Road Haulage Operator 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 LICENCE APPLICATION FORM
This is an application form for a Road Haulage Operator Licence, and for all the appropriate documents for vehicles
to be authorised under the licence. Please complete in CAPITAL LETTERS. You should 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 must be enclosed. Tick boxes as appropriate in
this form. If in doubt about any aspect of filling in this form, consult the Guide or contact the Road Transport
Operator Licensing Unit.
Section 1
Type of Licence required
Office Use Only
(see Section 1 in the Guide)
1A
National Road Haulage Operator Licence
International Road Haulage Operator Licence 
1B
Previous Licence No. (if any) _______________
Office Use Only
Office Use Only
Application No.
Licence No.
Section 2
Applicant Details and Establishment
(see Section 2 in the Guide)
2A Name of Applicant__________________________________________________________________
2B Business Address of Applicant_________________________________________________________
____________________________________________________________________________________
2C Eircode _______________________
2D Registered Office (if different from 2B)_________________________________________________
____________________________________________________________________________________
Sole Trader 
Company 
Co-operative 
Partnership 
2E Business Formation Type:
2F Office Phone No._______________________
2G Office Fax No.___________________________
2H Office E-mail _______________________________________________________________________
2I In the case of a company, state Companies Registration Office registration no. ________________
2J If a trade/business name is registered with Companies Registration Office, state registration no. _________
and name ___________________________________________________
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