva (4 cyl)		Toyota website		9.9
	Toyota Prius		Toyota website		4.4
	Mitsubishi 380 Series 2 ES		Mitsubishi website		10.8
	Mitsubishi 380 Series 2 SX		Mitsubishi website		10.8
	Mitsubishi 380 Series 2 LX		Mitsubishi website		10.8
	Mitsubishi 380 Series 2 GT		Mitsubishi website		10.8
		Exact models may not be shown

Colour Choice
Tow Bar	Please Choose Yes No
Cost Centre
Fund
Comments
Email Address
Please double check your email address before submitting this form