SECTION 104 - dot.state.ak.us file · Web viewSECTION 104 - dot.state.ak.us
DEPARTMENT OF TRANSPORT No. R. 23 November · 2018. 12. 9. · STAATSKOERANT, 23 NOVEMBER 2005...
Transcript of DEPARTMENT OF TRANSPORT No. R. 23 November · 2018. 12. 9. · STAATSKOERANT, 23 NOVEMBER 2005...
STAATSKOERANT, 23 NOVEMBER 2005 No. 28227 3
GOVERNMENT NOTICE
DEPARTMENT OF TRANSPORT No. R. 1066 23 November 2005
NATIONAL ROAD TRAFFIC ACT, 1996 (ACT NO. 93 OF 1996)
AMENDMENT OF NATIONAL ROAD TRAFFIC REGULATIONS
I Jeffery Thamsanqa Radebe, Minister of Transport, makes the regulations in the Schedule under section 75 of the National Road Traffic Act, 1996 (Act No. 93 of 1996).
MINISTER OF TRANSPORT
SCHEDULE
Definition
1. In this Schedule "the Regulations" means the National Road Traffic Regulations published in Government Notice No. R. 225 of 17 March 2000, as amended by Government Notice No's. R. 761 of 31 July 2000, R. 941 of 22 September 2000, R. 726 of 3 August 2001, R. 2116 of 5 October 2001, R. 779 of 4 June 2002, R. 1341 of 25 September 2003, R. 881 of 23 July 2004 and R. 871 of 2 September 2005.
Amendment of regulations 8 to 147 of the Regulations
2. Regulations 8 to 147 of the Regulations is amended by-
(a) the replacement in subregulation 8(1) of the phrase "form MVRlA or RLV with the phrase "form RLV":
(b) the replacement in subregulation 16(1) of the phrase "form MVRlA or CDV" with the phrase "form ACV";
(c) the replacement in subregulation 17(1) of the phrase "form MVRlA or ADV" with the phrase "form ADV";
(d)
(e)
(9
(9)
(h)
(i)
the replacement in subregulation 24(1) of the phrase "form MVRlA, RLV or ALV with the phrase "form RLV or ALV";
the replacement in subregulation 25(2)(d) of the phrase "form MVLl or MVL1-M" with the phrase "form MVLl, MVL1-M, MVLI-RW, MVLX, LCO or LCTO';
the replacement in subregulation 25(2)(e) of the phrase "form MVLl, MVLl-M or LCO" with the phrase "form MVL1, MVLl-M, MVLI-RW, MVLX, LCO or LCTO";
deleting paragraph (9 of subregulation 25(2);
the replacement in subregulation 25(6)(b) of the phrase "form M W l A or RLV with the phrase "form RLV or ALV";
the replacement in subregulation 30(6) of the phrase "form NL" with the phrase "form NL or NRL";
(j) the replacement in subregulation 49(4)(c) of the phrase "form MCR" with the phrase "form CRNPM";
(k) the replacement in subregulation 52(1) of the phrase "form NCP, MVRlA or RLV" with the phrase "form NCP";
4 No. 28227 GOVERNMENT GAZETTE, 23 NOVEMBER 2005
the replacement in subregulation 52(2)(a) of the phrase "form MVRlA or RLV" with the phrase "form NCP";
deleting paragraph (c) of subregulation 52(5);
the replacement in subregulation 53(3) of the phrase "form MVRlA or NCO" with the phrase "form NCO";
the replacement in subregulation 53(4) of the phrase "form NCO, MVRlA or RLV" with the phrase "form NCO";
the replacement in subregulation 54(l)(c) of the phrase "form CNP or MVRlA" with the phrase "form CNV";
the replacement in subregulation 54(3)(a) of the phrase "form MVRlA" with the phrase "form ADV";
the replacement in subregulation 64(1) of the phrase "form MVRlA" with the phrase "form ACV";
the replacement in subregulation 65(1) of the phrase "form MVRlA or CNP with the phrase "form CNV";
the replacement in subregulation 79(2)(a) of the phrase "form MTN1" with the phrase "form MTNl or NCP";
deleting paragraph (c) of subregulation 79(4);
the replacement in subregulation 85(2) of the phrase "form MVRlA or TSPI" with the phrase "form TSP 1 ";
the replacement in subregulation 87(2)(b) of the phrase "form TSP" with the phrase "form TP or SP";
the replacement in subregulation 87(3)(a) of the phrase "form TSP with the phrase "form TP";
the replacement in subregulation 93(2)(a)(iii) of the phrase "form CR" with the phrase "form CRF";
the replacement in subregulation 103(2)(b) of the phrase "form DCT" with the phrase "form ATD";
the replacement in subregulation 130(2)(a)(iii) of the phrase "form CR" with the phrase "form CRF";
the replacement in subregulation 143(1) of the phrase "form MVL1" with the phrase "form MVL1-M, MVLl-RW, LCO or LCTO"; and
replacement in subregulation 147(1) of the phrase "form NTD" with the phrase "form DVT".
Amendment of regulation 66 of the Regulations
3. Regulation 66 of the Regulations is amended by the substitution of subregulation (1) of the following subregulation:
A mass measuring certificate issued on a form similar to form MMC, or on form MMC, as shown in Schedule 2, shall be obtained by the applicant therefore at his or her own expense from a person id charge of a mass measuring apparatus approved by a registering authority.".
'(1)
STAATSKOERANT, 23 NOVEMBER 2005 No.28227 5
Amendment of regulation 104 of the Regulations
4. Regulation 104 of the Regulations is amended by the substitution for subregulation (3) of the following subregulation:
"(3) The procedure to be followed by the examiner for driving licences in complying with subregulation (2) shall include the completion by the applicant of the 'Theory Test for Learner's Licence" on form TLL as shown in Schedule 2.".
Amendment of regulation 337A of the Regulations
5. Regulation 337A of the Regulations is amended by the substitution for subregulation (3) of the following subregulation:
"(3) Notwithstanding the provisions of subregulation (1) a registering authority shall only issue a duplicate of a registration certificate in respect of a motor vehicle to the title holder of such motor vehicle, or to the proxy or representative of the title holder concerned if such title holder, proxy or representative apply in person for such registration certificate on form DRC as shown in Schedule 2.".
Amendment of regulation 343A of the Regulations
6. Regulation 343A of the regulations is amended by the substitution for the regulation of the following regulation:
"Transitional provisions: Forms
343A. A form prescribed in Schedule 2 to these regulations prior to 1 January 2005 or any form that is similar to the form prescribed by the regulation concerned, and serving a similar purpose to the form prescribed by the regulation concerned, is equivalent to the corresponding form prescribed in Schedule 2 to these regulations, and shall be deemed to be valid for a period of two years from the date of commencement of these regulations.".
Amendment of Schedule 2 of the Regulations
7. Schedule.
Schedule 2 of the Regulations is amended by the substiution for Schedule 2 with the
Short title and commencement
8. These Regulations are called the Nineth Amendment to the National Road Traffic Regulations, and come into operation upon publication in the Gazelte.
6 No. 28227 GOVERNMENT GAZETTE, 23 NOVEMBER 2005
FORMNORM ACR
ACV
ADV
AFA
ALA
SCHEDULE 2/ BYLAE 2
REGULATION/ DESCRlPTlONlBESKRYWlNG REGULASIE
APPLICATION FOR CERTIFICATION OF ROADWORTHINESS/AANSOEK OM SERTlFlSERlNG VAN PADWAARDIGHEID APPLICATION FOR CERTIFICATE I.R.O. MOTOR VEHICLE/AANSOEK OM ' 16(1). 64(1) SERTIFIKAAT T.O.V. MOTORVOERTUIG APPLICATION FOR DEREGISTRATION OF MOTOR VEHICLE/AANSOEK OM DEREGISTRASIE VAN MOTORVOERTUIG 5x7) APPLICATION AND NOTICE I.R.O. APPROVAL OF TRAINING CENTRE/AANSOEK EN KENNISGEWING T.O.V. GOEDKEURING VAN OPLEIDINGSENTRUM APPLICATION FOR LElTER OF AUTHORITY IN RESPECT OF MOTOR VEHICLE/
139(1)
17(1), 54(3), 55(2).
2B(1)
43111
The index in the table hereunder lists the names of the forms referred to in these regulations alphabetically, with the names of the forms in the first column, the descriptions of the forms in the second column and the regulation number concerned in the third column. The forms are contained in the annexure to this Schedule and are arranged in the same sequence as contained in the index.
ALV
ANR
Die indeks in die tabel hieronder lys die name van die vorms bedoel in hierdie regulasies in alfabetiese volgorde, met die name van die vorms in die eerste kolom, die beskrywings van die vorrns in die tweede kolom en die betrokke regulasienommer in die derde kolom. Die vorrns is vervat in die aanhangsel by hierdie Bylae en is gerangskik in dieselfde volgorde as die in die indeks vervat.
-. I
AANSOEK OM BRIEF VAN MAGTIGING TEN OPSIGTEVAN MOTORVOERTUIG APPLICATION FOR LICENSING OF MOTOR VEHICLE/AANSOEK OM LlSENSleSRlNG VAN MOTORVOERTUIG APPLICATION AND NOTICE IN RESPECT OF TRAFFIC REGISTER NUMBER/
24(1). 25(6), 2 W )
335
APD
ARN
ATD CCL
CNV
COO
AANSOEK EN KENNISGEWING TEN OPSIGTE VAN VERKEERSREGISTER- NOMMER APPLICATION FOR PARTICULARS OF PAPER CARD TYPE DRIVING ~ 112(2) LICENCE/AANSOEK OM BESONDERHEDE VAN PAPIERKAARlTIPE BESTUURS- LlSENSlE ACKNOWLEDGEMENT OF RECEIPT OF NOTICE I.R.O. MOTOR VEHICLE/ ERKENNING VAN ONTVANGS VAN KENNISGEWING T.O.V. MOTORVOERTUIG APPLICATION TO HAVE TEST DEFERREDIAANSOEK OM UITSTEL VAN TOETS CONFIRMATION OF RELEASE OF MOTOR VEHICLE BY THE SOUTH AFRICAN POLICE SERVlCElBEVESTlGlNG VAN VRYSTELLING VAN MOTORVOERTUIG
CHANGE OF PARTICULARS OF/NOTICE IN RESPECT OF MOTOR VEHICLE/ 54(1). 55, 55A(1), VERANDERING VAN BESONDERHEDE VANlKENNlSGEWlNG TEN OPSIGTE VAN 65(1). 144(3) MOTORVOERTUIG
CERTIFICATE OF ORIGIN OF MOTOR VEHICLUSERTIFIKAAT VAN OORSPRONG 8(2) VAN MOTORVOERTUIG
31(3), 53(5). 54(4), 55(3). 55A(2), 65(2) 103(2), 106(2) 12A. 54(6)
DEUR DIE SUlD-AFRIWNSE POLlSlEDlENS
CR
CRF
CRI
CRNPM
~- ~~
CERTIFICATE OF REGISTRATION AS AUTHORISED OFFICEWSERTIFIKAAT VAN REGISTRASIE AS GEMAGTIGDE BEAMPTE CERTIFICATE OF REGISTRATION AS DRIVING LICENCE TESTING CENTRE, TESTING STATION/SERTIFIKAAT VAN REGISTRASIE AS BESTUURSLISENSIE- TOETSSENTRUM, TOETSSTASIE
CERTIFICATE OF REGISTRATION FOR INSTRUCTOR/SERTlFIKAAT VAN REGISTRASIE VIR INSTRUKTEUR CERTIFICATE OF REGISTRATION FOR NUMBER PLATE MANUFACTURER/
lC(1)
93(2). 130(2)
114C(1)
4914)
CRW
DCT
DLl
DL3
. , SERTIFIKAAT VAN REGISTRASIE VIR NOMMERPLAAT VERVAARDIGER
CERTIFICATION OF ROADWORTHINESS/SERTIFlSERlNG VAN 141(2). 143(2).
DECLARATION IN RESPECT OF LOST DOCUMENTSNERKLARING TEN OPSIGTE 109(2). 11 l(1A).
APPLICATION FOR DRIVING LICENCUAANSOEK OM BESTUURSLISENSIE 100(3), 106, 108,
PADWAARDIGHEID W 7 )
VAN VERLORE DOKUMENTE 121(1)
109(1), l l l (1 ) . 112(1)
DRIVING LICENCE CARDlBESTUURSLlSENSlEWRT 108,119
STAATSKOERANT, 23 NOVEMBER 2005 No. 28227
GEWING T.O.V. REGISTRASIE VAN
NUMBER PLATESIAANSOEK EN KENNISGEWING T.O.V. VERVAARDIGER VAN NOMMERPLATE
CONFIRMATION CERTIFICATE IN RESPECT OF MOTOR N OPSIGTE VAN MOTORVOERTUIG
LISENSIESKYF
ISENSIBRING VAN
F CHANGE OF OWNE ING VAN EIENAARSKAPNERKOOP VAN
ORGANlSATlONlKENNlSGEWING VAN VERANDERING VAN NDERHEDE VAN PERSOON OF INSTELLING
8 No. 28227 GOVERNMENT GAZETTE, 23 NOVEMBER 2005
FORMNORM NRD
NRL
NTD
NVM
REGULATION/ DESCRlPTION/BESKRWING REGULASIE
RECEIPT IN RESPECT OF CONFISCATED DOCUMENTlKWlTANSlE TEN OPSIGTE 3358 VAN GEKONFISKEERDE DOKUMENT NOTICE TO APPLY FOR REGISTRATIOIWLICENSING OF MOTOR VEHICLE/ KENNISGEWING OM AANSOEK TE DOEN VIR REGISTRASIU LlSENSllRlNG VAN MOTORVOERTUIG NOTICE TO DISCONTINUE OPERATION OF MOTOR VEHICLE/KENNISGEWING OM DIE GEBRUIK VAN MOTORVOERTUIG TE STAAK NOTIFICATION OF VEHICLE MODEUKENNISGEWING VAN VOERTUIGMODEL
3W)
147(1), 148(1)
41
SERTIFIKAAT
RO
RTS
SOA
APPLICATION AND NOTICE IRO REGISTRATION OF AUTHORISED OFFICER/AANSOEK EN KENNISGEWING TOV REGISTRASIE AS GEMAGTIGDE BEAMPTE
ROADWORTHINESS TEST SHEET/PADWAARDlGHElDSTOETSVEL lSl(1). 144(7)
OPGEBOUDE MOTORVOERTUIG
1B
AFFIDAVIT I.R.0 BUILT-UP MOTOR VEHICLEIBE6DIGDE VERKURING T.O.V. 9
SP TDL
TLL
~ ~-
SPECIAL PERMIT/SPESIALE PERMIT 87(2) TEMPORARY DRIVING LICENCEIPR, DRIVING PERMlTrrYDELlKE BESTUURS- LlSENSIE/PR.BESTUURSPERMIT THEORY TEST FOR LEARNERS LICENCE/TEORIETOETS VIR LEERLINGLISENSIE
100
1W3) c
TP TEMPORARY PERMIT/ TYDELIKE PERMIT 87 TS1 APPLICATION AND NOTICE I.R.O. REGISTRATION AS TESTING 128(1), 131(1)
STATION/AANSOEK EN KENNISGEWING T.O.V. REGISTRASIE AS TOETSSTASIE
SPESIALE PERMIT CERTIFICATE OF DEREGISTRATION IN RESPECT OF MOTOR VEHICLE/ SERTIFIKAAT VAN DEREGISTRASIE TEN OPSIGTE VAN MOTORVOERTUIG
TSPl APPLICATION FOR TEMPORARYlSPEClAL PERMlTlAANSOEK OM TYDELIKW 85(2)
VDC 17(3), 54(4), 55(3)
STAATSKOERANT, 23 NOVEMBER 2005 No. 28227 9
Class of vehicle bus goods vehicle (excluding trailer) motor cyde type other Klas van voertuig (mark with X) bus goederevoertuig (uitsluitend sleepwa) motorfietstipe ander (merk met X)
Lisensienommer en voertuigregistemmer
(indien beskikbaar)
Language preference English Afrikaans Taalvmrkeur (merk met X)
Licence number and vehicle register number (if available)
(mark with X) -
ACR( 10)(2005/08)
REPUBLIC OF SOUTH AFRICA
Vehide CategoV (mark with X)
ACR REPUBLIEK VAN SUID-AFRIKA
A Motor cycle/Motor tricycle/Motor quadrucyde 6 Light passenger vehicle (less than 12 persons) Voertuigkategorie Motorfiets/Motordriewiel/Motorvierwiel Ligte passasiersvoertuig (minder as 12 persone) (me& met x)
C Heavy passenger vehicle (12 or more persons) K Light load vehicle (GVM 3 500 kg or less) Swaar passasiersvoertuig (12 of meer persone) Ligte vragvoertuig (GVM 3 500 kg of minder)
L Heavy load vehicle (GVM > 3 500 kg, not to draw) U Special vehide Swaar wagvoertuig (GVM > 3 500 kg, nie sleep nie) Spesiale voertuig
M Heavy load vehicle (GVM > 3 500 kg, equipped to draw) Swaar vragvoertuig (EVM > 3 500 kg, toegerus om te sleep)
NOTE: Acceptable identification is essential. LET WEL: Aanvaarbare identifikasie is noodsaaklik.
IDENTIFICATION OF APPLICANT (person presenting the motor vehicle)
JDENTlFlKASlE VAN AANSOEKER (persoon wat motoorvoerhrig aanbied)
Type of identification (mark with X)
Identification number
traffic register no. RSA ID foreign ID verkeersregistemr. RSA ID buitelandse ID
Soort identiikasie (merk met X)
ldentifikasienommer
Land van uitreiking indien buitelandse ID
Country of issue if foreign ID
Surname l l r r ~ r l l l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Van
1111 - I l l l l l l r l r l l r r r r l r l I ~ Voorletters en vwmarne (first namestvwmame) (hoogstens 3)
Initials and first names (not more than 3) (cnrtials/vwrlette.rs)
DETAILS OF APPLICATION BESONDERHEDEVANMNSOEK
DECLARATION MRKlARINQ I, the applicant
(a) declare that all the particulars (a) verklaar dat alle besonderhede wat deur my op hierdie von verstrek is, waar en konek is; en
Ek, die aansoeker
furnished by me in this form are true and correct; and Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Handtekencng
I I (b) realise that a false declaration is Place . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Plek (b) punishable with a fine or one year imprisonment or both. Date
besef dat 'n vals verklaring strafbaar is met 'n boete of een
2:o : Datum jaar gevangenisstraf of beide.
I Chassis numberNlN OnderstelnommerNlN I Make 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Fabnkaat
Series name 1 Reeksnaam
Manufacturer's model derivative 1 1 Vervaardiger se modelafgeleide
10 No. 28227 GOVERNMENT GAZETTE, 23 NOVEMBER 2005
Aandrywing (merk met X)
Voertuigbeskrywing
no engine Enjinnommer
D k W %d m l cm' Netto d-g en enjinkapasiteit
Tip brandstof (merk met X)
Tam (T) en bruto m k g :id kg voertuigmassa (BVM)
Transmissie (merk met X)
Hoofkleur (merk met X)
Stuuw'el posisie (merk met X)
Driven self-propelled trailer (mark with X) selfgedrewe sleepwa
Vehicle description
Engine number
I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1
Net power and engine capadty
Fuel type none petrol diesel other (specify): (mark with X) geen petrol diesel ander (spesifiseer):
Tare (T) and gross vehicle mass (GVM)
Transmission one manual semi-automatic automatic (mark with X) een hand semi-outomaties outomaties
Main colour white red blue other (specify): (mark with x) wit mi blou ander (spesifiseer):
Steering wheel position (mark with X)
Odometer reading (if available)
Odometer-lesing (indien besklkbaar)
Overall length: mm \mi Algehele lengte: mm
Overall height: mm 1 1 1 1 1 Algehele hoogte: mm
Wheelbase: mm u u n Asafstand: mm
Passenger capacity: -1 Passasierskapasiteit: Passenger capacity: I T ] Passasierskapasitek
seated (incl. driver) sittend (insl. bestuurder) standing staande Gross combination mass (GCM): kg Brut0 kombinasiemassa (BKM): kg
Overall width: mm Algehele h d t e : mm
A g t e m t e k mm Rear overhang: mm I n Track: mm 11111 spool: rnm
0 ::d 0 Totale aantal asse en Total number of whets a I Total number of axles I and driving axles aandrywendeasse Totaie aantal wide I
Gearbox number
Differential number
Date of application (effective date)
htkasnommer I ' I
r Ewenaamommer
Datum van aanumk (effektiewe datum)
l-q-q7T7, I M D I YIJ
I Naam en handtekening Name and signature
of counter ofiiciai NamelNaam SignaturelHandtekening DateIDatum van toonbankbeampte I I Name and signature
of data capturing official Naam en handtekening NamelNaam SignaturelHandtekening DateIDatum van datavasleggingsbeampte I
Serial number of original madworthiness test sheet (client copy) I Reeksnommer van oorspronklike
padwaardigheidstoetsvei (kllhte kopie)
Padwaardigheidtoetsnmer (Herhaal OP toetsvel)
adworthiness test number Repeat on test sheet)
STAATSKOERANT. 23 NOVEMBER 2005 No. 28227 11
MOTOR VEHICLE DESCRIPTIONS MOTORVOERTWGBESKRMINGS
hoter/Bromponie
dotor tricyclelMotordriewie1 Tractornrekker
BreakdownTTeGspoedwa
Fire enginemrandweerwa Ambulance/Ambulans
3each buggylRitsmotor
sedan (closed top)/Sedan (toe-kap)
sedan (open topYSedan (oopkap)
:oupe (closed topYKoepee (toe-kap)
:oupe (open top)lKoepee (oop-kap)
station wagonlstasiewa
Jeep
-latch backlluikrug
:ombi/Micro/Minibus/Kombi/Mikro-/Minibus
?escue vehicle/Reddingsvoertuig
iearsenykswa
Rescue vehiclelReddingsvoertuig
Hearsen ykswa
GraderlSkraper
Compactor/Kompakteerder
RolledMobile facility/Mobiele eenheid
LoaderLaaiedPump tifter/Pompligter
Crane/H yskraan
Tarmac spreadermeerverspreider
DiggerlGraaf
Backacter/Tru-grawer
Drill/Borer/Drain cleaner/Boor/Rioolpornp
Generator SWMR PASSASIERSVOERTUIG Compressor/Kompressor
~ornbi/Micro/Minibus/Kombi/Mikro-/Minibus
3us (single deck)/Bus (enkeldek)
3us (double deck)/Bus (dubbeldek)
3endi bus/Bus-train/Buigbus/Bustrein
3escue vehiclelReddingsvoertuig
Hearsellykswa
LOAD VEHICLE VRAGVOERTUIG
Pick-up/Bakkie
Panel van/Paneelwa
Box body/Kokerbak
Van bodymoebak
Flat deck/Platform/Platbak/Platfom
DropsiddKlapkant
TipperMlipbak
Compactor body/Kompakteerbak
Equipment platfordlowKoerusting platfordlaeblad
Logger bodykloutstompbak
Sheet glass body/Ruitglasbak
MixerlMenger
TankerlTenkwa
Truck tractorNoorspanmotor
Chassis-cab/OndersteI-kap
Chassis/Onderstel
SkeletallSkelet
Adapter dolly/Pasdrastel
Converter doll y/Omsetterdrastd
SweeperNeedCrop sprayer/Gewassproeier
Pipelaying/Pypl&r
Harvester/Stroper
Baler/Mower/BaalperslSny masjien
Planter
1 HammerMamer
12 No. 28227 GOVERNMENT GAZETTE, 23 NOVEMBER 2005
STAATSKOERANT, 23 NOVEMBER 2005 No. 28227 13
..................................................................... Certificate of vehicle particulars from register of motor vehicles
First registration certificate in respect of new motor vehicle
.......................................................................
ACV(5)(2005/07)
REPUBLIC OF SOUTH AFRICA
. ................-.......................................................... A B C Sertifikaat van voertuigbesonderhede
uit register van motorvoertuie
A C Eerste registrasiesertlfikaat ten opsigte van nuwe motorvoertuig
~ ............................................................................
ACV REPUBLIEK VAN SUlDAFRlK4
Surname and initials/Name
Peachl Perske
traffic register no. verkeersregisternr.
NOTE: Only the title holder or owner may apply for the first registration certificate. Acceptable identification of the applicant is essential (including that of the proxy or representative).
LET WEL: Slegs die titelhouer of eienaar mag vir die eerste registrasiessrtifkaat aansoek doen. Aanvaarbare identifikasle van die aansoeker is noodsaaklik (insluitend die van die gevdmagtigde of vertrsnwnnrdinar\
RSA ID foreign ID RSA ID buitelandse ID
LYS VAN MOONTLIKE TRANSAKSIES
Parts of the form to be completed
Dele van die vorm
LIST OF POSSIBLE TRANSACTIONS Mark with X 1-1 APPLICATION FOR: MerkmetX 1 om in te vu1
Type of identification traffic register no. RSA ID foreign ID business reg. no. Soort identifikasie (mark with X) verkeersregistemr. RSA ID buitelandse ID besigh.reg.nr. (merk met X)
ldentifikasienommer
indien buitelandse ID 1 1 1 1 1 1 1 1 1 I l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Land van uitreiking
Identification number w Country of issue if foreign ID
Street address
Suburb
Cityflown
Straatadres I
Vwrstad
StadlDorp
ORGANISATION'S PROXY/REPRESENTATIVE INSTELLING SE GEVOLMAGTIGDENERTEENOROI~R
Type of identification (mark with X)
Identification number
Soort identifikasie (merk met X)
ldentifikasienommer
Country if foreign of ID issue I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 indien Land buitelendse van uitreiking ID
I I I I I I I I I I I I I I I I I I I I I I I I I I l a n d r n I Surname and initials en voodetters
Type of identification (mark with X) I RSA ID foreign ID business reg. no.
RSA ID buitelandse ID besigh.reg.nr. I Swrl identifikasie (merk met X)
ldentifikasienommer Identification number
Country of issue indien bultelandse ID if foreign ID
Surname and en letters/Naam initials/Name
of organisation van instelling
l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 l Land van uitreiking
I I I I I I I I I I I I I I I I I I I I I I I I I I /andI(IIVanenvoor-
BLAAl OM TURN OVER
14 No. 28227 GOVERNMENT GAZETTE, 23 NOVEMBER 2005
(a) declare that all the particulars furnished by me in this form are true and correct; and Signature ............................... Handtekening
. _
Licence number (If available)
Vehicle register number (if available)
(a)
Lisensienommer (indien besklkbaar)
Voertuigregistemommer (indien beskikbaar)
(b) realise that a false dedaration is punishable with a fine or one year imprisonment or both.
1 1 1 1 1 1 1 1 1 1 1 1 1 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 1 ~ ~ ~ 1 Reeksnaam Series name (describe in full) (beskryf volledig)
Engine number Enjinnommer
Place .......................................... Plek (b)
Date 2:o : : : Datum
Control number of registration cerbificatelderegistration certificate (if available) I I Beheemommer van registrasie-
sertifikaatlderegistrasiesertifikaat (indien beskikbaar)
Reason for application Rede vir aansoek
I. the Ek, die
DECLARATION VERKLARlNG
organisation's representative instelling se verteenwoordiger
verklaar dat alle besonderhede wat deur my op hierdle vorm verstrek is, waar en korrek is; en
besef dat 'n valsverklarlng strafbaar is met 'n boete of een jaar gevangenisstraf of beide.
R OFFICE USE ONLY NET VlR KANTOOROEBRUI
Date of application (effective date) 20 ; : I : ]
YIJ M D
Datum van aansoek (effektiewe datum)
Name and signature Naam en handtekening of counter official NamdNaam SignaturdHandtekening DatelDatum van toonbankbeampte I
I Name and signature Naam en handtekening of recommending official NamdNaam SignaturelHandtekening DatdDatum van aanbevelingsbeampte I at registering authority by registrasie-owerheid
Level of authorisation I Vlak van magtlging
Name and signature Naam en handtekening of authdsing official NamdNaam SiinaturelHandtekening DatelDatum van magtigingsbeampte
Name and signature Naam en handtekenlng of data capturing official NamdNaam SignaturdHandtekening DatdDatum van datavadeggingsbeampte
Reeksnommer (onder regterkantste hoek) van sertifikaat van registrasie uitgereik
Serial number (bottom right-hand comer) of certificate of registration issued lIlmnn
STAATSKOERANT, 23 NOVEMBER 2005 No. 28227 15
ADV ADV(8)(2005/05)
ldentifikasienomrne Identification number
I l l l l l l l l l l l l l l l l l l I l l l l l l l l l l ]
Kontaktelefwnnommer
Soort identitikasie
entification number ldentifikasienornmer
Lisensienommer Licence number
Voertuigregisternornrner (indien beskikbaar)
Vehicle register number (if available)
OnderstelnommerNlN
Fabrikaat
Chassis numberNlN
Make
Series name (describe in full) Reeksnaam
(beskryf volledig)
Odometer-lesing (indien beskikbaar)
Odometer reading (if available)
TURN OVER BLAAl OM
16 No. 28227 GOVERNMENT GAZETTE, 23 NOVEMBER 2005
motor vehicle stolen motowoertuig gesteel
motor vehicle permanently unfit for use (scrap) (motor vehicle will be re-registered as 'built-up') motorvoertuig permanent ongeskik vir gebruik (sloping) (motorvoertuig sal as 'opgebou' herregistreer word)
motor vehicle exempted from registration motowoertuig vrygestel van registrasie
motor vehicle permanently demolished (motor vehicle will never be registered again) X w o e r t u i g permanent vemietig (motowoertuig sal nooit weer geregistreer word nie) -
Street address where I vehicle can be inspected Straatadres waar voertui!
geinwkteer kan won
foostal WdelDoskode)
Regulation 54 Regulasie 54
Regulation 55
Regulasie 55
Regulation 17 Regulasie 17
Regulation 55
Regulasie 55
Suburb I CityKown
REASON FOR DEREGISTRATION (mark with X)
Thefi reported to Police
Voorstac
StadlDoV
Date of change (e.g. date stolen or scrapped) I
REDE VIF DEREGISTRASIE
(merk met X:
at Reference no. (CAS no.) Diefstal gerapporteer aan Polisie te Vemysingsnr. (MAS nr.)
- - I I I 1 Datum van veranderlna z : u I : 1 : I : YIJ M D
(bv. datum gesteel of gesloop)
Ek. die
organisation's representative gtigde instelling se verteenwoordiger
(a) verklaardatalle besonderhede wat deur my op hierdie vorm ventrek
Signature ............................. Handtekening Is, waar en korrek is; en
........................................ punishable with a fine or one year
(a) declare that all the particulars furnished by me in this form are trueandcorrad; and
imprisonment or both. stratbaar is met 'n boete of een jaar gevangenisstraf of beide.
(b) realise that a false dedaration is (b) besef dat 'n vals verklaring
YIJ M D
FOR OFFlCE USE ONLY NET VIR fhUl00RGEBRUIK
Date of application (effective date)
I 2:o I :
YIJ M D
Datum van aansoek (effektiewe datum)
Name and signature Naam en handtekening of counter official NameINaam SiinatureMandtekening DatelDatum van toonbankbeampte
Name and signature Naam en handtekening of recommending official van aanbevelingsbeampte at registering authority NameINaam SignatureIHandtekening DatelDatum by registrasie-owerheid
Vlak van magtiging Level of authorisation
Naam en handtekening Name and signature DatelDatum van magtigingsbeampte of authorising official
Name and signature Naam en handtekening of data capturing official NameINaam SIgnaturdHandtekening DatelDatum van datavasleggingsbeampte
NameMaam SinaturelHandtekening
Serial number (bottom right-hand comer) I of deregistration certificate issued I Reeksnommer (onder regterkantste hoek) van dereaistrasiesertifikaat uitaereik
STAATSKOERANT, 23 NOVEMBER 2005 No. 28227 17
E-mail address 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
AFA(5)(2005/11)
REPUBLIC OF SOUTH AFRICA
E-pos adres
AFA REPUBLIEK VAN SUlD-AFRlKA
1 I
NOTE: For the purposes of the approval of a training centre, it shall be LET WEL: Vir die doeleindes van diegoedkeuring van 'n OpleidingsentNm essential to produce the identity document of the management is dit noodsadtlik dat die identiteitsdokument van de bestuurs- representative. verteenwordiger voorgele word. I I
Postal address Posadres
., 1 ,
Suburb Voorstad
Citylrown StadlDorp
Straatadres Street address
Suburb Voorstad
Citylrown StadlDorp
Adres waar kennisgewings posadres straatadres beteken moet word
(merk met X)
Address where notices must be served (mark with X)
(postal codelposkode)
Parts of the form
."....".I ............................ .......... .I ............................. ............................. ....... ...I_.......
Approval
Duplicate certKcate of registration
NOTICE OF CHANGE OF
............. .... .............. ".."....."... - ........................................
....................... I .......... "._".."__ ....................................... ........................... ............................. .......................................................... ......... ""I." .... -
..................... .... -..
Type of identification (mark with X)
Type of identification
Identification wmber
traffic register no. RSA ID foreign ID Soort identifikasie verkeersregisternr. RSA ID buitelandse ID (merk met X)
traffic register no. n verkeersregistemr.
-1 :; lflrslapplicationl esrste aansoek
Soort identifikasie
ldentifikasienommer
Facsimile number
(codelkode) (numberlnommer) I Faksimileenommer
PARTICULARS OF PROXY BESONDWHEDE VAN GEVOLMAGTIGM OR REPRESENTAXIYE OF VER'IEENWOORDIGER
G05-109990-6
18 No. 28227 GOVERNMENT GAZETTE, 23 NOVEMBER 2005
in the Requirements Document? ia nee
Are separate lecture moms pmvided for, to facilitate concurrent training in the various courses offered? la nee
Has a work study repolt been completed and submitted that the lecture moms are in concurrence with the necessary nee speafications as toovercrowding, adequate lighting, sound and ventilisation?
Does each lecture mom have as standard equipment at least yes one writing board, one ovehead pmjector and one screen? ja
le at least onevideo machine and monitor available as standard yes equipment? ja nee
Is a video camera wiul accessories available, or does the yes institution have access to one? ja nee
Is a Library or Medii Centre available in the centre? yes no ia nee
Is the cibrary or Media Centre stocked with rdevani reference yes no books, articles and publications? ia nee
no nee
Does the Library or Media Centra have equipment in stock for the provision of multimedia trairr'ng aids?
IS suitable photocopier/reproduction eqlipment available? yes no ia nee
Does each instructor have access to computers with a word yes no ja
to render the required professional services?
Do management and support staff have computer equpment yes no capacity to render the requred professional services? la nee
Is Internet access available and does the institution have an e- no mail address? (Specify address) la nee
Does the institution have adequate supporVadministrative yes no capacity to ensure effective administration of training and ja nee development? How many staff members are involved in this Capadty?
IS accommodation and meals available on the premises to persMls in training? If not. is it readily available? (Specify)
SPECIFIC REQUIREMENTS IN RESPECT OF REGISTERED COURSES OFFERED
yes no
~w no
no nee
no
no
processing package and access b at least a laser printer on site nee
yes
yes la
no nee
(mark with X) Diploma course for Traffic officers
Course for Examiner for driving licences
Does the training centre comply with the requirements as set out
n
I
I yes I no I I
(merk met X) Diplomakursus vir Verkeersbearnptes
Kursus vir Toetsbeampte vir bestuurslisensies
- - - an indoor OT outdoor shooting range or access to a shooting
range h i c h complies with recognised safety standards
- is there a fiaarm register and is the issue d ammunition duly recorded and controlled?
,- primary and secondary weapons as per approved curriculum
- safety glasses
Kursus vir Ondersoeker van voerhje n Course for Examiner of vehides
yes ja
yes la
;: ;,
IGENERAL REQUIREMENTS
no nee
no nee
no nee
no nee
I please motivate. Attach a separate sheet
A trahing institution h i c h wdshes to specialise in the trairing of Traffic Officers should respond to the fdlowing questims:
Does equipment for practical training indde the followinn basics? I
STAATSKOERANT, 23 NOVEMBER 2005 No. 28227 19
- earmuffs
- access to mass measuring apparatus
access to a heavy motor vehicle -
Yes no ia nee
no yes la nee
no yes ia nee
- access to a bus
- access to a motor cycle (more than 400 cubic cm capacity)
access to speed measuring apparatus
reflective clothing for point duty
access to a magistrate's court
access to licensing and testing station facilities
suitable dedicated transport to move various groups of students to and from trainina sites/facilities
- -
~ ~-
-
-
-
~~
no yes la nee
yes no la nee
yes no la nee
yes no j a - -~ nee ~
yes no la nee
yes no la nee
yes no ia nee
I- two way radio systems
- access to firefightiig/Hazchem apparatus
Allocation of training staff and the lrainer/learner ratio are (specified in the Reauirements Document. Will it be adhered to? I yes ta
no I nee I
yes no la nee
Minimum qualifications for Instructors are set out in the Requirements Document. Will all insttuctors comnly with this?
~ I Does the institution have access to?: I
yes no la nee
i
COURSE FOR EXAMINERS FOR DRlVlNG LICENCES A training institution which wishes to specialise in the trainina of Examiners for Drivinn Licences shoukd resmnd to the fdlowina Questims:
- light motor vehicle yard test area yes. no ia nee
- heavy motor vehicle yard test area no yes ia nee
- motor cycle yard test area no yes ia nee
- motorvehicle(Code B)(Ratio - one (1) vehicle perthree (3) yes no trainees) ia nee
- a heavy motor vehicle (Code C1) Yes no ia nee
- an articulated motor vehicle (Code EC) no yes la nee
- a semi trailer for use with the articulated motor vehicle yes no (GVM>750 kg) ia nee
- motor cycle (Code A) yes no ia nee
no ;r nee - 2 x motor cycle electronic testing equipment with
- 2 x otthorators with accessories yes no ia nee
- live scan unit yes no la nee
- obstacles for yard testing yes no ia nee
Allocation of training staff and the Irainerllearner ratio are yes no specified in the Requirements Document. Will it be adhered to? la nee
Minimum qualifications for instructom are set out in the yes no Requirements Document. Will all instmctors comply with this? la nee
accessories
20 No. 28227 GOVERNMENT GAZETTE, 23 NOVEMBER 2005
1 -
- earmuffs
-
a fully equipped grade A testing station for vehicles, which complies with SABS 0216 specifications
a gradienl of 1:8.33 (hand brake testing)
motor car (one (1)vehcle per three (3) trainees)
a heavy motor vehide (not a trailer or semi trailer)
-
-
- an articulated motor vehicle
- a motor cycle
Allocation of tralnlng staff and the trainerlleamer ratio are specified in the Requirements Document. Will it be adhered to?
Minimum qualifications for lnstructors are set out in the Requirements Document. Will ail instructors comply vvith this?
yes no la nee
yes no ia nee
yes no ia nee
yes no la nee
yes no la nee
yes no ia nee
yes no ia nee
yes no la nee
rr nee no
Attach a separate list if necessary. H e g 'n afsondertike lys aan indien nodig.
Complete if previously registered Date of previous registration
Courses currently offered:
Diploma course for Traffic Officers
Examiner for driving licences
Examiner of vehicles
Number of Training Instructors on the staff
I : I : I : ] YIJ M D
Further details in accordance with registration requirement (please specify on additional page)
Voltooi indien voorheen geregistreer
Datum van vmge registrasie
Kunusse tans aangebied
Diplomakursus vir Verkeersbeamptes
Toetsbeampte vir bestuurslisensies
Ondemeker van voertuie
Aantal Opleidinginstrukteurs in die penoneel
Verdere besonderhede ingevolge registrasievereistes
(spesifiseer op aparte bladsy)
i
I Jopadsu!
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