Application for authority to assign a taxi-cab licence - Victorian Taxi ...
Application for authority to assign a taxi-cab licence - Victorian Taxi ...
Application for authority to assign a taxi-cab licence - Victorian Taxi ...
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Vic<strong>to</strong>rian <strong>Taxi</strong> Direc<strong>to</strong>rate<br />
<strong>Application</strong> <strong>for</strong> Authority <strong>to</strong> Assign a <strong>Taxi</strong>-<strong>cab</strong> Licence<br />
FOR VTD OFFICE USE ONLY<br />
Date received: / / Comments<br />
Fee paid: $<br />
Allocated <strong>to</strong>:<br />
Date allocated: / /<br />
Assignment approved? Yes No<br />
Date approved: / /<br />
I hereby authorise this <strong>assign</strong>ment as a delegate of the Secretary <strong>to</strong> the Department of Transport<br />
Signed: Date:<br />
Name (printed):<br />
Department of Transport<br />
Vic<strong>to</strong>rian <strong>Taxi</strong> Direc<strong>to</strong>rate, Level 23, 80 Collins Street, Melbourne VIC 3000 GPO Box 2797, Melbourne VIC 3001 Phone: 1800 638 802 (<strong>to</strong>ll-free) www.<strong>taxi</strong>.vic.gov.au<br />
Authorised by the Vic<strong>to</strong>rian Government, 80 Collins Street Melbourne 3000.<br />
Oc<strong>to</strong>ber 2012<br />
DOT6105_F176_10/12<br />
7<br />
/ /