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The Carriage of Dangerous Goods by Road Regulations 1996

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PART VIFORM PART III LICENCEThe Carriage of Dangerous Goods By Road Regulations 1996 ( “the Regulations”)Driver-controlled deliveries in accordance with Part III of Schedule 12 to the Regulations

First ColumnSecond ColumnThird ColumnFourth ColumnFifth Column

Note: A person duly authorised by the petroleum licensing authority to act in the following behalf shall enter–

(a)

in the first column, the address of the premises to which the Part III licence applies;

(b)

in the second column, the name of the licensee of those premises;

(c)

in the third column, the name of the petroleum licensing authority;

(d)

in the fourth column, his signature; and

(e)

in the fifth column, the date on which the Part III licence is issued.

Address of licensed premisesName of licenseeName of petroleum licensing authoritySignature of person issuing licence on behalf of petroleum licensing authorityDate of issue of Part III licence

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