Road Haulage Operator'S Licence Application Form - Ireland Department Of Transport, Tourism And Sport Page 5

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An Garda Síochána Use Only
Reference No.:
An Garda Síochána
GARDA VETTING APPLICATION FORM
NOTE TO APPLICANT
The Enquiry Form must be completed in full using BLOCK CAPITALS
(Please state N/A if details are not applicable)
Writing must be clear and legible
Return the completed form to Department of Transport, Tourism and Sport, Clonfert House, Bride Street, Loughrea,
Co. Galway
 DO NOT send this form to The Garda Central Vetting Unit or to any Garda Station
To be completed by the Applicant
SURNAME:
PREVIOUS NAME (if any):
FORENAME:
ALIAS:
DATE OF BIRTH:
PLACE/CITY OF ORIGIN:
(dd/mm/yy)
HAVE YOU EVER CHANGED YOUR NAME?
Yes
No
IF YES PLEASE STATE FORMER NAME:
Please state all addresses from year of birth to present date
House
Street
Town
County
Post
Country
Year
Year
No.
Code
From
To
Please Continue Overleaf
5

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