MAR. 27.] THE NEW ZEALAND GAZETTE. 511

Form T.L. 14.

[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 SEASONAL GOODS-SERVICE LICENSE.

To the Commissioner of Transport, Wellington.

I, the undersigned, hereby apply for a seasonal goods-service license under the above Act to operate a goods-service, particulars of which are given below, and I declare that to the best of my knowledge and belief the statements made herein are true, correct, and complete in every particular.

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.

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 the case of a partnership, one of the partners should sign on the fourth line and all the partners’ names should be given on the first line. If the partnership has a trade-name this also should be given.

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

I. Full name of applicant in block letters
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II. Business address of applicant..........
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III. Application made by..................
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IV. Usual signature of person making the application............................
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V. Where the application is made by an agent, the agent’s address should be given here............................
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(If the vehicle is under hire-purchase, the person in possession should make the application.)

QUESTION
(Or Particulars required).

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

2. (a) State the date since which the service covered by this application has been continuously carried on, whether by applicant or preceding owners of the vehicles or plant.

(b) Give particulars of changes in ownership of the service since 11th November, 1931.

3. Do you propose to carry mails? If so, please give details of contract.

4. Please supply the following details regarding contracts in force at the date the application is made:—
   (a) Name of other party.
   (b) Term of contract.
   (c) Description of goods covered by contract.
   (d) Charges under contract.

5. If a new service, give proposed date of commencement.

6. State whether you have taken out an insurance policy over loads to be carried against loss by fire, accident, &c. A copy of the insurance policy or policies should be attached to this application, or the following information should be supplied:—
   (a) Name of insurance company.
   (b) Amount of cover.
   (c) Term of policy.
   (d) Commodities covered by insurance.

7. State the commencing and closing dates of the season during which it is proposed to operate.

8. Give details and number of Vehicle Authorities required.

ANSWER
(If there is no room on this form attach a separate signed sheet with answer number thereon).

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