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Download Fomu za Maombi ya Leseni in pdf

Fomu za Maombi ya Leseni

FOMU YA MAOMBI YA LESENI YA HUDUMA, BINAFSI ZA USAFIRIDownload
2. APPLICATION FORM FOR PRIVATE HIRE ENGLISHDownload

Land Transport Regulatory Authority
APPLICATION FOR PRIVATE HIRE (SERVICE PROVIDER) LICENCE
Type of Service:
(Tick appropriate)
Period Applied for:
Year: 20….
Motor cycle Tricycle Taxi Cab
Ride hailing Ride sharing Special Hire
Any other (Specify) ……………………………………………..
New Renewal
A. PARTICULARS OF AN APPLICANT OF A LICENCE
1. Applicant’s Name in full 🙁 Individual/Company/ Partners, in BLOCK LETTERS)
Postal Address Postcode:
Office Mobile Phone 1: Applicant’s Mobile Phone:
E-mail:
Physical Address:
Street: Plot Number: Office Number:
Have you had a previous application
refused/suspended or revoked?
Yes: No:
If Yes, state when and why previous application refusal, licence suspension or revocation was made
B. DOCUMENTS TO BE PROVIDED DURING APPLICATION
2 First application shall be accompanied by the items listed below:
(a) Vehicle Registration Card ,
(b) A valid certificate of motor vehicle road worthiness and
(c) Certificate of Incorporation (in case of a body corporate).
(d) Special Hire should install VTS approved by the Authority
I/We hereby declare that to the best of my/our knowledge and belief all the information
provided in this application is true.
Full Name: Signature:
Designation: Date:

FOMU YA MAOMBI YA LESENI YA HUDUMA BINAFSI ZA USAFIRI Download
2. APPLICATION FORM FOR PRIVATE HIRE ENGLISH Download

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