Licence Revenue Operations Examination Form
Application Type New RegistrationTransferMV LicenceChange of UseChange of EngineChange of ColourDuplicate Registration
Plate #
Name of the Applicant/Owner
Applicant's TIN
Dealer / Importer
Manufacturer
Model
Colour
Chassis Number
Engine Number
Motor Number
Type / Description of Vehicle
Horse Power
Kilowatt
Unladen Weight
Year
Seating Capacity
Propulsion
Odometer Reading
New or Used
Intended Use PrivateHireAgricultureGoodsOther
If Other, specify
Is the vehicle fitted with manufactured tint? YesNo
Name of Taxi Service
Status of Licence NewRenewal
The vehicle is completely sprayed in Corporate Yellow. YesNo
Road Service Licence YesNo
The Taxi Service Logo is permanently affixed to the vehicle's right and left front doors (No Magnetic Logos). YesNo
Commissioner General (CG) Letter of Approval YesNo
The vehicle has seats fitted at the front of the vehicle for the driver and two porters only. YesNo
The side of the vehicle is completely sealed with metal and not glass. YesNo
No seats are fitted in the rear of the vehicle. YesNo
The registration defines approval for three (3) passengers only (driver, two porters). YesNo
The unladen weight of the vehicle, name and address of the registered owner should be painted on the right side door of the vehicle. YesNo
Place of Examination
Examining Officer
Examining Officer Name
Date
Time
Signature / Typed Name [digitalsign examining_officer_signature]
Remarks on Examination
Additional Officer / Reviewer
Additional Officer Name
Additional Officer Signature / Typed Name [digitalsign additional_officer_signature]
Excise Tax Officer
Excise Tax Officer Name
Excise Tax Officer Signature / Typed Name [digitalsign excise_tax_officer_signature]