I/We the undersigned hereby apply for a public carrier's permit/private carrier's permit under section 66 of the Motor Vehicles Act. 1988 as hereunder set out :

Full Name : Name of the Father (in case of an individual) : Address The route, routes or area for which the permit is desired : Type and capacity of vehicles including trailer and alternative trailers of articulated vehicle :

.

Registration mark	Unladen weight	Gross Vehicle weight	Type	Make and Model
(1)	(2)	(3)	(4)	(5)
.	Kgs	Kgs	.	.

6.	Description of goods to be carried :	.
7.	Particulars of any other permits held by the applicant :	.
8.	Arrangement for housing the vehicles and storage of goods to be carried :	.
9.	Applicant's previous experience of goods transport business and the rate charged by him, if any :	.
10.	Nature of applicant's business and grounds on which the necessity for the permit to use the vehicle is claimed :	.
11.	If the applicant holds a valid driving licence to drive transport vehicles, enclose a certificate to that effect issued by the licensing authority concened :	.
12.	I/We enclose a challan/cash for Rs :	.
13.	I/We hereby declare that the above statements are true :	.

Date .................

Signature or thumb impression of the applicant