New Zealand Gazette – 1931 – No. 29

Page 990

✨ Motor Vehicle Licensing Forms



  1. The applicant is free from disease and from any physical
    his
    defect that would, in my opinion, interfere with her capabilities
    as a motor-driver, within the licensing year ending on the
    31st May, 19 .
    Date :
    Registered Medical Practitioner.
    [Form No. 4.
    TEST FOR DRIVERS OF MOTOR-VEHICLES.
  2. Name of applicant:
  3. Class of vehicle on which test carried out:
  4. Eyesight and hearing tests :-
    Applicant passed did not pass the tests prescribed in clause (3)
    of Regulation 5 of the Motor-drivers Regulations, 1930.
    [Notes.-(a) Failure to pass entails the obligation prescribed
    in clause (4) of the said Regulation 5. (b) Test unneces-
    sary if the applicant supplies such satisfactory medical certificate
    as may be appropriate under the regulations for the type of
    vehicle sought to be driven.]
    Classifications : Good, fair, or poor, for following tests.
  5. Knowledge of traffic law : [Questions to be given and
    answered viva voce relating to the duties of motor-
    drivers at railway level crossings, and from sections 27
    to 33 (both inclusive) of the Motor-vehicles Act, 1924, or
    any amendment thereof, and from each of the regula-
    tions in force relating to the driving of motor-vehicles
    on the road];
    And driving signals [Applicant to show familiarity
    with the correct driving signals under the regulations]:
  6. Ability in starting engine and driving ahead :
  7. Estimation of speed and distance:
  8. Knowledge of practical application of brakes:
  9. Ability in stopping vehicle (a) at a given mark; (b)
    within the shortest distance without warning:
  10. Knowledge of gears and gear changing:
    10 Ability in starting vehicle on steep slope (approximately
    1 in 10 gradient):
  11. Ability in driving (including changing gear) on hills:
  12. Ability in driving in traffic (if possible to include trams
    and controlled intersections):
  13. General demeanour while driving (confident or nervous,
    &c.):
  14. Ability in turning vehicle in narrow street:
    15. Ability in reversing out of narrow lane, turning vehicle,
    and again reversing for at least 25 yds. distance into
    same lane:
    +16. Ability to make minor adjustments and repairs:
    +17. General knowledge of topography, streets, &c., of
    district:
    (NOTES.-     Item 15 not to apply to applicant for a license
    to drive a motor-cycle, or motor-cycle and side-car. † Items
    16 and 17 to apply only to applicant for license to drive a
    public motor-car or motor-omnibus.)
    1 certify that I personally conducted the above test on
    [Date] and that the comments thereon are correct to the
    best of my judgment.
    [Approved Testing Officer] :.............
    Date:
    [Form No. 5.
    THE MOTOR-VEHICLES ACT, 1924.
    Medical certificate (to accompany application for a license
    to drive a public motor-car or motor-omnibus).
    I HAVE on this date personally examined [Name of applicant],
    knowing him to be an applicant for a license under the above
    her
    Act to drive a public motor-car or motor-omnibus, and I hereby
    certify that in my opinion, having all proper regard to the
    safety of passengers and of the public generally, the applicant
    is mentally and physically a fit and proper person to be
    licensed as the driver of a public motor-car or motor-omnibus.
    The results of my examination are as follow :-
  15. Eyesight : Right eye, ; left eye, ; [Each
    eye should be either (a) of six-ninths standard without glasses
    or better; or (b) of six-sixths standard with glasses, and if the
    applicant has the use of only one eye while driving, that eye
    should be of six-sixths standard or better, without glasses.]
  16. Colour-vision : [Satisfactory or not satisfactory.]
  17. Hearing : [The applicant should be able to recognize the
    words uttered in an ordinary conversational voice at 10 ft.]
  18. The respiration is (is not) natural, and the respiratory
    sounds and the resonance of the chest are normal [abnormal].
  19. The pulsations of the heart are [are not] natural in
    rhythm and force, and its sounds are [are not] those of health.
  20. The applicant is free from disease and from any physical
    defect that would in my opinion interfere with the proper
    carrying out of his duties.
    her
    Date :
    F. D. THOMSON,
    Clerk of the Executive Council.
    (TT. 9/4.)
    By Authority : W. A. G. SKINNER, Government Printer, Wellington.
    Price 6d.]

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✨ LLM interpretation of page content

🚂 Medical Certificate for Motor-Driver's License (continued from previous page)

🚂 Transport & Communications
Medical examination, Driver fitness, Health standards, Motor-vehicle license

🚂 Test for Drivers of Motor-Vehicles

🚂 Transport & Communications
Driver test, Traffic law, Driving skills, Vehicle handling

🚂 Medical Certificate for Public Motor-Vehicle Drivers

🚂 Transport & Communications
Medical examination, Public vehicle drivers, Health standards, Fitness assessment
  • F. D. Thomson, Clerk of the Executive Council