FORM P.CO.P.A [See Rule 72 (1) (ii)] Application for a permit in respect of a Contract Carriage to be regularly so used (Taxi/Autorickshaw/Tourist Taxi/Air Conditioned Contract Carriage) (*Strike out which is not applicable) To, The Director of Transport/Asstt. Director of Transport, In accordance with the provisions of Sections 69,70, and 71 of the Motor Vehicles Act, 1988, I, the undersigned, hereby apply for the permit under Section 66 of the Act in respect of a Contract Carriage as hereunder set out: 1. Full name of applicant/Company __________________________________________ (Surname) (Name) (father's/Husband's Name) 2.Age ______________________ 3. Full address H.No.______________________________________________________ Name of Road/Lane________________________Name of Locality_______________ Town/City ______________________________Pin ____________________ 4. Telephone No ___________________ 5. Area or route for which permit is required: ___________________________________ 6. Seating Capacity: ___________________________________________ Seats 7. The type of vehicle (Bus/car/A-R/A-C Bus/Imported car) _______________________ 8. Arrangement made for customers to contract permit holder Office and phone number 9. Particulars of any stage carriage or contract carriage permit valid in the State or any other and held by the applicant in respect of : (a) This vehicle______________________________________________________ (b) any other vehicle_________________________________________________ 10. Particulars of any permit held by the applicant in respect of the use of any transport vehicle in any State during the last four years which has been the subject of any order of suspension or cancellation: 11. Number of vehicles kept in reserve to maintain the service regularly and to provide For special occasions ___________________________________________________ 12. Arrangements made for housing and repairs of vehicle (to be given in details)______ 13. Arrangement made for convenience and comport of passengers ______________ 14. Arrangement made for storage and safe custody of luggage 15. Particulars of any stage or contract carriage permit valid in the State, held by the applicant _________________________________________________________ 16. Particulars of any permit held by the applicant in respect of the use of any transport vehicle in any other state. 17. Whether any of the permits stated above have been subject of an order of suspension or cancellation in last four years. If so, give details. 18. Provided that sufficient passengers do not offer at any time. I desire to carry goods in these vehicles in addition to passengers on the understanding that goods will be carried on not more than ________________________________ of the vehicle's trips on any route on any one day and that not more than the accommodation or passengers in any vehicle will be replaced by goods. 19. I declare that not more than ______________________________ of these vehicles are or will be subject of permits (other than temporary permits) for the use as contract carriages. 20. I am at present in possession of _____________________________ vehicles available for use under the permit applied for. 21. I hereby declare that the above statements are true and agree that they shall be conditions of any permit issued to me. Dated: ______________________ Place: _______________________ Signature or thumb impression of applicant (To be filled in the office of the Transport Authority) 1. Date of receipt: _____________________________________ 2. Amount of rupees ___________________received, vide receipt number _________ Dated _____________ 3. Granted Granted in modified form on the ___________day of ________________ 20 _____ __________ Rejected. 4. Number of permits issued _____________________ 5. Serial No. of permit/permits issued ___________ Secretary, Transport Authority Please pay the cost of this form at the concerned RTO Rs.10.00 Printed from www.goatransport.com
