Road Haulage Operator'S Licence Application Form - Ireland Department Of Transport, Tourism And Sport

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Return this application to:
Road Transport Operator Licensing Unit
Department of Transport, Tourism and Sport
Clonfert House, Bride Street, Loughrea, Co. Galway
ROAD HAULAGE OPERATOR’S LICENCE APPLICATION FORM
This is an application form for a Road Haulage Operator’s Licence, and for all the appropriate documents for vehicles
to be authorised under the licence. Please complete in CAPITAL LETTERS. You must read the Guide to Road
Haulage Licensing (referred to in this form as “the Guide”) before filling in this form. If you need more space for
any part of this application, use a separate page, and enclose it with this application. The fee must be paid in full and
accompany the application. All documentation indicated in this form and in the leaflet must be enclosed. Tick boxes
as appropriate in this form. If in doubt about any aspect of filling in this form, you should consult the Guide.
Section 1
Type of Licence required
Office Use Only
(see Note 1 in the Guide)
1A
National Road Haulage Licence
International Road Haulage Licence 
1B
Previous Licence No. (if any) _______________
Office Use Only
Office Use Only
Application No.
Licence No.
Section 2
Applicant Details and Establishment
(see Note 2 in the Guide)
2A Name of Applicant__________________________________________________________________
2B Business Address of Applicant_________________________________________________________
____________________________________________________________________________________
2C Registered Office (if different from 2B)_________________________________________________
____________________________________________________________________________________
2D Address where vehicles are normally based_____________________________________________
____________________________________________________________________________________
Sole Trader 
Company 
Co-operative 
Partnership 
2E Is the business a:
2F Office Phone No._______________________
2G Office Fax No.___________________________
2H Office Email _______________________________________________________________________
2I If business is registered with Companies Registration Office, state registration no.________________
2J If trade name is registered with Companies Registration Office, state registration no._____________
Office Use Only
1

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