Application for an Operator s Licence for the Carriage of Goods by Road

Transcription

1 Application for an Operator s Licence for the Carriage of Goods by Road To avoid delays in processing your application, kindly read this form carefully, and fill it in completely. The Authority for Transport in Malta (MT) requires that personal information is provided as part of this application. The information is used solely by the MT to assess eligibility for an operator s licence under the Motor Vehicles (Carriage of Goods by Road) Regulations, The application will only be assessed if all the required information is provided, including all relevant documents and declarations; payment of the required fee has been made and the declaration on the final page is signed by all relevant persons. Wherever possible kindly use block letters. If more space is needed, kindly write paragraph number and details on a separate page, sign it and attach it to this application. The fee is 120 for the licence and 25 for each vehicle for the first four vehicles, and a lump sum 125 for five vehicles or more, to be listed in the licence. Payments may be made cash, by money order, bank cheque or personal cheque. All cheques are to be made payable to the Authority for Transport in Malta. Application forms, fully completed, may be post or hand delivered to the Authority for Transport in Malta, Sa Maison, Floriana CMR 02, Malta. Section A: Type of licence being applied for National Licence for the Transport of Goods by Road: International Licence for the Transport of Goods by Road: Please tick appropriate box Section B: Details of applicant 1. Full name of applicant: Surname First name(s) I.D. Number 2. Applying as: 3. If applicant is representing a Company or partnership: name of comp/partnership and registration number: 4. If applicant is a partnership or company or other undertaking, give the full name of each partner/director/other: Sole trader Partnership Company Other Name Reg. No Surname First name(s) I.D. Number Kindly attach copy of company s registration certificate and directors list or list of partners addresses

2 5. Business/registered office address: Postcode 6. Telephone number and Fax Number: Tel: Mobile: Fax: Fax: 7. address (if available): 8. VAT Number: 9. Address or addresses where vehicles to be licensed are normally based if different from business address: 10. (a) Vehicles licensed to be used internationally (b) Vehicles licensed to be used nationally Registration Number Maximum Authorised Weight Registration Number Maximum Authorised Weight 11. Does applicant intend carrying dangerous goods? Yes No If necessary continue on separate page, to be signed and dated by the applicant

3 Section C: Professional Competence 12. Name and I.D. number of person in possession of Certificate of Competence National/International: Section D: Good Repute Kindly attach copy of the said Certificate of Competence where applicable 13. Have you or any one of your partners been convicted of a serious criminal offence in the five years preceding the date of this application, in Malta or overseas?* ** *** If Yes, give details Yes No Kindly thick appropriate box Nature of offence Date committed Court where convicted Date of conviction Penalty * One has to declare: (a) whether he or she has been convicted of serious criminal offences, including offences of a commercial nature during the last five years, or of a crime carrying a conviction of a term of imprisonment of, or exceeding three months or a fine of at least 466; or of two or more crimes connected with violence; (b) been found guilty during the last to years of any crime carrying a conviction for an offence concerning the use of any motor vehicle; (c) been convicted of serious, repeated offences against rules in force concerning: - the payment and employment conditions in the profession, or - road transport, in particular the rules relating to driving, the weights and dimensions and carrying capacity of vehicles, road or vehicle safety or damage to the environment; (d) been convicted of any corresponding offence under any law of a country or territory outside Malta. ** If the applicant or partner was less than 18 years of age at the time of a conviction in (a) and (b) the periods referred to shall be respectively two years and one year. *** If conviction was upheld on appeal or is being appealed, kindly state that fact: Kindly attach Conduct Certificate issued in terms of the Conduct Certificate Ordinance or any other criminal record from the relevant police, and Consent to Repute Enquiry Form duly filled.

4 Section E: Financial Standing 14. Do you/the undertaking currently have available sufficient resources to ensure the proper launching and administration or continued proper administration of the undertaking? * 15. Are you or any partner in or director of the undertaking to which this application relates, in a state of bankruptcy? If Yes kindly give details: Yes Yes No Kindly thick appropriate box No Kindly thick appropriate box 16. Bankers: * An applicant shall not be considered to be of appropriate financial standing unless he or she has available to him or her capital and reserves of an amount equal to or exceeding the aggregate of: (a) 9,000 for the first or only vehicle which is to be authorized under the licence; and (b) 5,000 for each additional vehicle which is to be authorized. In assessing financial standing, the Authority shall have regard to (a) the annual accounts of the undertaking, if any; (b) funds available, including cash at bank, overdraft and loan facilities; (c) any assets, including property, which are available to provide full or partial security for the undertaking; (d) costs, including purchase cost or initial payment for vehicles, premises, plant and equipment, and working capital. The Authority may accept as evidence of financial standing confirmation or assurance given by a bank or other suitably qualified financial establishment. Kindly attach Accountant s Report. Section F: Declaration I hereby declare, under oath, that the statements made and information given in this application are correct and true. I understand that the licence may be revoked and criminal action may be taken against me if any of the details are false or misleading. I also enclose the appropriate fee. Name of applicant (in capitals). Position/status in business Signature Date

5 Your licence will not be issued unless you supply the following with your application: Section B: Copy of the Memorandum and Articles and Registration Certificate (if a company) Registration of Business Name for Trading Name(s) List with names and addresses of partners/members (if partnership or other undertaking) Copy of insurance policy for your place of business Copy of logbook of each vehicle to be used under licence Section C: Copy of Certificate of Competence Section D: Original or true copy of conduct certificate or criminal record issued by the relevant police pertaining to all directors or partners and persons in possession of Certificate of Professional Competence Consent to Repute Enquiry Form Consent to Repute Enquiry This form must be completed by each owner/partner/director and the designated applicant I/we hereby authorize the Authority for Transport in Malta (MT) to obtain copies of criminal records of details of convictions for relevant offences under the Motor Vehicle (Carriage of Goods by Road) regulations, I/we understand that the MT may legitimately use this information to determine the outcome of my/our application to obtain and hold an Operator s Licence for the Transport of Goods by Road.

6 Haulier trading as sole trader/partnership ACCOUNTANT S REPORT 1. We have prepared, without carrying out an audit, a statement of affairs as at (date) from the accounting records of, hereinafter referred to as the firm, having its principal business address at and from information and explanations supplied to us. 2. In making this report we have had regard to the unaudited statement of affairs referred to above and, in particular, to the amounts and other information included in that statement of affairs in respect of: i. funds available, including cash at banks and overdraft and loan facilities; ii. assets, including property, available to provide security; iii. costs, including purchase cost or initial payment for vehicles, premises, plant and equipment; and iv. working capital. 3. We confirm that the unaudited statement of affairs of the firm at (date) shows Total Assets less Total Liabilities at (date) which, on the basis of the licence application for vehicles, exceed 9,000 for the first vehicle with a maximum authorised weight in excess of 3.5 tonnes and 5,000 for each additional vehicle to be authorised for use under the firm s authorisation. Firm of Accountants Address: Auditor s/accountant s signature*: Date: Stamp mark: * An Auditor or Accountant as defined by the Accountancy Profession Act.

7 Haulier trading as a Limited Liability Company ACCOUNTANT S REPORT 1. We have audited in accordance with auditing standards, the financial statements of, hereinafter referred to as the company whose registered office is at for the year / period ended at (date). 2. Our audit report on those financial statements, was without qualification. OR Our audit report on those financial statements, which was qualified, was as follows: 3. In making this report we have had regard to the financial statements referred to above and, in particular, to the amounts and other information including those financial statements, in respect of: i. funds available, including cash at banks and overdraft and loan facilities; ii. assets, including property, available to provide security; iii. costs, including purchase cost or initial payment for vehicles, premises, plant and equipment; and iv. working capital. 4. We confirm that the audited balance sheet of the company at (date) shows Capital and Reserves of which, on the basis of the licence application for vehicles exceeds 9,000 for the first vehicle with a maximum authorised weight in excess of 3.5 metric tonnes and 5,000 for each additional vehicle to be authorised for use under the company s authorisation. Firm of Accountants Address: Auditor s/accountant s signature*: Date: Stamp: * An Auditor or Accountant as defined by the Accountancy Profession Act.