Fillable STRICTLY PRIVATE AND CONFIDENTIAL PRIVATE HIRE VEHICLE APPLICATION (Guildford Borough Council)

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STRICTLY PRIVATE AND CONFIDENTIAL PRIVATE HIRE VEHICLE APPLICATION (Guildford Borough Council)

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The STRICTLY PRIVATE AND CONFIDENTIAL PRIVATE HIRE VEHICLE APPLICATION (Guildford Borough Council) form is 4 pages long and contains:

  • 3 signatures
  • 16 check-boxes
  • 65 other fields

Country of origin: UK
File type: PDF

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STRICTLY PRIVATE AND CONFIDENTIAL PRIVATE HIRE VEHICLE APPLICATION FORM
Guildford Borough Council – Application for a Hackney Carriage Vehicle JAN2020 Page 1 of 4
This form must be FULLY completed, and documents listed in the checklist at the end of this form provided with this
application together with the fee for the application to be considered. When complete, please return the form to
Guildford Borough Council, Licensing Services, Millmead House, Millmead, Guildford, GU2 4BB or scanned and sent
by email with the supporting documentation to: regulatoryservices@guildford.gov.uk
Please complete all sections of the application form in BLOCK CAPITALS. Incomplete applications will be rejected. If
you have any questions relating to the application process or requirements, please refer to the Council’s Licensing
Policy (available at www.guildford.gov.uk/taxi) or contact the Licensing Office.
All vehicles must be no older than 5 years (from the date of first registration shown on the vehicle registration
document) when first licensed. All vehicles must comply with any relevant Council Policies and Condition for the
duration of its licence and any other requirement relating to Private Hire Vehicles or motor vehicles. The Council is not
responsible for any costs incurred resulting from the purchase of a vehicle which is not suitable for Licensing.
YOU CANNOT USE A VEHICLE AS A HACKNEY CARRIAGE VEHICLE UNTIL THE LICENCE AND LICENCE
PLATE ARE ISSUED. The Licence will permit the vehicle to ply for hire in the Guildford Borough area only.
APPLICANT DETAILS
Person(s) in possession and control of the vehicle who will be considered the Proprietor of the Private Hire Vehicle
Licence, unless otherwise stated. The applicant must be the owner, or one of the owners, of the vehicle as shown on
the registration document, bill of sale and on any HP or lease agreement.
Company Name
Title Full Name
Date of Birth Place of Birth
National Insurance
Number
Nationality
Email Address
Home Phone Number Mobile Number
Current Home
Address incl.
postcode
APPLICATION FOR THE GRANT OF A PRIVATE HIRE
VEHICLE LICENCE
Local Government (Miscellaneous Provisions) Act 1976
Application Type:
NEW
RENEW
VEHICLE
CHANGE
Vehicle Licence Number:
PHV:
STRICTLY PRIVATE AND CONFIDENTIAL PRIVATE HIRE VEHICLE APPLICATION FORM
Guildford Borough Council – Application for a Hackney Carriage Vehicle JAN2020 Page 2 of 4
OTHER PERSONS WITH AN INTEREST IN THE VEHICLE
Please list details of all other proprietors or persons with an interest in the vehicle, including other person concerned in
the keeping, employing or letting to hire of the vehicle.
Proprietor 1
Full Name
Date of Birth Place of Birth
National Insurance
Number
Nationality
Email Address
Home Phone Number Mobile Number
Address
Proprietor 1
Full Name
Date of Birth Place of Birth
National Insurance
Number
Nationality
Email Address
Home Phone Number Mobile Number
Address
VEHICLE DETAILS
Registration Number
Date of First
Registration
Manufacturer
Model
Body Style
Engine Size and Fuel
Colour
Meter Make
Number of Seats
(excluding driver)
Wheelchair Access
Insurance Provider
Date of next MOT
Please detail where the vehicle is to be kept when not in
use as a Private Hire Vehicle
FINANCE OR HIRE PURCHASE ARRANGEMENTS
YES NO
If YES, who is named in the agreement as the hirer or lessee of the vehicle?
No Proprietors
STRICTLY PRIVATE AND CONFIDENTIAL PRIVATE HIRE VEHICLE APPLICATION FORM
Guildford Borough Council – Application for a Hackney Carriage Vehicle JAN2020 Page 3 of 4
DRIVER DETAILS
Please list all drivers of the vehicle. Once licensed, the vehicle may only be driven by a driver holding a Private Hire
or Hackney Carriage Driver’s licence issued by Guildford Borough Council, even when off duty.
Driver Name Licence Number
Driver Name Licence Number
Driver Name Licence Number
Driver Name Licence Number
OPERATOR AND USE DETAILS
List all licensed Operators controlling the vehicle
Operator Name Licence Number PHO
Operator Name Licence Number PHO
Operator Name Licence Number PHO
Operator Name Licence Number PHO
Operator Name Licence Number PHO
DECLARATION
I HEREBY make an application to Guildford Borough Council for the grant of a Private Hire Vehicle licence subject to
the Statutes, Regulations, Policies, Byelaws and Conditions relating to the same for the time being in force.
I declare that I have checked the information on this application and to the best of my knowledge and belief, it is correct.
I understand that it is an offence for any person to knowingly or recklessly make a false statement or to omit material
information for which I could be prosecuted, and any licence issued suspended or revoked.
I declare that I have supplied all the appropriate supporting documentation listed in the checklist below, and I am aware
that if any of the information supplied on this application should change, I need to inform the Council in writing and pay
the fee for amending the licence, if applicable.
I understand that I must undertake to comply with the legislation, byelaws, policy, code of conduct, and conditions of
licence as are now, or may hereafter be in force, for regulating hackney carriage or private hire business and drivers
within the said Borough.
I confirm that the vehicle to be licensed is and will not be licensed with any other council for the duration of the licence.
Signature of applicant:
Date:
Signature of other
proprietor 1:
Date:
Signature of other
proprietor 2:
Date:
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STRICTLY PRIVATE AND CONFIDENTIAL PRIVATE HIRE VEHICLE APPLICATION FORM
Guildford Borough Council – Application for a Hackney Carriage Vehicle JAN2020 Page 4 of 4
The information you provide on this form will be used by Guildford Borough Council for licensing purposes. We may
share your information and make any other necessary enquiries regarding your application with other departments and
statutory organisations in relation to the application. Your personal information will be processed in line with Data
Protection legislation and we will not disclose information about you to anyone outside the Council unless the law
permits or requires us to.
The Council is under a duty to protect the public funds it administers and to assist other agencies in the prevention and
detection of crime. We may use the information provided on this form for this purpose, and share this information with
other bodies responsible for auditing or administering public funds.
Under Section 51(3) Local Government (Miscellaneous Provisions) Act 1976, the local authority is required to maintain
a register of private hire vehicle licences, including the following details which are available for inspection by members
of the public: The name of the person to whom it is granted; the date on which and the period for which it is granted; if
the licence has a serial number, that number. As Guildford Borough Council issues dual Hackney Carriage and Private
Hire Licences, the above applies to both.
We will retain your data for as long as it is required for our administrative use, after which it will be securely disposed of.
If you believe the data we process on you is incorrect you may request to see this information and, if necessary have it
corrected or deleted. If you wish to raise a complaint you can contact our Data Protection Officer at the address below.
If you believe we are not processing your data lawfully you can complain to the Information Commissioner’s Office
(https://ico.org.uk/). Further details are available on our website - https://www.guildford.gov.uk/dataprotection
, or from
the Information Rights Officer, Guildford Borough Council, Millmead House, Millmead, Guildford, GU2 4BB (email:
foi@guildford.gov.uk).
APPLICANTS CHECKLIST
Your application will not be accepted without all appropriate documentation:
Type of application
Required Document
Check
Box
V5C Registration document
Must be in the name of the applicant or proprietor
Current insurance certificate covering private hire work
Must Cover the start date of your licence
Valid MOT Test Certificate if the vehicle is over one year old
Not applicable for vehicles less than 3 years old
The vehicle test pass certificate issued by Woking Road Depot
No older than 4 weeks
Payment of the fee, by debit or credit card.
Please note, we do not accept cash
Certificate of calibration and sealing from meter agent
If applicable
Bill of sale or proof of purchase
Receipt of purchase of the Vehicle
HPI Report if the vehicle is being licensed for the first time and the vehicle has had a previous
owner (New, Vehicle Change)
Any HP Agreement
Must provide document if agreement is in place at the time of application
Right to work document
if not a licensed driver with GBC, including proprietors
NEW VEHICLE APPLICATION
RENEWAL APPLICATION
CHANGE OF VEHICLE APPLICATION
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Completed 26 December 2020

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