网上查询
在线服务
网上调查
日常查询
友情链接
您现在的位置： 贾汪交通运政信息网 >> 投票结果
说明：
1、本表根据《道路货物运输及站场管理规定》制作，申请从事道路货物运输经营应当向县级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4页）。
2、本表可向各级道路运输管理机构免费索取，也可自行从交通部网站（www.moc.gov.cn)下载打印。
3、有关常见问题可查询交通部网站。
4、本表必须用钢笔填写或计算机打印，要求用正楷，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、企业预先核准全称或个体经营者姓名
负责人姓名： 经办人姓名：
¤ 如系个人申请，不必填写“负责人姓名”及“经办人姓名”项
通信地址：
邮 编： 电 话：
手 机： 电子信箱：
申请许可内容：
拟申请的道路货物运输经营范围或拟申请扩大的道路货物运输经营范围：（请在方框内划“√”）
普通货运：
专用运输：集装箱 冷藏保鲜 罐式
大型物件运输：一级 二级 三级
如拟申请扩大道路货物运输经营范围，请选择现有的经营范围：（请在方框内划“√”）
货物运输车辆信息：
<P align=center><STRONG>已购置货物运输车辆情况</STRONG></P> <TABLE cellSpacing=0 borderColorDark=#ffffff cellPadding=0 width=500 align=center borderColorLight=#cccccc border=1> <TBODY> <TR> <TD vAlign=center align=middle width=34 height=30>序号</TD> <TD vAlign=center align=middle width=68 height=30>厂牌型号</TD> <TD vAlign=center align=middle width=48 height=30>数量</TD> <TD vAlign=center align=middle width=96 height=30>载重质量（吨）</TD> <TD vAlign=center align=middle width=138 height=30>车辆技术等级</TD> <TD vAlign=center align=middle width=116 height=30>外廓尺寸（毫米）</TD></TR> <TR> <TD vAlign=center align=middle height=18>1</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>2</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>3</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>4</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>5</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>6</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR></TBODY></TABLE> <P align=center>表格不够，可另附表填写。外廓尺寸指车辆长*宽*高。</P> <P> </P> <P align=center><STRONG>拟购置货物运输车辆情况</STRONG></P> <TABLE cellSpacing=0 borderColorDark=#ffffff cellPadding=0 width=500 align=center borderColorLight=#cccccc border=1> <TBODY> <TR> <TD vAlign=center align=middle width=34 height=30>序号</TD> <TD vAlign=center align=middle width=68 height=30>厂牌型号</TD> <TD vAlign=center align=middle width=48 height=30>数量</TD> <TD vAlign=center align=middle width=96 height=30>载重质量（吨）</TD> <TD vAlign=center align=middle width=138 height=30>车辆技术等级</TD> <TD vAlign=center align=middle width=116 height=30>外廓尺寸（毫米）</TD></TR> <TR> <TD vAlign=center align=middle height=18>1</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>2</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>3</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>4</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>5</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>6</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR></TBODY></TABLE> <P align=center>表格不够，可另附表填写。</P> <P align=center> </P> <P>如申请扩大经营范围，请填写“现有运输车辆情况”表</P> <P align=center><STRONG>拟购置货物运输车辆情况</STRONG></P> <TABLE cellSpacing=0 borderColorDark=#ffffff cellPadding=0 width=500 align=center borderColorLight=#cccccc border=1> <TBODY> <TR> <TD vAlign=center align=middle width=34 height=30>序号</TD> <TD vAlign=center align=middle width=68 height=30>厂牌型号</TD> <TD vAlign=center align=middle width=48 height=30>数量</TD> <TD vAlign=center align=middle width=96 height=30>载重质量（吨）</TD> <TD vAlign=center align=middle width=138 height=30>车辆技术等级</TD> <TD vAlign=center align=middle width=116 height=30>外廓尺寸（毫米）</TD></TR> <TR> <TD vAlign=center align=middle height=18>1</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>2</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>3</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>4</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>5</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>6</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR></TBODY></TABLE> <P align=center>表格不够，可另附表填写。</P>
以上信息可以先复制至word中填写，待填写完成后再复制回来
拟聘用营运货车驾驶员情况：
<TABLE cellSpacing=0 borderColorDark=#ffffff cellPadding=0 width=500 align=center borderColorLight=#cccccc border=1> <TBODY> <TR height=38> <TD vAlign=center align=middle width=38 height=38>序号</TD> <TD vAlign=center align=middle width=79>姓名</TD> <TD vAlign=center align=middle width=40>性别</TD> <TD vAlign=center align=middle width=41>年龄</TD> <TD vAlign=center align=middle width=100>取得驾驶证时间</TD> <TD vAlign=center align=middle width=81>从业资格证号</TD> <TD vAlign=center align=middle width=105>从业人员资格类型</TD></TR> <TR> <TD vAlign=center align=middle height=18>1</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>2</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>3</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>4</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>5</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>6</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>7</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>8</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>9</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>10</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>11</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>12</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>13</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>14</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>15</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>16</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>17</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>18</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>19</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>18</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>21</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>22</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>23</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>24</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>25</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>26</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>27</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>28</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>29</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle height=18>30</TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD> <TD vAlign=center align=middle height=18> </TD></TR> <TR> <TD vAlign=center align=middle colSpan=7 height=18>表格不够，可另附表填写</TD></TR></TBODY></TABLE>
申请材料核对表：（请在方框内划“√”）
1、道路货物运输经营申请表（本表）
2、负责人、办理人身份证明和委托书
3、现有机动车辆行驶证、车辆技术等级证书或车辆技术检测合格证复印件，拟购置运输车辆的承诺书
4、已聘用或拟聘用驾驶员的机动车驾驶证、从业资格证及其复印件
5、安全生产管理制度文本
只有上述5份材料齐全有效后，您的申请才能受理
声明
我声明本表及其它相关材料中提供的信息均真实可靠。
我知悉如此表中有故意填写的虚假信息，我取得的道路运输经营许可将被吊销。
我承诺我将遵守《中华人民共和国道路运输条例》及其它有关道路运输法规的规定。
负责人签名： 日期：
负责人职位：
如系个人申请不必填写“负责人职位”项
经营许可证号：
领证人： 领证日期：
ICP备000000001号