SOUTH CAMBRIDGESHIRE DISTRICT COUNCIL APPLICATION FOR A PRIVATE

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SOUTH CAMBRIDGESHIRE DISTRICT COUNCIL

SOUTH CAMBRIDGESHIRE DISTRICT COUNCIL


APPLICATION FOR A PRIVATE HIRE/HACKNEY CARRIAGE

VEHICLE LICENCE


PREAMBLE: We may get information from certain third parties, or give information to them, to check the accuracy of information, to prevent or detect crime, or to protect public funds in other ways, as permitted by law. These third parties include other Local Authorities and Government departments.


TO: The Corporate Manager for Health and Environmental Services

South Cambridgeshire District Council

South Cambs Hall

Cambourne

CB23 6EA


I the undersigned, hereby apply for a PRIVATE HIRE/ HACKNEY CARRIAGE VEHICLE LICENCE (delete as appropriate) to be let for hire within the District of South Cambridgeshire in respect of the vehicle described below.


I declare that to the best of my knowledge and belief, the statements made herein are true and correct, and I give my permission for you to check the information I have given with third parties as described.


I realise that if, for the purpose of obtaining a Hackney Carriage or Private Hire Licence for this vehicle, I make any false statement or omit any material particulars I shall be liable for prosecution.



I enclose my remittance of £ __________ being the fee for the license applied for



PLEASE NOTE WE CAN NO LONGER TAKE CASH PAYMENTS AT ANY OF OUR COUNCIL OFFICES



SIGNATURE ______________________ DATE ______________

PLEASE COMPLETE THE DETAILS OVERLEAF


Please note that provided all paperwork is in order you may re-license your vehicle up to one calendar month before the licence expiry date.

Your new licence will then be issued in advance to run from your original expiry date.



VEHICLES PRESENTED FOR RENEWAL AFTER THE LICENCE EXPIRY DATE WILL BE TREATED AS A NEW APPLICATION.


IN SUCH CIRCUMSTANCES PARTICULAR ATTENTION SHOULD BE GIVEN TO OUR AGE CONDITIONS. (see frequently asked questions for further details)



Any queries should be directed to 0345 045 0063


This application is for:- NEW APPLICATION / RENEWAL (delete as appropriate)


CONTACT DETAILS (of every proprietor)


NAME(s):

ADDRESS:



TELEPHONE NUMBER:

EMAIL ADDRESS:



1. TYPE OF PLATE REQUIRED, STANDARD LONG PLATE OR EXEMPTION PLATE. IF A FIRST REQUEST FOR EXEMPTION, PROOF WILL BE REQUIRED OF CHAUFFEUR CONTRACTS.


2. VEHICLE REGISTRATION No ____________________


3. MAKE/MODEL ____________________


4. COLOUR ____________________


5. FIRST REGISTERED ____________________


3. ENGINE CAPACITY ____________________


4. FUEL TYPE PETROL / DIESEL / HYBRID


6. NUMBER OF PASSENGERS _____________________


7. BODY TYPE MPV / SALOON / ESTATE / HATCHBACK


8. NUMBER OF DOORS (not including rear tailgate) _____


9. DISABLED FACILITIES : NONE / DISABLED ACCESS / WHEELCHAIR


10. NAME OF OPERATING COMPANY _____________________ (Signed by operator)


11. DATE OF ISSUE OF CURRENT M.O.T CERTIFICATE ________________


12 EXISTING PLATE NUMBER + EXPIRY DATE( if applicable) ________________


13. CURRENT INSURER __________________________


14. WHAT KIND OF INSURANCE POLICY DO YOU HOLD IN RESPECT OF THIS VEHICLE (public hire, private hire, fully comprehensive, third party fire & theft)


15. Do you intend to use this vehicle primarily for pre-booked work outside this district?

YES / NO


THIS APPLICATION MUST BE SIGNED BY THE OWNER FOR WHICH THE LICENCE IS SOUGHT, OR WHERE THE VEHICLE IS IN JOINT OWNERSHIP, BY ONE OF THE OWNERS. IN THE CASE OF LIMITED COMPANIES OR OTHER LEGAL ENTITY, THE SECRETARY OR MANAGER OR AUTHORISED AGENT MUST SIGN THE APPLICATION ON THEIR BEHALF.


DATE:_________________ SIGNATURE:____________________________


Once this application has been accepted and processed, the applicant will be notified that the licence and plate is available for collection from the Cambourne offices, this will normally be processed within 2 working days. Failure to state type of plate required i.e. Exemption or Standard, will incur a charge of £20 to have incorrect plate replaced.


OFFICE OF ENVIRONMENTAL HEALTH AND SAFETY 333 SOUTH
PO BOX 131 FERNDALE 2160 SOUTH AFRICA TELEPHONE
SOUTH AFRICAN NATIONAL PARKS ADDRESS PO BOX 787


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