Form R09 - Application For A General Licence
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110 Sin Ming Drive Singapore 575701
Tel: 1800-CALL LTA (1800-2255582) Fax: (65) 65535329
R09
APPLICATION FOR A GENERAL LICENCE
You may take about 5 minutes to complete this form. You will need the following information to fill in the form:
Company details (company certificate number, nature of business, number of workshop/showroom, number of vehicles
handled per month, number of staff)
General Licence information (existing number of General Licence possessed by your company, purpose of use of General
Licence)
Name, Designation and NRIC (Singaporeans and Malaysians) / Passport number (Foreigners other than Malaysians) of
Authorised Person from the company
New Application
Replacement
Renewal
Type of General Licence:
For use on motorcycles
($60 per six months)
($120 per year)
For use on other vehicles
($800 per six months)
($1600 per year)
General Licence No. (for *Renewal / Replacement):_________________________________________
No. of General Licence Requested (for New Application): _____________________________________
Company Name: ________________________ Company ID: _______________________________
Nature of Business: *Manufacturer / Dealer / Repairer
Address: _________________________________________________________________________
______________________________________________________Singapore __________________
Tel No.: ______________________________ Fax No.: ____________________________________
Director’s Name: ___________________________________ Contact No.:______________________
Contact Person/Designation: __________________________ Contact No.:_____________________
No. & Location of Workshop/Showroom/Factory:___________________________________________
_________________________________________________________________________________
Average No. of vehicles handled per month: ______________No. of staff: _____________________
Existing No. of General Licence possessed by company (if any): _____________________________
Purpose of use of General Licence: ___________________________________________________
Please produce a copy of the company/business profile printout from Accounting & Corporate
Regulatory Authority (ACRA) valid up to 14 days from date of issue by ACRA and original
*NRIC/Passport (for foreigner only) of the authorised person from the company/business.
*I / We have read and understood the terms and conditions for the use of General Licence, and
*I / We agree to abide by it.
____________________________
_________________
_____________
Name & Signature of Authorised Person
Company Stamp
Date
Designation & *NRIC/Passport number of Authorised Person: _____________________________
* Delete where inapplicable
This information is current at the time of printing (Feb 2007)
VRL-F-R09-V01
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Parent category: Legal