Entry form for technical details to be added to the Citroen 5HP (7.5hp) Register

Particulars:
Name:		First name:
Road:		Country:
Postal zip code		Domicile:
Telephone:		Mobile phone:
e-mail:		Museum	- Select - No Public Private
Vehicle identification:
Serial number:		Year of Manufacture:
Modell/Typ:	- Select - T2 (Two-seater Tourer) TL (Coupé) T3-1 (with foldaway seat) T3-2 (Cloverleaf) VL (delivery van) Special body	Chassis Type:	-Select - C2 C3
Engine number:		Body-Number:	(if existent)
Ability to drive:	- Select - Not ready to drive Ready to drive with certificate Ready to drive without certificate	License plate

Technical Details:

Chassis:

Steering side:	- Select - on the left on the right	Wheelbase:	- Select - 88.6 Inch (2.25m) 92.5 Inch (2.35m) Different
Radiator:	- Select - with detachable grille without removable grille Different	Manufacturer of radiator:	- Select - Chausson Gallay Different
Louvres:	- Select - 3 16 Different	Emblem:	- Select - Blue on nickelplated Inverted Milano none Different
Steering wheel diameter:	- Select - 15.7 Inch (400mm) 16 Inch (410mm) Different	Coating:	- Select - with 3 spokes, black with 3 spokes, wood without coating Different
Steering gear:	- Select - 1st implementation 2nd implementation 3rd implementation Different	Wheel stud pitch circle diameter:	- Select - 3.9 Inch (100mm) 5.1 Inch (130mm)
Räder/Felgen:	- Select - Beded edge (700x80) Beded edge (715x115) Well base (12x45) mixed different	Color of rim:	- Select - black like body color Different
Differential:	- Select - round oval round, 1st impl. Different	Gearing typ of crown wheel and bevel pinion:	- Select - Chevron Helical gearing Parallel boss Different
Wiring harness laid:	- Select - on right side on left side on both sides other	Terminal type of the headlamp supply wire:	- Select - Single terminal Junction box Self-build other
Rear wheel brakes:	- Select - Separated Coupled Coupled, trademark UNION Coupled, self-build Different	Front wheel brakes:	- Select - None Self-build Trademark ACMOS Trademark C.B. System POULET Different
Shock absorber:	- Select - Rear lengthwise Rear crosswise None Different	Montageanordnung:	- Select - 1st arrangement 2nd arrangement 3rd arrangement 4th arrangement Different
Manufacturer:	- Select - Hardford Repusseau, type 100 Hardford Repusseau, type 101 Hardford Repusseau, type unknown DUFAUX Supless GIANOLI HOUDAILLE RAF Snubbers Different	Other manufacturer:
Starting handle:	- Select - 1st implementation 2nd implementation Different	Length of the propeller shaft:	- Select - 750mm 850mm 825mm Different
Manufacturer's badge:	- Select - Citroën Paris, no. hited Citroën Paris, no. punched-out Citroen Car Ltd., London Soc. Italiana Automobili Citroën Spanish approval None Different	Other badge:
No. of front spring leaves:	5, 7	No. of rear spring leaves:	6, 8

Engin:

Cylinder head:	- Select - Citroën Ruby-Ricardo Crespelle Desprez (Super-Culasse) Different	Cylinder height:	- Select - 5.6 Inch (142.5mm) 5.5 Inch (140mm) Different
Oil pan:	- Select - With cooling fins Without cooling fins Different	Flywheel:	- Select - 3.15 Inch (80mm) 2.2 Inch (56mm) don't know Different
Timing case cover:	- Select - 1st implementation (coil ignition) 2nd implementation (coil ignition) 3rd implementation (magneto ignition) Different	Timing gear wheels:	- Select - Straight teeth Helical teeth, cylindrical seat Helical teeth, conical seat don't know Different
Ignition:	- Select - Battery Magneto Different Converted	Manufacturer/Type:	- Select - Delco RB DB4 RB 10/4 RB 10/4 W RB VOLTEX L4 Converted Different
Dynamo regulator:	- Select - fitted to dynamo (orig.) on bulkhead (orig.) fitted to dynamo on bulkhead different	Starter fixing:	- Select - Clamping collets and bolt Strap Different
Carburettor/Type:	- Select - Solex 22DH Solex 26 MHD Solex 26 BFHD Solex 26 HBFD Solex 26 AHD Zenith 26 UH Zenith 26 TH Different	Choke control:	- Select - none Floorboards (fixed) with duct Retrofitted Converted Different
Fan:	- Select - None Citroën Desprez VENTIL-CIT 5 Crespelle Self-build Different	Gearbox:	- Select - 1st implementation 2nd implementation Different

Bodywork:

Body colour:	- Select - Light yellow Gold-yellow Brown (Havane) Beige Bordeaux-red (maroon) Red Light blue Dark blue Green White Black Other	Color tint:
Mudguard/Fender:	- Select - Flat Rounded Different	Spare wheel:	- Select - On the right On the left At the rear Different
Door:	- Select - on the right on the left on both sides different	Door width:	- Select - ~50cm ~57cm Different
Length of running-board:	- Select - 880mm 980mm Different	Running-board:	- Select - Black Polished Black, polished ribs Aluminium, color of body Self-build Different
Dashboard:	- Select - Aluminium flecked Mahogany wood Steel, black Different
Original instruments:	Ammeter,light switch, ignition switch, choke
Additional instruments:	Direction indicator and indicator light, speedometer, clock, charging lamp, Headlamp Dipswitch dip/main, windscreen wiper,
Interior equipment:	- Select - Imitation leather, black Imitation leather, brown Imitation leather, red Different	Carpet:	- Select - None Fiber mat, black Fiber mat, brown Pile carpet Rubber floor mat Different
Seat disposal:	- Select - Bench seat for 2 persons Relegated bench seat Stable seat, movable seat and foldaway seat Single seats, rear seat in the middle Single front seats Bench front seat and rear bench seat Single front seats and rear bench seat Self-build Different	Number of seats:
Hood:	- Select - Cloth, black Cloth, beige Imitation leather, black Imitation leather, colored None Different	Heckfensterform:	- Select - Rectangle with rounded corners Rectangle without rounded corners Elongated hole Oval None Different
Tonneau cover:	- Select - None Cloth, black Cloth, beige Imitation leather, black Imitation leather, colored Different	Side screens:	- Select - None 3 4 Different
Windshield/Windscreen:	- Select - One piece Divided 1st implementation Different	Pivot:	- Select - Above Below Different
Manufacturer of the windscreen:	- Select - DUVIVIER Citroën Self-build Different	Tie-rod for headlamp brackets:	- Select - In 3 pices (nickelplated) In one pice (nickelplated) In 3 pices (black or brass) In one pice (black or brass) None Unknown Different
Headlights:	- Select - Cibié B.R.C Unknown Different	Diameter:	- Select - 7.5 Inch (190mm) 7.9 Inch (200mm) 8.3 Inch (210mm) Different
Boot cover:	- Select - Small lid (width 45cm) Large lid (width 85cm) Single lid, behind the driver's seat Lids, both sides of the rear seat None Different	Suitcase carrier:	- Select - None on both sides of the rear lid Custom-built model Accessory from the epoch Different

Tools and accessories:

Original accessories:	Lifting jack, oil can, tyre pump, MICHELIN rim wrench, fuel level gauge.
Original tools:	Tool kit, flat spanner for valve adjustment, Wakefield 225mm spanner, all-purpose pliers, double sided screwdriver, magneto adjustment spanner, magneto assembly spanner.

Condition/operation/maintenance:

Condition:	- Select - Original condition Restored true to original Standard restoration Aus Einzelteilen aufgebaut Conversion Earlier restoration Being restored Scarp (parts donor) Normal maintain Unrestored Barnyard find Don't know	Vehicle owned since:
Engine oil used:		Gearbox oil used:
Rear axle oil used:		Grease used:
Used fuel:	- Auswählen - Normal, unleaded Normal, leaded Super, unleaded Super, leaded	Annual mileage:

Documents:

Original 5HP documents:	Maintenance manuals, spare parts catalogue, Repair directory, workshop manual, color swatch, postcards, photosadvertisement posters,
Original leaflets:	1922, 1923, 1924, 1925, 1926. T2/C2, TL/C2, T2/C3, TL/C3, T3-1/C3, T3-2/C3, VL
Technical reports:	Magazine: Year of issue: Number: Page: Titel:

Restoration:

Last restoration finished:		Restoration costs total:
Vehicle procurement:		Parts procurement:
Repair costs:		Documentation:
Estimated sales value:		Currency:

Discrepancies:

Source (Origin):

Former owner:
History:

Images:

Image 1 of the vehicle:
Image 2 of the vehicle:
Image 3 of the vehicle: