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Section 1. Applicant details
Surname
Given names (list all names)
Date of birth
Residential address
Postal address (if different to residential address)
Phone
Mobile
Please provide your email address if you would like to
receive communications from Fair Trading this way.
Email address
Section 2. Other Identities and Aliases
Do you now, or have you ever, used a different
name or identity?
()
No
Yes. Give details:
Name used (1)
Date of birth
day
month
year
Residential address
Name used (2)
Date of birth
day
month
year
Residential address
Section 3. Licence Details
Failure to declare this information
will delay your application
Driver licence no.
In the past 10 years, have you ever lived in
another Australian State or Territory or
Overseas?
()
No
Yes, please indicate where below.
Did you hold a driver licence in that place at any
time during the past 3 years?
No(if yes, refer to
Section 4)
Section 4. Interstate/Overseas Criminal & Traffic
History
If you have selected ‘Yes in
Section 3 Please note
1.
Fair Trading
is required to check with police
regarding any criminal history for an applicant. If
you have lived outside of NSW or overseas
within the past 10 years you must provide a
national criminal history record check issued
from the relevant police or an Australian Criminal
Intelligence Commission accredited body, for the
period you resided in that jurisdiction.
2. If you have held a driver's licence from another
Australian State or Territory or from overseas
within the past 3 years you must provide an
original statement of your drivers licence details
and traffic history issued from the relevant
licensing authority in that jurisdiction for that
period.
Note: If you currently reside in another state or
territory other than NSW, these documents must be
dated within 6 weeks of the date of receipt of this
application.
Note: Criminal history checks must be issued by
Police or an Australian Criminal Intelligence
Commission accredited body. Failure to declare
this information will delay your application
Section 5. Employment Details
Please provide the name and licence number of
your current or prospective employer;
Licensee Name
Tow Truck Operator Licence Number
Application for Tow Truck Driver Certificate Renewal: 1 Year - 04TTDR-1Y, 3 Year - 04TTDR-3Y, 5 Year - 04TTDR- 5Y July 2020