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

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

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STRICTLY PRIVATE AND CONFIDENTIAL PRIVATE HIRE VEHICLE PLATE EXEMPTION APPLICATION FORM
Guildford Borough Council – Application for Plate Exemption JAN2020 Page 1 of 4
This form must be FULLY completed, and relevant supporting information provided 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.
We will only grant an exemption where we are satisfied that you use the vehicle exclusively or primarily for
‘chauffeured’ private hire work. This means that you provide the chauffeur and vehicle to a business or person, and
the display of a licence plate may affect the dignity or security of the persons you are carrying.
PLEASE SUPPLY LETTERS from your clients and booking records from all operators that control the vehicle
demonstrating the vehicle is used exclusively or primarily for ‘chauffeured’ private hire work to support this
dispensation request.
YOU MUST CONTINUTE TO DISPLAY THE LICENCE PLATE UNTIL SUCH TIME AS THE PLATE EXEMPTION
LETTER HAS BEEN ISSUED. Should the vehicle be granted, dispensation from displaying an external plate, the
plate and letter of dispensation must be carried in the vehicle at all times. The internal plate must be displayed in the
windscreen on the passenger side at all times.
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 PLATE EXEMPTION
Local Government (Miscellaneous Provisions) Act 1976
VEHICLE LICENCE NUMBER PHV
STRICTLY PRIVATE AND CONFIDENTIAL PRIVATE HIRE VEHICLE PLATE EXEMPTION APPLICATION FORM
Guildford Borough Council – Application for Plate Exemption JAN2020 Page 2 of 4
VEHICLE DETAILS
Registration Number
Date of First
Registration
Manufacturer
Model
Body Style
Engine Size and Fuel
Colour
BHP Output Power
Seat Furnishing
Drive System
Interior Trim
List price of when new
£
Please list all premium and safety features making the vehicle of an executive/prestige specification:
OPERATOR AND USE DETAILS
List all licensed Operators controlling the vehicle. Please indicate which operator is the primary operator and describe the type work
the vehicle carries out e.g. chauffeur, school run. You are required to provide booking records for the vehicle for all operators listed
covering the last 3 months.
Operator Name
Primary
Operator
Type of Work
DETAILS OF DISPENSATION REQUEST
STRICTLY PRIVATE AND CONFIDENTIAL PRIVATE HIRE VEHICLE PLATE EXEMPTION APPLICATION FORM
Guildford Borough Council – Application for Plate Exemption JAN2020 Page 3 of 4
DECLARATION
I HEREBY make application to Guildford Borough Council for the issue of a dispensation to the requirement to display
a Private Hire vehicle licence plate subject to the Statutes, Regulations, Policies 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 understand that if this dispensation is approved, I will immediately notify the Licensing Authority if there are any
changes to the arrangements outlined in this application.
I confirm that I will abide by the additional conditions for the use of Executive vehicles.
I understand that if the requirements in the additional conditions are not complied with the dispensation may be
withdrawn at any time.
Signature of applicant:
Date:
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STRICTLY PRIVATE AND CONFIDENTIAL PRIVATE HIRE VEHICLE PLATE EXEMPTION APPLICATION FORM
Guildford Borough Council – Application for Plate Exemption 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:
Required Document
Check
Box
3 months of booking records for the vehicle
Must show the vehicle registration, price and method of payment & customers name
New vehicles must provide three months of records after the plate exemption has been given
Client Letters
Must be on headed paper, recently dated and demonstrate that the vehicle is used for chauffer work
NEW
RENEWAL
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Completed 26 December 2020

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