On behalf of:
Business address:
Date:

[An application by or on behalf of a limited liability company should state the name and
address of the registered office of the company, and should be signed by the secretary or manager
or other duly authorized official.]

[In any other case the application should be signed by the owner or one of the owners.]

Question [or particulars required].
Answer [If there is no room on this form attach a separate signed sheet with answer number thereon].

1. Is the applicant (if not a local authority or company) over twenty-one years of age ?

3. Event or function proposed to be served

4. Points of commencement and termination of route

5. Description of route, including all minor deviations. [A plan is to be attached or sketched on the back hereof. If a local service, include names of principal streets and roads traversed. In other cases give a clear description of the route, indicating the principal towns passed through.]

6. Total number of vehicles proposed to be used in the service, whether regularly or in reserve. [The Schedule on back hereof must be filled in concerning each such vehicle.]

7. Proposed time-table

8. Is it proposed that more than one vehicle should be used on the service at any scheduled time of departure? If so, give particulars of times, vehicles, and passenger-capacity of latter, seated and standing.

9. Proposed fares (including any minimum fare and any special terms offered for more fares or journeys than one)

10. Do you wish to pick up passengers over your whole route? If not, state limitations.

11. Do you propose to carry any passengers whose journey begins and ends entirely within a Metropolitan Transport District? If so, within which district?

12. Proposed dates of commencement and termination of service

14. From………………to………

The various types of license are described in the Act (section 29) as follows:-

• 29. (a) A continuous license--meaning thereby a license in respect of a service to be carried on throughout the year, whether daily or on specified days of every week, or otherwise at regular intervals, or a license in respect of special events recurring at intervals during the year :" (e.g., daily, or on Sundays or race-days,&c.); or
• (b) A seasonal license--meaning thereby a license in respect of a service to be carried on only during a period or periods of the year specified in the license ;" (e.g., at Christmas, Easter, &c.) ; or
• (c) A temporary license--meaning thereby a license for a service to be carried on for a specified period of not more than seven days or a license for any specified special occasion or occasions." (e.g., exhibitions, special sporting events, &c.).

[For Receiver's use only.]

Date receipt stamp:
To be placed before Licensing Authority.
Serial number:
Receiver's fee receipt No.:
Acknowledged and receipt sent:
Position re certificates of fitness is:

[BACK OF FORM.]

Schedule of Vehicles.

Current Make and Capacity. Class of Heavy- Give Particulars of any Registration- Model (if any traffic License, if other Route or Routes on plate No. are Six-wheelers, any (Class which the Vehicle is used (on License state so). Seating. Standing. A, B, C, &c.). or proposed to be used. Plate).

Sketch-plan of route (if plan not attached).