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Road Haulage Operator'S Licence Application Form - Ireland Department Of Transport, Tourism And Sport Page 3

Section 5

Transport Manager Details

(see Note 5 in the Guide)

5A Name of Transport Manager___________________________________________________________

5B Address____________________________________________________________________________

______________________________________________________________________________________

5C Mobile___________________________

5D Telephone___________________________________

5E Email______________________________________________________________________________

5F PPSN____________________________

5G Date of Birth_________________________________

5H Country of issue of Certificate of Professional Competence (CPC):______________________________

National 

International 

5I Transport Manager’s CPC No.___________

5J Type of CPC:

5K Does the Transport Manager have any other employment, apart from with this applicant? Yes  No 

5L State the total number of working hours per week for this applicant __________________ and in all other

employments_____________

5M If Yes to 5K, is the Transport Manager engaged as Transport Manager for another operator? Yes  No 

5N If Yes to 5M, state the licence number of the other operator(s)___________________________________

and the total number of vehicles managed by the Transport Manager ________________________________

Office Use Only

Section 6

Good Repute

(see Note 6 in the Guide)

6A Were there any convictions or infringements in any jurisdiction against any relevant person for any of the

Yes 

No 

offences listed in Note A to the Guide?

6B Every relevant person must complete a Garda Vetting Form (attached) and fill in details of any convictions in

any jurisdiction for any offence listed in Note A to the Guide. Vetting forms must be completed and submitted,

even if there are no convictions against the person. Photocopy more vetting forms if needed.

6C In addition every relevant person must, in the section below, provide details about any infringement in any

jurisdiction. (Infringements include where a penalty is imposed by an enforcement authority without a Court

appearance, such as a fine at a checkpoint, a prohibition, or other administrative penalty.) Do not include

convictions in this section – these are covered in the Garda Vetting Form.

Offender’s name

Nature of infringement

Place of

Date of

Penalty

Infringement

infringement

If necessary, continue on a separate page, to be signed and dated by the applicant

Office Use Only

Road Haulage Operator'S Licence Application Form - Ireland Department Of Transport, Tourism And Sport Page 3

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