Transport Licensing Forms




3504
THE NEW ZEALAND GAZETTE.
[No. 94

Transport Licensing Act, 1931.

APPLICATION FOR RENEWAL OF {CONTINUOUS} PASSENGER-SERVICE LICENSE.
{SEASONAL}
(To be made in duplicate.)

To the {Commissioner of Transport
, Licensing Authority} [Address.]

I, THE undersigned, hereby apply under the above Act for renewal of the {continuous}
{seasonal}
license number already granted and expiring on the day of ,
193 , and I declare that to the best of my knowledge and belief the statements made
herein are true, correct, and complete in every particular.

Usual signature :
Full name of applicant (in block capitals) :
[An application by or on behalf of a local authority should be signed by the Clerk or
other duly authorized officer, and the name of the authority should be given.]

On behalf of :
Business address :
[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.]

Points of commencement and termination of route :
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.]

No amendments } are proposed to the present terms of the license.
Amendments as follows }
[Cross out whichever is inapplicable.]

  1. Amendments in time-table .. .. 1. ............................
  2. Amendments in fares or charges .. 2. ............................
  3. Proposed additions to [reductions in] 3. ............................
    number of vehicles [Give particulars
    by reference to the Schedule of Vehicles.]
  4. Any other amendments 4. ............................

[For Receiver's use only.] (Date Receipt Stamp.)

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

[Initials and Date.]

[BACK OF FORM.]
Schedule of Vehicles.

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

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

Form H.

A bank receipt must accompany this application showing that there has been paid
in respect of it into the Public Account to the credit of the Consolidated Fund a fee
of £3 if the vehicle is to be used in a licensed passenger-service and a fee of £2 if it is not
to be so used.

(NOTES.—This form is to be used only for renewals. If not a renewal use Form B.
[Attention is directed to the fact that if any information supplied on this form is
false or misleading it renders the applicant liable to a fine of £10.]

Transport Licensing Act, 1931.

APPLICATION FOR RENEWAL OF A CERTIFICATE OF FITNESS.
[To be made in triplicate.]

The District, Department, at .
I HEREBY apply for a new certificate of fitness in respect of the vehicle described here-
under :---
Name of registered owner :
Business address :
Garaged regularly at :
Current registration-plate number :
Last year's registration-plate number :



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🚂 Application for Renewal of Passenger-Service License

🚂 Transport & Communications
Transport Licensing, Passenger-Service, License Renewal, Application Form
  • Commissioner of Transport

🚂 Application for Renewal of Certificate of Fitness

🚂 Transport & Communications
Transport Licensing, Certificate of Fitness, Vehicle, Application Form