STAATSKOERANT, 17 DESEMBER 2008 No, 92621 67 FORM 18 PAGE 1 Western Cape Government ett sterem PROVINCIAL REGULATORY ENTITY NATIONAL LAND TRANSPORT AGT, 2009 {ACT NO. 5 OF 2008) SECTION A (Compuiso! [FYE OF APPLICATION ‘ns sooicalon lor for all Ppawenten ope |New operating ieance 2) tranatr ef an operating cance or permit 3) Amenament of on operating leanee or permit fr 2) Aacionalsunosty b)Amanament of ue o° are 2) Change of panewars | 9) OL ter recapasizes venice Jt) Renew! ofan eperating cence SECTION 8 (Compulsory for all [PARTICULARS OF APPLICANT ‘ra egaeniy oF Freinames ele propria (wai more tan 3) Tyee ot enteaver “aaena cetieg copy ‘APPLIGATION FOR THE GRANTING, RENEWAL, AMENDMENT, TRANGFER OR CONVERSION OF AN] OPERATING LICENCE OR PERMIT. application types} im (O00 O00 application types) ‘Compulsory sections be comoltes by sepia ABCA GHKL ABCOFGMKL | ABODE GHKL [RSA\gertiy eoeumeny (Bassoon Ty asst ————______. Temporary Went cate ij (Fevegn geri aocumen cI68 No. 32621 GOVERNMENT Ga. «7 DECEMBER 2008 FORM 1B PAGE 2 joentty no. saseD9" no. uo LTT TTT Tt TTT TTT) ‘sine reitation umoe “age name i enpcabie) [ Type of business { Post! asorese and cooe tt sdoress| Domciim tana ef execuanai | Lt Lt | i Teepnone ruber Titi Til i ies adress itera tom ost! im Litt | l coe (1 I i cote i Fcimite number (39) tii {J com [TT E-Mail acidress (if any) C Lt Inca tax rgistion number a I TUT TTT TTT} {aach an orginal Tex Cearance Cenicae) SECTION ¢ (Compulsory for all application types) [PARTICULARS OF PERSON RESPONSIBLE FOR A JURISTIG PERSON ) Inthe case of comoany,pannersh, close corporation or oter jurist person pleura the person responsibe te reposen!t mus be pen Sumame { TTT TTT Firsi names (nol more than 3) l leery nomver CLOT “yo of entiation [psa orn ooeamert (omer eoeety + Tetesrone eumber LEET Tt ] Sel aumber T {Th SECTION D (Compulsory for application types 2.3.4 anc 5) fraicuLa or SusT OrERATING CENCE OR PEST ite canv fan apteton tor | (avs nancies waa scm operaing ieenee rumerioema numer [LL 1 iL!) Tit lil i AGUATORY ENTITY smcxisuaa ee | LL TPE TI ] perting icencerpetm Date of uve TO) 4} TO severe (TTT) a Try _atach a cies cony ef eperling lence oF penn A parm mus! fx: be converted ts an opaaing lcenee Dafoe I may be renewed, ‘Ghenuec oriransienee The npne! perm must ke hanged # wor opie of operating seeneeSTAATSKOERANT, 17 DESEMBER 2009 No. 282168 SECTION E (Compulsory for application type 2) FORM 18 PASE 3 |PARTICULARS OF PERSON OR ENTITY TO WHICH THE OPERATING LICENCE IS TO BE. [TRANSFERRED (In the case of an application for transfer) ‘Name of comsary, panne'shic. comperation sissoepeomae ™™ "MT TTT TTT TTT TTT Fret none, sl proprtor Lo TUTE TTT Ti TTT ri tri tt (ra nce an 3) 1e ot aeacabon [psa wont coeumer Tensor wera cenicae | {attach ceded covie| [Passeon |_| (Foreign ientay document owing sisement U | (cerca of ncaperaton | [Pannership Agreement, J veerty ecousnessrgstratonnumoer [11 Titi tT) ‘ave name Gt apatcaee) Cid Pit Titi tt sype otesinass { | I TT TT) Postal accross and cove Cl I T i T Trt Lt Ti i [Jresmcoe | [1 |_| setvoess otmeciton wun [LTT Tit TTT Tit tit} tases) Oomaum cand erescuana {_| i COO} Pit im Troma cove || T | | ‘eeonre numa) Li cove LITT) im cove Ti Facsimile rurber (ay) coe | | I mai cores (ty) [ seam wc regiavatonnumest ani Llitltilii I 1x Gearance Cervicate *ouae writen eareon' of anleror SECTION F (Compulsory for all application types} [TYPE OF PUBLIC TRANSPORT SERVICE [Tee type of serves: may be necessary 1 box mere man one} ye of ern [Screwed ous service | Tons aoe seme “Piense auacn a conifes copy ofthe | Sta service tonac! beween the operator ane |comnesy serwee Te ooa ene ‘sao! or omer exucatonalinstnaion er [Sctovarservae [Totnes service ‘eter of utnoeaion frm tne panrpa or nuhonaes Borne offer “Anaen cared copies othe protessional orig perms of a8 ne sve 18 be used far thi sarc. I 4 Metres on service I70 No, 9282 GOVERNMENT GAZETTE “7 DECEMBER 2008 FORM 1B PAGE 4 ‘ines ype ot service (esenbe) ef pansengers Int wil be comet way pansengers sarnot use exsting | | anon venoms ane motivate wy the rat mice seaceceny ape ng, | ste oa real smenament (yes To been provots continuously fe pen0d of "0 aye gnortothe ete 0! sppteation? 1 NO, ge easons SECTION G. [PARTICULARS OF ROUTES not applicable for Chartor Services and Metered Taxis) Lesenbe ne FIRST route cea esinsion Rout crsecten (Site sree: names 0 i ooo i (enereeppiabe oeacars one marrs ‘or each ony own vitae o”setiemen tou trgians wt n61Be |STAATSKOE} No. 92021 741 FORM 18 PAGES Desore ne SECOND oun m eas (Compe anection Of eestor serve Depanie pom! COT TT rod 1 Desination LOTT Titi it Ti Li Foutesescrpion (Site set nat asserpes ar plotes up o 81 down, ang rine cate ot Metered Tass pase | oteoe ie ares wren it be seme, pe SECTION H Compulsory for ail application types) [AUTHORISED RANKS AND TERMINALS 7 Sta the autonsed rans ana terms ‘ene orve be wees ee SECTION! [PARTICULARS OF CONTRAGT {in the caze of 2 contracted service) 1 ‘sani ceny ne santas 0 be stashed ole ny carta win Nelonal, Croan reclame! povenment eo enna Commercarsenice comact [} sunsisuee sees cone [ Negetes cones ‘Nemes of pares fone conract72 No, 32821 GOVERNMENT GAZETTE, 17 DECEMBER 2008 FORM 18 PAGE 6 ame of scanracio taped) I ‘Aaoress of sub-convacto Fappable) LiTityy T TLE TTT | {Tri TT TM PPT Tr TTT Froweee LTT) Duration of conraet rom (TT ih CT} Cite LETT) Cf vy vr ww po v¥yYyY ww De SECTION J {TIME TABLES (in the cave of scheduled servic “The egpeabe (cures) ene as sre —— atacned as Annexure Yes_| LN SECTION K (Compulsory for all application types} [DECLARATION, | the ungerignes (ul rare), certify ha te information fumiene nus apptcaton form rue are cores, | ecep! ha information suoies in is sppicaton ouns to be ake. te apatcaion wl be relectes and | may be eeauaiis ‘rom mating an appscation fran aneraing cence ine ure Signawe ate Name of person ame of panty s0piea3@) LLU TTT TTT TT Tit tii} SECTION L (Compulsory forall application types) VEHIGLE DETAILS ] oft new application pee inccae me ype 0! veces ta! you mene we purcrase i no vec is owned a present please note the! opealing icences ae panies oe" venice. Thereore, ne apaicat&requres 0 ay the lee fr eaen veecie lod nbs appleation, apolcaions ae mace for more an Inve (3) venicis please attach a separate page conting Ine Tye. Ne. Sealeg eapasty, Number ot venstos 1 be purchases mee ETD) Mate eat IMnous i ettious | 1 (omer fome ELSTAATSKOERANT, 17 OSSEMBER 2002 Ne. seer 73, Venclerpsvation numer Venice entation number (VIN) Yeo" of manatacure Numb ol passengers low caus Vehicle genieston number (Vt) Mate of vencie Number 2 passanpere be saree Type venice umber of passengers to be cama FORM 1B PAGE 7 Lt ] CTT i Pitti) LL TTT i Li titi I Tit a o SECTION M- FOR OFFIGIAL USE ONLY OTHER CONDITIONS IMPOSED BY THE REGULATORY ENTITY (iiapplicable) Ine eiowing conaiors “01 atin conitons poses as & ate of ave Siorstse of designee ofc of Reguiaiary Enity74 No. 32821 GOVERNMENT GAZETTE, 17 DECEMBER 2008 FORM 18 PAGES [OPERATING LICENCE PARTICULARS: peraing Licence 1 (Searing Lesnce number Val am Ceviuecspcosion ot ous Date suomined 1 Pubicaions vy yy wm 08 ote rate o PRE and Pleoing 1) CO hoy vy yy wu 98 Operating Licance 2 ‘Operating Licence number ity vali tom vale to OO} 14 3 vyvy wm 00 caste sppicaton etait on TT ous yyy ww oD ate saris Puntestons 77) 4 I vyyy ww bo ote retre te PRES and Pinning LI Co oO Asnony yovy wm 09 Operating Leonen 3 neaing Leece number Ci TT CTT vais tom TT) 9) 9) vee’ $F) 119) 19 yvry mw oo yyyvy wu 90 captures appleaton seats on GE} 0 ous, veyy ww ‘ie submited io Pubicatone Coit. 1 CT yyy y mw oo Date eires a PRES and Pierring CO) 1 Lo ssrsty vyyy wm Do inthe cae ofmere opetting lances, poWae Ihe same otrculas ona separa aneet as an stachment.No e821 75 DESEMBER 2008 FORM 18 PAGES [FOR OFFICE USE ONLY. tte Apaeation receives ‘Cepiues aspicalion sete on ous Felerence numer Date recto PRES ane Panning [ | sumo yey we po lenecxtist [series 266 one ote oto [ese erty Docume: T “enacrey R54 lent Qoamren LL Tee ero Favrng aera i [vai Tax Clewance Ceniieate Ty Writ conser elirancore inthe case of 8 vanste ane sce DF of Wanslrorscoaraingicense 6 peri |r snes a sateen cine ene rat eo she oi wi comp wan aoa awe eED8c 3 arven and one” can { ' [as well as seston! cerermirations of ne Departmen of tour