| Dl/Dna - Mr/Mrs/Miss/Dr |
|
| Prenume - First name |
|
| Nume - Surname |
|
| Strada si numar - Street and No |
|
| Adresa 1 - Address 1 |
|
| Adresa 2 - Address 2 |
|
| Tara - Country |
|
| Cod Postal - Postal Code |
|
|
Telefon Mobil |
|
| Telefon fix - Telephon |
|
| Adresa de mail - Email |
|
| Marca autovehicul - Vehicle Brand |
|
| Model autovehicul - Vehicle Model |
|
| Numar de imatriculare - Registration No |
|
| Culoare - Colour |
|
| Data primei imatriculari - Date of Registration |
|
| Zile de acoperire (perioda acoperita) - No of days on cover |
|
| Lyoness card number - Numar card Lyoness |
|