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MHC/213 For LTPH use London Taxi Driver Licensing Application for Replacement Badge Identifiers and/or Licence s Form A Personal details C Details of replacements required A1 Badge/Licence No. A2 Surname Please as applicable which item s you require a replacement for Please note if you require a replacement badge you will also need to have your Original/Copy Licences and Taxi Driver Area Identifiers replaced A3 Forename s C1 A4 Current address House Number Rest of address C2 Postcode C3 Daytime telephone B Taxi details If you hire a taxi from a proprietor please provide the following B1 Name of Proprietor Badge Payment required Go to Section D to complete payment details Section E to submit photograph We will also issue new Original/Copy Licences and Taxi Driver Area Identifiers reflecting your new badge number Please return any Original/Copy Licences and Taxi Driver Area Identifiers No payment required Taxi Driver Area Identifiers If you only need replacement Taxi Driver Area Identifiers you will receive your replacements sooner by calling us on 0845 602 7000 If the above have been lost in a public place or stolen please to confirm the incident has been reported to the police Please confirm the crime reference number below B2 VRM D F Payment Please provide your card details below for the 15. 00 badge replacement fee D1 Transport for London TfL its subsidiaries and service providers will use your personal information including any references to your health ethnic origin nationality or previous criminal convictions for the purpose of assessing your application administering the licensing regime and equal opportunities monitoring. MHC/213 For LTPH use London Taxi Driver Licensing Application for Replacement Badge Identifiers and/or Licence s Form A Personal details C Details of replacements required A1 Badge/Licence No* A2 Surname Please as applicable which item s you require a replacement for Please note if you require a replacement badge you will also need to have your Original/Copy Licences and Taxi Driver Area Identifiers replaced A3 Forename s C1 A4 Current address House Number Rest of address C2 Postcode C3 Daytime telephone B Taxi details If you hire a taxi from a proprietor please provide the following B1 Name of Proprietor Badge Payment required Go to Section D to complete payment details Section E to submit photograph We will also issue new Original/Copy Licences and Taxi Driver Area Identifiers reflecting your new badge number Please return any Original/Copy Licences and Taxi Driver Area Identifiers No payment required Taxi Driver Area Identifiers If you only need replacement Taxi Driver Area Identifiers you will receive your replacements sooner by calling us on 0845 602 7000 If the above have been lost in a public place or stolen please to confirm the incident has been reported to the police Please confirm the crime reference number below B2 VRM D F Payment Please provide your card details below for the 15. 00 badge replacement fee D1 Transport for London TfL its subsidiaries and service providers will use your personal information including any references to your health ethnic origin nationality or previous criminal convictions for the purpose of assessing your application administering the licensing regime and equal opportunities monitoring.

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