a Tz, Tr rt Roads & Maritime NewiT4 5047 conmoent | Services NATIONAL HEAVY VEHICLE DRIVER COMPETENCY FRAMEWORK CERTIFICATE OF COMPETENCY This is to certify that ccc May Worse Fal re oT aphicon! Ad Sia Tse US) OLD, VIG ACT has satisfactorily passed the: in motor vehicle: cy Stapcegistred CCA cn Ropstration number (cats O10. Vio. ACT FRe 25 ba Ps Ina [Tick one box} Ina [Tick V/ofe box} i ( Registration number Stat registered EH Gomatic SS a Trailer A (eg. NSW, QLD, VIC, ACT) yrrenromesh syXchromesh _— aa FE) constant mesh ‘constant mesh Registration number _—Stale registred (crash) gear box (crash) gear box Taller 8 (og. NSW, OLD, VG. ACT [_Jremoval of B condition HR, HC for the ma National Heavy Vehicle Competency Framework tas of fone) conducted by y oO 0 Wace SS "Name of RTO - block letters please RTO - Code nuriber ow conducted at: SOE SToms on O65" DoCase Coxgiony ‘Date of cencesesessmen} Assessor: Applicant: he Ghsatoy ‘Ganeire) es Ke Name otAssessor, OSioc Kiys Con Instructor licence number _O7O5) 8 ‘Please print name) This certificate is not a licence. It does not authorise the holder to drive a motor vehicle. This Certificate of Competency is valid for 12 months from the date of the licence test assessment. * Warning any alteration to the certificate will make this certificate invalid. eo (Cot AS07653 (912)