Transcription of Registration Concession Application
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Example: bachelor of science
Registration Concession Application
Registration Concession Application - Pensioners, Seniors and Prescribed Service Persons- Special Interest VehiclesTransport Operations (Road Use Management) Act 1995 Transport Operations (Marine Safety) Act 1994 Section B - Special Interest Vehicle ConcessionApplicant s name (please print)Make and type of vehicle/ship ( Ford sedan)Section A - Pensioners, Seniors and Prescribed Service PersonsSection B - Special Interest Vehicle (SIV)Please only complete the section relevant to the type of Concession you are eligible for. See Concession Conditions Department of Transport and Main Roads (TMR) Customer Reference Number (CRN). The CRN is your Queensland (Qld) Driver Licence number, Adult Proof of Age or Photo Identification Card number or your reference number issued by Registration number (if allocated)Ship Registration number (if allocated)*Pensioner Concession Card number*Note: Pensioner and Seniors Card must be Qld : applications m
Mobile/Telephone number 4. Do you authorise TMR to remove this concession if applicable? Yes The concession on that vehicle/ship may be withdrawn. No This application cannot be processed. Go to 7 Note: Class 5 CTP insurance covers motor vehicles (including motorbikes) for use only as vintage, veteran, historic or street rods. For
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