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Signature Date Full Name MAYOR OF LONDON You may use photocopies of this form if necessary 210956 PHV/107 - Application to obtain red route exemption signage for London licensed private hire vehicles Please enter your operator licence number in the box opposite. Transport for London London Taxi and Private Hire PHV/107 Application to obtain red route exemption signage for London licensed private hire vehicles This form must be completed by the operator licence holder or if the licence is held by a partnership or company the operator s nominated representative. Please note that those London private hire vehicles that are exempt from the display of the PHV licence disc are not eligible for a red route signage pack. This form makes provision for you to apply for 36 signage packs. If you require more than 36 signage packs you will need to complete and submit additional copies of this form* Alternatively you can complete and submit via email the excel version of this form which is available on the TfL website. Once completed you can send this form to the Private Hire Red Route Team 4th Floor Green Zone Palestra 197 Blackfriars Road London SE1 8NJ or fax it to 020 3054 3160 Please complete the following boxes using block capitals TfL use only Criteria met Operator Licence number RRES No No of packs applied for Licence expiry date TfL - No approved In the numbered boxes below and overleaf please enter without leaving any spaces the registration number of each licensed private hire vehicle for which you require a red route signage pack. TfL Data Protection By completing and submitting this form you are authorising Transport for London its subsidiaries and agents to use your personal details for the purposes of administration updating/completing our customer records customer services and research. Your personal information will be properly safeguarded and processed in accordance with the requirements of the Data Protection Act 1998. Declaration I undertake to ensure that any red route signage that you may send me as a result of this application is only affixed to those London private hire vehicles specified in this application which the PCO has confirmed to be eligible for the display of such signage. Please note that those London private hire vehicles that are exempt from the display of the PHV licence disc are not eligible for a red route signage pack. This form makes provision for you to apply for 36 signage packs. If you require more than 36 signage packs you will need to complete and submit additional copies of this form* Alternatively you can complete and submit via email the excel version of this form which is available on the TfL website. This form makes provision for you to apply for 36 signage packs. If you require more than 36 signage packs you will need to complete and submit additional copies of this form* Alternatively you can complete and submit via email the excel version of this form which is available on the TfL website. Once completed you can send this form to the Private Hire Red Route Team 4th Floor Green Zone Palestra 197 Blackfriars Road London SE1 8NJ or fax it to 020 3054 3160 Please complete the following boxes using block capitals TfL use only Criteria met Operator Licence number RRES No No of packs applied for Licence expiry date TfL - No approved In the numbered boxes below and overleaf please enter without leaving any spaces the registration number of each licensed private hire vehicle for which you require a red route signage pack. .

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