742 THE NEW ZEALAND GAZETTE. [No. 26

27. Is the vehicle proposed to be used on all your licensed
    routes :
28. If not, state limitations :
    Dated at , this day of , 193 .
    Signature of applicant :
    Name of business :
    Business address :
    [For Official use.]
    Receiver's fee receipt No. :
    Date of receipt :
    Receiving officer :
    Issue of current heavy-traffic license and annual license
    verified :
    Date of first inspection :
    Date of final check inspection :
    No. of certificate :
    Date of issue :
    Inspecting Officer :
    Plau reference Nos. :
    Remarks :

Form C.
Transport Licensing Act, 1931.
CONTINUOUS
SEASONAL PASSENGER-SERVICE LICENSE.
TEMPORARY
No. License Ref.
NOTE.—This license is valid only for the route described
hereunder.
Name of licensee :
Business address of licensee :
THE above-named is hereby authorized to carry on, with (a)
vehicle[s] complying with the description set out in Schedule A
hereof and to the time-table and on the route respectively
described in Schedule B hereof, and with the fares fixed in
Schedule C, a passenger-service (particulars of which are set
out below) in accordance with the provisions of the above
Act, and of the regulations for the time being in force there-
under, and subject to the special conditions herein set forth.

1. Points of commencement and termination of route :
2. Brief description of route and localities to be served (as
   more particularly described in Schedule B hereof
   and delineated by sketch plan attached or on the
   back hereof) :
3. The service hereby licensed shall commence on the
   day of , 193 .
4. The licensee must not abandon or curtail the service
   without the consent of the licensing authority to
   which must be given twenty-eight days' notice of
   such intention. (See section 31, subsections (3) and
   (4), of the Act.)
5. This license expires on the day of , 193 .
   NOTE.—Renewal, if required, must be applied for on the
   appropriate form not less than fourteen and not more than
   twenty-eight days before the date of expiry shown above.

SPECIAL CONDITIONS.
[Set out any Special Conditions that the Licensing Authority
may think fit to impose not inconsistent with the Act or
Regulations.]
Dated at , this day of , 193 .
For the Licensing Authority.
NOTES.—Departure from the terms of this license without
authorized amendment thereof or failure to keep its terms
may be penalized by a fine of £100, or £10 per day of offence,
and may result in revocation of the license.
This license is not transferable.

[BACK OF FORM.]
Schedule A.
PARTICULARS OF VEHICLES AUTHORIZED TO BE USED.

Schedule B.
PARTICULARS OF ROUTE, TIME-TABLE, AND VEHICLES PER TRIP.

Schedule C.
FARE TABLE.
SKETCH PLAN OF ROUTE (IF PLAN NOT ATTACHED).

Form D.
[NOTE.—A fee of 5s. must accompany this application plus
a further 2s. 6d. for every vehicle to be used in the service
in excess of one if such additional vehicle is not at the date
of the application covered by a certificate of fitness or permit.]
[Attention is directed to the fact that if any information
supplied on this form is false or misleading it renders the appli-
cant liable to a fine of £10.]

Transport Licensing Act, 1931.
APPLICATION FOR TEMPORARY PASSENGER-SERVICE LICENSE.
A separate application must be supplied in duplicate in
respect of each separate route (minor deviations not to be
counted as a separate route).
To the Licensing Authority,
I, THE UNDERSIGNED, hereby apply for a temporary license
under the above Act to operate a passenger-service, particu-
lars 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.
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 :
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.]
If the vehicle is under hire purchase the application should
be made by the person in possession.

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