国际驾照申请

身分證明文件號碼 Identity Document No. ( ) 甲部 PART A 申請人現時的個人資料 PRESENT PARTICULARS OF APPLICANT 姓名 Name *先生／夫人／小姐／女士 *Mr. / Mrs. / Miss / Ms. (英文 English) (中文 Chinese) 請閱讀附頁的「注意事項」，並以正楷填寫各項資料。 Please read the notes overleaf and complete all items in BLOCK LETTERS. 如果你以郵遞申請，請亦填寫於第二頁的丁部。 If you submit your application by post, please also complete Part D on page 2. 室 Flat/Room 樓 Floor 座 Block 大廈／屋苑名稱 Name of Building / Estate 門牌號數及街道 (或鄉村) 名稱 Number and Name of Street (or Village) 地區 District 通訊地址 CORRESPONDENCE ADDRESS DD MM Y Y Y Y 乙部 PART B 申請細節 DETAILS OF APPLICATION 本人欲申請駕駛下列類別車輛的國際駕駛許可證：—— I wish to apply for an International Driving Permit for the following class(es) of vehicles:— † A.電單車 Motor Cycle C.中型／重型貨車 Medium/Heavy Goods Vehicle E. 掛接車輛 Articulated Vehicle B. 私家車 Private Car D.私家／公共巴士 Private/Public Bus 丙部 PART C 聲明 DECLARATION 現聲明本人現有的香港正式駕駛執照逾期不超過三年，且本人現擬申請駕駛的一類車輛，乃未為當局取消持有或領取此執照資格者。 本人以上聲明均屬真確事實。本人明白如故意在本申請填報失實資料，根據《道路交通條例》(第374章)第 111條第 (3)款的規定， 本人可被判罰款 $5,000及監禁 6個月。 I hereby declare that I am in possession of a full Hong Kong driving licence which has not expired for more than 3 years and that I am not at present disqualified from holding or driving the class(es) of vehicle for which I wish to apply now. My declarations above are true and correct. I understand that, if I knowingly make any statement or provide any information in this application form which is false in any material particular, I shall be liable under Section 111(3) of Road Traffic Ordinance (Cap. 374) to a fine of $5,000 and imprisonment for 6 months. 申請人簽署......................................................................... 日期 ................................................................... Signature of Applicant Date * 請將不適用的刪去 Delete whichever is inapplicable † 請在適當的方格內加上「√」號 Please tick the appropriate box TD 51 (Rev. 6/2012) 第一頁 Page 1 顧客服務熱線 Customer Service Hotline: 2804 2600 請翻後頁 Please turn over 國際駕駛許可證申請表 APPLICATION FOR INTERNATIONAL DRIVING PERMIT Permit No.: Checker: Issuing Officer: (本欄不必填寫 For official Use Only) 出生日期 Date of Birth 出生地點 Place of Birth † 香港 Hong Kong 九龍 Kowloon 新界 New Territories 室 Flat/Room 樓 Floor 座 Block 大廈／屋苑名稱 Name of Building / Estate 門牌號數及街道 (或鄉村) 名稱 Number and Name of Street (or Village) 地區 District 日間聯絡電話 DAY TIME CONTACT TEL. NO. 如以中文書寫地址，必須清 楚寫明樓層，以免郵遞失誤 如以中文書寫地址，必須清 楚寫明樓層，以免郵遞失誤 住址 RESIDENTIAL ADDRESS 「注意：本署是以駕駛執照持有人／登記車主的住址為他／她於本署的登記地址，並以該地址與他／她聯絡和郵寄函件。因此，申請人必須在本申請表填寫其 最新的住址。」 (Note: The residential address of a driving licence holder/registered vehicle owner is his/her registered address in this Department, and will be used for the purposes of contact with him/her and mailing correspondence. Thus, the applicant must fill in his/her updated residential address in this application form.) 「注意：如你以上所填報的住址並不能用作聯絡和郵遞用途，請在以下填寫你的通訊地址。」 (Note: If you cannot use the above residential address for the purposes of contact and mailing, please fill in below your correspondence address.) † 香港 Hong Kong 九龍 Kowloon 新界 New Territories O P 所需文件及費用 REQUIRED DOCUMENTS AND FEE 遞交申請表時，請一併附上以下文件： When you submit your application, please produce the following documents:— 1. 你的香港身份證（香港身份證的影印副本亦可被接納作核對用途，並將於辦理你的申請後被銷毀）； your H.K. Identity Card (A photocopy of your H.K. identity card may be accepted and will be destroyed after the processing of your application); 2. 五十毫米長四十毫米闊的正面全新近照兩張，照片的背景應無任何裝飾，頭部不可戴帽或類似的其他物品；及 2 new and recent photographs, with plain background, size 40mm × 50mm taken full face without headwear; and 3. 應繳費用— 國際駕駛許可證的申請費用為 $80 [有關申請費用或會更改。如欲知最新費用，你可於本署各牌照事務處詢問處、或致電顧客服務熱 線 2804 2600／1823電話中心查詢、參閱牌照事務處的牌照費用表 (TD341)或瀏覽運輸署網頁 (www.td.gov.hk)]。如以支票／銀行本票付款，請劃線並寫 明「香港特別行政區政府」為收款人。並在支票／銀行本票背面寫上你的姓名，身分證明文件號碼及日間聯絡電話號碼。請勿郵寄現款。 The appropriate fee – the application fee for International Driving Permit is $80 [The application fee may be subject to change. For enquiry about the updated application fee, you may make enquires at the enquiry counters of Licensing Offices or from Customer Service Hotline 2804 2600/1823 Call Centre, refer to the licence fees table (TD341) from licensing offices, or visit Transport Department’s website (www. td.gov.hk) for information]. If pay by cheque/cashier order, please make cheque/cashier order payable to either “The Government of the Hong Kong Special Administrative Region” or “The Government of the HKSAR” and crossed. Please write down your name, identity document number and daytime contact telephone number on the back of the cheque/cashier order. Cash should not be sent by post. 交回申請表地點 PLACE OF SUBMISSION 填妥申請表後，可： （甲）郵寄至東九龍觀塘郵政信箱68115號，運輸署觀塘牌照事務處（本署收到申請後，會於10個工作天內將成功申請的國際駕駛許可證以掛號信寄回給你）；或 （乙）親自或由代理人交回下列地點（如果申請由代理人遞交，代理人必須出示其本人的身分證明文件，以作記錄）： （一）香港金鐘道95號統一中心3樓運輸署香港牌照事務處；或 （二）九龍長沙灣道303號長沙灣政府合署2樓運輸署九龍牌照事務處；或 （三）九龍觀塘鯉魚門道12號東九龍政府合署5字樓運輸署觀塘牌照事務處；或 （四）新界沙田上禾輋路1號沙田政府合署2樓運輸署沙田牌照事務處。 如需查詢各牌照事務處服務時間，可致電 2804 2600 或瀏覽運輸署網站：www.td.gov.hk You can submit your application either: (A) By post to Transport Department Kwun Tong Licensing Office, P.O. Box 68115, Kowloon East Post Office, Kowloon (upon receipt of application, the successfully applied International Driving Permit will be posted to you by registered post within 10 working days); or (B) In person or by agent to (if the application is submitted by an agent, the agent is required to produce his/her own original identity document for record purpose): (1) Transport Department Hong Kong Licensing Office at 3/F., United Centre, 95 Queensway, Hong Kong; or (2) Transport Department Kowloon Licensing Office at 2/F., Cheung Sha Wan Government Offices, 303 Cheung Sha Wan Road, Kowloon; or (3) Transport Department Kwun Tong Licensing Office at 5/F., Kowloon East Government Offices, 12 Lei Yue Mun Road, Kowloon; or (4) Transport Department Sha Tin Licensing Office at 2/F., Sha Tin Government Offices, No. 1 Sheung Wo Che Road, Sha Tin, New Territories. For enquiry on service hours of licensing offices, please call 2804 2600 or visit Transport Department website: www.td.gov.hk 注意事項 NOTES FOR ATTENTION 1. 國際駕駛許可證在簽發日期起計一年內有效。 International Driving Permit is valid for one year from the date of issue. 2. 國際駕駛許可證是根據1949年國際公約而簽發，許可證持有人應可於簽訂公約的國家或地區內駕駛車輛（請參閱表一）。但由於各公約國家／地區對認可 國際駕駛許可證的政策或規定可能有所不同或改動，本署建議申請人在申請前，或在該地駕駛前，先向有關國家／地區在港領事館或辦事處查詢詳情。 International Driving Permit (IDP) is issued in accordance with the 1949 Convention. The permit should be valid for driving in the territory of all the Contracting States (please see List 1). But there may be differences or changes in the policy or conditions of using an IDP to drive in the contracting countries/places concerned, applicants are suggested to make enquiries to the Consulates or resident offices of the countries/places concerned for details before making application for an IDP or before driving in the countries/place concerned. 3. 如任何駕駛執照持有人／登記車主曾向運輸署署長提供其姓名、地址或身分證明文件有所改變，他／她須在改變出現後72小時內以書面或遞交已填妥的運 輸署TD559，將有關改變通知運輸署署長，並需提交有關改變的證明。任何人無合理辯解而違反此規定，即屬犯罪，可處罰款 $2,000。如屬姓名的改 變或身分證明文件的改變，駕駛執照持有人／登記車主亦須將現有的駕駛執照正本 (如持有)、駕駛教師執照正本 (如持有)、車輛登記文件正本 (如持有)、 車輛牌照 (如持有)及自訂登記號碼分配證明書 (如持有) 送交出運輸署署長，以作修改。 If a change occurs in the name, address or identity document of a driving licence holder/registered vehicle owner previously provided by the driving licence holder/registered vehicle owner to the Commissioner for Transport, the driving licence holder/registered vehicle owner shall, within 72 hours of the change, notify the Commissioner for Transport in writing or by submitting the completed Transport Department Form (TD 559) with the proof of change. Any person who without reasonable excuse contravenes such requirement commits an offence and is liable to a fine $2,000. For cases of change of name or change of identity document, the driving licence holder/registered vehicle owner shall also deliver to the Commissioner for Transport the existing original driving licence (if applicable), original driving instructor’s licence (if applicable), original vehicle registration document (if applicable), vehicle licence (if applicable) and Certificate of Allocation of Personalized Registration Mark (if applicable) for amendment; 4. 運輸署署長在處理牌照申請時，可要求申請人出示其現時地址的證明 (住址／公司地址及通訊地址，例如水／電／煤氣／手提電話費單或銀行信件等，而 該地址證明需距今不超過三個月)，以及可在申請人出示該等證明之前，暫停處理該申請。因此，請申請人士帶同現時地址的證明，並在牌照事務處人員 要求下，出示其地址證明。 The Commissioner for Transport may, in processing licensing application, require the applicant to produce proof of his/her present address (residential/company and correspondence address, e.g. water/electricity/gas/mobile phone bill or bank correspondence), and may suspend the processing of the application until the production of such proof. Applicants please bring along your proof of present address which is issued not more than 3 months from now for presentation as and when requested by officers of licensing offices. 5. 所有在本署以你的身分證明文件號碼登記的車輛牌照或駕駛執照的記錄，會根據你在本申請表內填報的地址而同時更改。 For any change of address notified in this application form, all vehicle/driving licence records of the applicant under the same identity document held by this Department will also be changed. 丁部 PART D 郵遞申請 APPLICATION BY POST 如果你以郵寄遞交申請表，請填寫下列資料 PLEASE FILL IN THE FOLLOWING ITEMS IF APPLY BY POST (1) 請在支票／銀行本票背面寫上你的姓名，身分證明文件號碼及日間聯絡電話。 Please write down your Name, Identity Document Number and Day Time Contact Telephone No. on the back of the cheque/cashier order. (2) 請填上你的付款資料。 Please fill in your Remittance Details. 銀行名稱 Name of Bank: ___________________________________________________ 付款總額 Amount Paid: ____________________________________________________ 支票／銀行本票號碼 Cheque/Cashier Order No. __________________________________________________ TD 51 (Rev. 6/2012) 第二頁 Page 2 (3) 為方便本署郵寄本申請表所申請的執 照給你，請在右方填上你的姓名及你 於本申請表甲部所填寫的住址／通訊 地址。 To facilitate us to mail the licence applied in this application form to you, please fill in your name and residential address / correspondence address provided in Part A of this application form at the right hand side. ☞ 表一：一九四九年九月十九日在日內瓦簽訂公約的國家／地區一覽表 List 1: List of Countries / Places Contracting to the International Conventions Concluded at Geneva on 19 September 1949 馬里 MALI 馬爾他 MALTA 摩納哥 MONACO 摩洛哥 MOROCCO 納米比亞 NAMIBIA 荷蘭 NETHERLANDS 紐西蘭 NEW ZEALAND 奈及爾 NIGER 挪威 NORWAY 巴布亞新幾內亞 PAPUA NEW GUINEA 巴拉圭 PARAGUAY 秘魯 PERU 菲律賓 PHILIPPINES 波蘭 POLAND 葡萄牙 PORTUGAL 南韓 REPUBLIC OF KOREA 羅馬尼亞 ROMANIA 俄羅斯 RUSSIAN FEDERATION 盧旺達 RWANDA 聖馬力諾 SAN MARINO 塞內加爾 SENEGAL 塞爾維亞 SERBIA 塞拉勒窩內 SIERRA LEONE 新加坡 SINGAPORE 斯洛伐克 SLOVAKIA 南非 SOUTH AFRICA 西班牙 SPAIN 斯里蘭卡 SRI LANKA 瑞典 SWEDEN 瑞士 SWITZERLAND 𤉸利亞阿拉伯共和國 SYRIAN ARAB REPUBLIC 泰國 THAILAND 多哥 TOGO 千里達及多巴哥 TRINIDAD & TOBAGO 突尼西亞 TUNISIA 土耳其 TURKEY 烏干達 UGANDA 英國—— UNITED KINGDOM— 包括：—— together with:— 阿爾得尼﹙及海峽群島﹚ Alderney (with Channel Islands) 百里斯 Belize 開曼𡡷島 Cayman Islands 直布羅陀 Gibraltar 革恩齊 Guernsey 人島 Isle of Man 澤爾西 Jersey 羅德西亞 Rhodesia 聖盧沙 St. Lucia 聖文孫特 St. Vincent 塞昔耳群島 Seychelles 美國 U.S.A. 委內瑞拉 VENEZUELA 津巴布韋 ZIMBABWE *以中華民國名義加盟 Accession on behalf of the Republic of China 姓名 Name: _________________________________________ 住址／通訊地址 Residential/Correspondence Address: _________________________________________________ _________________________________________________ _________________________________________________ 阿爾巴利亞 ALBANIA 阿爾及利亞 ALGERIA 阿根廷 ARGENTINA 澳洲 AUSTRALIA 奧地利 AUSTRIA 孟加拉 BANGLADESH 巴巴都斯群島 BARBADOS 比利時 BELGIUM 貝寧 BENIN 波茲溫納 BOTSWANA 保加利亞 BULGARIA 柬埔寨 CAMBODIA 加拿大 CANADA 中非共和國 CENTRAL AFRICAN REPUBLIC 智利 CHILE *中國 CHINA 剛果 CONGO 象牙海岸 COTE D’IVOIRE 古巴 CUBA 塞浦路斯 CYPRUS 捷克 CZECH REPUBLIC 剛果民主共和國 DEMOCRATIC REPUBLIC OF THE CONGO 丹麥 DENMARK 多明尼加共和國 DOMINICAN REPUBLIC 厄瓜多爾 ECUADOR 埃及 EGYPT 斐濟群島 FIJI 芬蘭 FINLAND 法國 FRANCE 格魯吉亞 GEORGIA 加納 GHANA 希臘 GREECE 危地瑪拉 GUATEMALA 海地 HAITI 教廷 HOLY SEE 匈牙利 HUNGARY 冰島 ICELAND 印度 INDIA 愛爾蘭 IRELAND 以色列 ISRAEL 意大利 ITALY 牙買加 JAMAICA 日本 JAPAN 約旦 JORDAN 吉爾吉斯斯坦 KYRGYZSTAN 老撾人民民主共和國 LAO PEOPLE’S DEMOCRATIC REPUBLIC 黎巴嫩 LEBANON 里蘇圖 LESOTHO 盧森堡 LUXEMBOURG 馬達加斯加 MADAGASCAR 馬拉維 MALAWI 馬來西亞 MALAYSIA 郵遞申請，請寄往以下地址（請沿虛線剪下） ✂ 運輸署觀塘牌照事務處 東九龍郵政信箱 68115 號 TD 51 (Rev. 6/2012) 第三頁 Page 3 TD51 個人資料的說明 NOTES ABOUT PERSONAL DATA 收集目的 1. 運輸署會使用透過本申請表所獲得的個人資料作下列用途： (a) 辦理有關審批你在本申請表中所提出的申請的事務； (b) 依照道路交通（車輛登記及領牌）規例第4(2)條的規定，保存一份車輛記錄，讓市民索閱； （只適用於與車輛有關的申請） (c) 依照道路交通﹙駕駛執照﹚規例第39條的規定，保存一份詳列駕駛執照上各細項的記錄； （只適用於與駕駛執照有關的申請） (d ) 辦理有關交通及運輸的事務；及 (e) 方便運輸署與你聯絡。 2. 你必須提供本申請表所要求的個人資料。假如你未能提供所需資料，你的申請可能不獲接納。 獲轉交資料的部門／人士 3. 你透過本申請表所提供的個人資料會向下列人士／部門公開： (a) 其他政府部門、決策局及有關機構，以作上述第1段所列的用途； (b) 任何人士，以作上述第1段 (b)項所列的用途；及 (c) 隧道公司、青馬管制區營運者及青沙管制區營運者，以便該等機構執行與交通及運輸有關的法定職責。 索閱個人資料 4. 根據個人資料（私隱）條例第18及22條及附表1第6條，你有權索閱及修正你的個人資料。你的索閱權包括獲取本申請表所提供的個人資料副本一份。 查詢 5. 有關透過本申請表收集的個人資料的查詢，包括索閱及修正資料，應寄往香港金鐘道95號統一中心3樓運輸署牌照事務組行政主任／FRT收。 Purposes of Collection 1. The personal data provided by means of this form will be used by Transport Department for the following purposes: (a) activities relating to the processing of your application in this form; (b) maintenance of a register of vehicles for public access under regulation 4(2) of the Road Traffic (Registration and Licensing of Vehicles) Regulations; (applicable to vehicle—related applications only) (c) maintenance of a record of particulars of driving licences under regulation 39 of the Road Traffic (Driving Licences) Regulations; (applicable to driving licence—related applications only) (d ) activities relating to traffic and transport matters; and (e) facilitating communication between Transport Department and yourself. 2. It is obligatory for you to supply the personal data as required by this form. If you fail to supply the required data, your application may be refused. Classes of Transferees 3. The personal data you provided by means of this form may be disclosed to: (a) other Government departments, bureaux and relevant organizations for the purposes mentioned in paragraph 1 above; (b) any person for the purpose mentioned in paragraph 1(b) above; and (c) tunnel companies, Tsing Ma Control Area operator and Tsing Sha Control Area operator for execution of their statutory duties in traffic and transport matters. Access to Personal Data 4. You have a right of access and correction with respect to personal data as provided for in sections 18 and 22 and principle 6 of Schedule 1 of the Personal Data (Privacy) Ordinance. Your right of access includes the right to obtain a copy of your personal data provided by this form. Enquiries 5. Enquiries concerning the personal data collected by means of this form, including the making of access and corrections, should be addressed to the Licensing Section, Transport Department, 3/F, United Centre, 95 Queensway, Hong Kong. (Attn.: Executive Officer/FRT) Application by post to the following address. (Please cut along the line.) Transport Department Kwun Tong Licensing Office P. O. Box 68115, Kowloon East Post Office, Kowloon TD51 ✂