XLS《第1页》

"附件1" ,"申请表第1页共5页" ,,

,,

,,

"受理申请机关专用",,

,,

"城市公共汽车客运经营许可申请表" ,"说明" ,"

1、申请从事城市公共汽车客运经营应当按照《江苏省道路运输条例》第三十五条的有关规定向相应道路运输管理机构提出申请,填写本表,并同时提交其它相关材料(材料要求见第5页) ,"

2、本表可向各级道路运输管理机构免费索取,也可自行从省交通运输厅运输管理局网站(www.

tol.org.cn)下载打印. ,"

3、本表需用钢笔填写或计算机打印,请用正楷,要求字迹工整. ,"申请人基本信息" ,"申请人名称" ,"要求填写企业(公司)全称或企业预先核准全称" ,"负责人姓名",,

,,

"经办人姓名",,

,,

, ,"通信地址" ,"邮编",,

,,

"电话",,

,,

, ,"手机",,

,,

"电子邮箱",,

,,

, ,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,,

,"申请表第2页共5页" ,"申请公共汽车客运运营线路信息" ,"申请运营线路情况" ,"序号","线路名称","起点名称","讫点名称","线路里程","途经站点","首末班时间",,

"日发班次","拟投放运力数(辆)", ,,

,,

,,

,"起点","讫点",,

, ,"1" ,"2" ,"3" ,"4" ,"5" ,"6" ,"7" ,"8" ,"9" ,"10" ,"11" ,"合计" ,,

"表格不够,可另附表填写" ,"申请表第3页共5页" ,"公共汽车车辆信息" ,"已购置车辆情况" ,"序号","厂牌型号",,

"数量","核定载客数","类型等级","动力类型","购置时间","备注", ,"1" ,"2" ,"3" ,"4" ,"5" ,"合计" ,,

"表格不够,可另附表填写" ,"拟购置车辆情况" ,"序号","厂牌型号",,

"数量","额定载客数","类型等级","动力类型","备注",,

,"1" ,"2" ,"3" ,"4" ,"5" ,"合计" ,,

"表格不够,可另附表填写" ,"申请表第4页共5页" ,"聘用或拟聘用公共汽车驾驶员、乘务员、调度员情况" ,"序号","姓名","性别","年龄","服务岗位","取得相应驾驶证时间","从业考核合格证明(资格证号)","三年内是否发生重大以上交通责任事故", ,"1" ,"2" ,"3" ,"4" ,"5" ,"6" ,"7" ,"8" ,"9" ,"10" ,"11" ,"12" ,"13" ,"14" ,"15" ,"16" ,"17" ,"18" ,"19" ,"20" ,"21" ,"22" ,"23" ,"24" ,"25" ,,

"乘务员和调度员不需要填写"三年内是否发生重大以上交通责任事故".表格不够,可另附表填写. ,"申请表第5页共5页" ,"申请材料核对表",,

,"请在 内划√",,

,,

, ,"

1、《城市公共汽车客运经营许可申请表》(本表) ,"

2、工商营业执照及其复印件" ,"

3、法定代表人或者经办人身份证明及其复印件,授权委托书" ,"

4、拟投入车辆承诺书(包括车辆数量、厂牌型号、类型等级、额定载客人数等);

若拟投入车辆属于已购置或者现有的,应当提供车辆基本情况汇总表、机动车行驶证及其复印件,卫星定位行车信息系统、IC卡刷卡系统等相关设施设备安装核查证明" ,"

5、企业经营场所、停车场地的平面图以及产权证明及其复印件,或者提供使用证明,租赁场地的需要提供与产权所有人签订三年以上合法有效的租赁合同,具体面积应符合所在地交通运输主管部门规定" ,"