Form Op-1(Nna) - Application For U.s. Department Of Transportation (Usdot) Registration By Non-North America-Domiciled Motor Carriers Page 7

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OMB No.: 2126-0016 Expiration: 01/31/2020
FORM OP-1(NNA) Revised 01/10/2017
DOES THE APPLICANT PRESENTLY HOLD, OR HAS IT EVER APPLIED FOR OPERATING AUTHORITY OR
REGISTRATION FROM THE FORMER U.S. INTERSTATE COMMERCE COMMISSION, THE U.S. FEDERAL
HIGHWAY ADMINISTRATION, THE OFFICE OF MOTOR CARRIER SAFETY, OR THE FEDERAL MOTOR
CARRIER SAFETY ADMINISTRATION OF THE U.S. DEPARTMENT OF TRANSPORTATION UNDER THE
NAME SHOWN ON THIS APPLICATION, OR UNDER ANY OTHER NAME?
Yes
No
• If yes, please identify the lead docket number(s) assigned
to the application or grant of authority or registration:
• If the application was rejected before the time a lead docket number(s) was assigned,
please provide the name of the applicant shown on the application:
• If yes, did FMCSA revoke the applicant’s operating authority or provisional registration because
the applicant failed to receive a Satisfactory safety rating or because the FMCSA otherwise
determined the applicant’s basic safety management controls were inadequate?
Yes
No
• If the applicant answered yes to the previous question, it must explain how it has corrected the deficiencies that resulted in
revocation, explain what effectively functioning basic safety management systems the applicant has in place, and provide any
information and documents that support its case. (If the applicant requires more space, attach the information to this form.)
ATTACH
FILE
DOES THE APPLICANT HOLD A FEDERAL TAX NUMBER FROM THE U.S. GOVERNMENT?
Yes
No
• If yes, enter the number here:
IS THE APPLICANT REQUIRED TO REGISTER AS A MOTOR CARRIER WITH ANY
NON-NORTH AMERICAN GOVERNMENT?
Yes
No
• If yes, give the name under which the applicant is registered with the non-North American government, the applicant's
registration number, and the name of the non-North American government that issued the registration.
REGISTRATION NAME
REGISTRATION NUMBER
GOVERNMENT ISSUING REGISTRATION
• If applicant has applied to register with a non-North American government
but has not yet been registered, indicate the application date:
FORM OP-1(NNA) Instructions • Page 3 of 16

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