Road Haulage Operator'S Licence Application Form - Ireland Department Of Transport, Tourism And Sport Page 4

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Section 7
Financial Standing
(see Note 7 in the Guide)
7A Does the applicant currently have sufficient resources to launch and administer the business, consisting of
capital and reserves or net assets of at least €9,000 for the first vehicle to be authorised on the licence, and at
Yes 
No 
least €5,000 for each additional vehicle?
7B You must enclose an accountant’s report, statement of affairs, or other independent confirmation of the
Yes 
No 
applicant’s financial standing with this application. Is this enclosed?
7C State applicant’s Tax Clearance Certificate No. __________________ and expiry date__________________
Office Use Only
Section 8
Fees
(see Note 8 in the Guide)
8A The appropriate fee for this application and details of how to pay are set out in Note 8 in the Guide. The fee
paid is for the consideration of the application and is non-refundable, even if the application is not granted.
Please state the amount of the fee being enclosed with this application: ___________________
8B Please indicate payment method (do not send cash in the post): Cheque
Bank Draft Postal Order
Office Use Only
Section 9
Conditions of Application
(see Note 9 in the Guide)
9A The Minister may refuse any application where he or she considers that any of the requirements to obtain a
licence are not met, where any false declaration is made, or if the application is not satisfactory or is abandoned.
9B The Minister may undertake such additional checks or seek any additional information before granting an
application, including vetting checks with An Garda Síochána, as he or she sees fit.
9C The Minister may share details about operators and relevant persons with enforcement authorities in Ireland
and the EU, and on request with other Government Departments and their agencies.
9D The information provided in this application will be held on computer by the Minister. Once the licence is
granted, certain licence information (see the Guide for details) is published by the Minister on the Department’s
website and may be inspected by members of the public at any time.
9E Any false declaration made in this application may be prosecuted and can lead to a fine of up to €50,000.
9F This form and the appropriate Garda Vetting Forms, confirmation of financial standing and fee together
constitute the application. Applicants must complete this form in conjunction with the Guide.
Section 10
Declaration and Signature
(see Note 10 in the Guide)
10A I hereby declare that all of the information in this application is true and accurate, and all statements or
information provided about any person made in this application are made with their agreement.
10B Any changes in the details provided in this application will be notified to the Department no later than one
month from that occurrence. Changes to vehicles being operated will be notified immediately.
10C I understand that the Department of Transport, Tourism and Sport may undertake good repute checks on
relevant persons before approving this application and during the validity of the licence.
10D I agree to inform the Department of Transport, Tourism and Sport of any convictions for relevant offences
against any relevant person to whom this application relates, during the validity of the licence.
10E I agree to abide by the conditions of this application and with any terms and conditions on my licence.
10F I confirm all the following are enclosed: ●Vetting forms for each relevant person (see Section 6) 
●Confirmation of financial standing (see Section 7) 
●Fee (see Section 8) 
Signed______________________________
Name in BLOCK CAPITALS_________________________________
Date______________________
Status: __________________________ (applicant, director, partner, etc.)
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