OMR Vehicle User Registration Applicant

This document contains an application for registering to use vehicles owned by Overstrand Medical Response (OMR). Applicants must provide identification documents, a driver's license copy, and contact information. They must acknowledge OMR vehicle policies on use and monitoring, accept liability for traffic offenses, and agree not to drive if demerit points exceed limits. The regional manager must sign approving the applicant's vehicle use.

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OMR Vehicle User Registration Applicant

Uploaded by

Cassie Carstens

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APPENDIX A To

OMR Transport SWP

OMR VEHICLE USER REGISTRATION APPLICATION
Date: ……………………..
Please attach clear copies of the following:
1. Copy of ID document (not enlarged)
2. Colour copy of driver’s license (not enlarged)
Please e-mail the application and supporting documentation to the Regional
Manager ([email protected]) or hand deliver to the office.

Department
Name & Surname
ID Number
License Number Code Expiry Date
Postal Address Po Box
Suburb
City/ Town
Country
Postal Code
Residential Street
Suburb
City/ Town
Country
Postal Code
Tel Numbers (w)+27 (H)+27 Cell
Email

Notes:
The use of Overstrand Medical Response vehicles is subject to the OMR Transport
and Vehicle Policy, in conjunction with the Standard Working Procedure for the use
and Management of OMR Vehicles.
I the undersigned, confirm that I am familiar with the contents of the above-
mentioned Policy, that I will comply therewith at all times and that I understand the
implication and contents thereof.
I acknowledge that OMR has the right to investigate any damage or loss caused to
the vehicle, including institutional reputational risk and that the outcome of such
investigation may lead to disciplinary action being taken against me.
I confirm that I am aware that all OMR vehicles are equipped with a vehicle tracking
and monitoring system and that the trip I am undertaking may be investigated at any
time, by means of the tracking and monitoring reports and that the outcome of such
investigation may lead to disciplinary action being taken against me.
I accept full liability for fines and/or any other form of punitive measures as
determined in the Road Traffic Ordinance, or any loss that OMR may suffer as a
result of traffic offences and that OMR reserves the right to consider disciplinary
actions for any transgression or violation in accordance with the National Road
Traffic Act.
I furthermore agree that I will not make use of an official OMR vehicle should my
AARTO demerit points exceed the maximum demerit points allowed, currently being
12 points, once the AARTO Act 46 of 1998 are fully implemented.