Downloading rate at CICs at the cost of Rs.2 per page FORM P. CO. P. A. (See rule 72(i)(iv) of Tripura Motor Vehicle Rules, 1991) Application for a permit in respect of a contract carriage to be regularly so used. (Taxi / Auto-rickshaw / Tourist / Taxi / Air Conditioned Contract Carriage) (*Strike out which is not applicable) To. The Secretary, TA, ............ In accordance with the provisions of section 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 hereby set out:- 1. Full Name of applicant / Company......................... (Surname) (Name) .......................................... (Father / 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 required ......................... ....................................... 6. Seating Capacity .................................. 7. The type of vehicle (Bus / Car / A-R / A-C-Bus / Imported Car) .............. with No. ......................... 8. Arrangement made for customers to contract permit holder, Office and Phone No....... 9. Particulars of any stage carriage or contract carriage permit valid in the State or any other and 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.** I am in possession of the vehicle, the Certificate of Registration of which is enclosed. 12.** I have not yet obtained possession of the vehicle and I understand that the permit will not be issued until I have done so and have produced that Certificate of Registration and further declare that I propose to purchase a vehicle manufactured in the year:- ..........................................13.** I intend to drive the vehicle No. .......................... My M. D. L. No. .................. P. S. V. A. No. ........... ......................issued by ............. 14. I hereby declared that the above statement are true and agree that they shall be conditions of any Permit issued to me. Date .......... Signature of thumb impression Place ........ of the applicant ____________________________________________________________________________________ ( To be filled in the Office of the Transport Authority) 1. Date of Receipt ................................. 2. Amount of rupees ........................... received vide receipt No. ....................... Dated ......... Circulation Members 3. Date Considering at meeting ............................ decision by the Chairman. 4. Granted in modified form on the ............... day of ......... 5. Number of permit issued ............................... Secretary, .......... Transport Authority. Strike out inapplicable alternatives. TGPA-16-02-2004-10,000-J. C. No. 10702
