Application for Heavy Vehicle Permit

Name*

Company Name*

Postal Address*

Depot/Parking Address*

Phone Number*

E-mail Address*

Fax

Network*

Network 3Network 4Network 5

Registration number(s) of vehicle(s)*

Registration number(s) of trailer(s)*

Weight of fully laden vehicle*

Type of vehicle (B-double etc)*

Dimensions of the largest combination - Weight, Length, Height*

Which roads are you intending to use?*

For what duration of time is permission required? (Maximum 12 months expiry for all applications)*

When do you want the permit to commence?*