Section 1

Application for a private hire vehicle operator's licence

I HEREBY make application to the Council for a grant of a licence to operate private hire vehicles within North Lincolnshire, as required by Sections 46 and 55 of the Local Government (Miscellaneous Provisions) Act 1976.

"This Authority is under a duty to protect the public funds it administers, and to this end may use the information you have provided on this form within the authority for the prevention and detection of fraud. It may also share this information with other bodies administering public funds solely for these purposes."

Type of application: *

Type of application:

Grant

Renewal

Cost of Grant

72.00

Cost of Renewal

72.00

Payment

Please note: You must provide payment for this licence after completing the form. You do this online. After clicking the submit button at the end of the form you will be taken to our secure online payment website. You can then make the required payment using either a credit or debit card. You will be charged a 1.9% surcharge if you pay using your credit card.

If you do not wish to pay online you cannot use this application form. In this case you must apply using the downloadable (PDF) version of the form, which is also available on our website.

Name of applicant

Title

If Other, please specify

First name(s) *

Surname *

Home address

If the address is within North Lincolnshire, enter the postcode in the box below and then select "find address". If the address is outside of North Lincolnshire, or your address is NOT SHOWN in the list or is incorrect, you will need to enter the address in the boxes provided below.

Postcode *

Prefix

e.g. first floor flat

House number/name *

Street *

Town/village

County

Country

Telephone number

Address(es) from which it is intended to carry on the business of operating private hire vehicles *

Details of any trade or business carried on before making this application *

Details of any conviction(s), whether motoring or otherwise, recorded against the applicant *

Details of any previous application made for an operator’s licence by the applicant or by any company of which the applicant has been a Director or Secretary *

Details of the revocation or suspension of any operator’s licence held by the applicant, or by any company of which the applicant has been a Director or Secretary *

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