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Date:
23/10/2026
Company:
Address:
Email:
Tel. Number:
To Whom It May Concern,

I confirm that the below vehicle can be used for the carriage of passengers for hire and reward by prior appointment (private hire) as specified on our insurance policy with policy number:

I authorise and give permission to the following individual to use the vehicle for all private hire appointments, including any trips taken through the Uber platform:
Vehicle registration:
SW17 SAU
Make and model:
Toyota Prius 1.8 Hybrid
Driver name:
Mohammed Zia
Address:
22 Oxford Avenue, Manchester, M13 9PR
Driving Licence No.:
ZIA908234M99AZ
Start date:
01/11/2026
End date:
31/10/2027
Regards,
Signature:
Print name:
David Reynolds (Director)