Downloading rate at CICs at the cost of Rs.2 per page FORM P. Gd. C. A. (See Rule 72 (1) (iii) of Tripura Motor Vehicles Rule, 1991.) Application in respect of Goods Carriers Permit To. The Secretary, STA / RTA (DTC / DTO) In accordance with the provisions of sections 69, 77, 79 and 80 of the Motor Vehicle Act, 1988, I, the undersigned, hereby apply for a goods Carrier's Permit under section 66 of that Act, herein under set out: 1. Full Names of the applicant / Company ......................... (Surname) (Name) .......................................... (Father's / Husband's Name) 2. Age ................ 3. Full Address: H. No. ............ Road / Lane ................ .............. Name of the Locality .................. ................. City / Town ..................... .............. Telephone if any ........... PIN ......... 4. The nature of goods proposed to be carried ....................... 5. Type and capacity of vehicles including trailer and alternative trailers of articulated vehicles: No. of vehicles Type Load Capacity Laden weight K. G. Registration Mark Overall length Width Note:- (1) If any of the vehicles are not in the possession of the applicant it will suffice if the figures in column (3) and (4) are correct within ten percent above or below subject to any limitation of weight in force. The certificate of registration must be presented to the Transport Authority so that the registration marks may be entered in the permit before the permit is issued. (2) If the application is in respect of a large number of vehicles than can be specified above an additional schedule may be appended to the form. 6. Particulars of any goods carrier's permit valid in any State and held by the applicant which has been the subject of any order of suspension or cancellation. .................. ............................................ 7. I forward herewith the certificate of registration of the vehicles or I will produce the certificate of registration of the vehicles before the permit is issued. 8. I hereby declare that the above statements are true and agree that there shall be conditions of any permit issued to me. Date ......... 19 Signature or thumb impression of the applicant Place ....... (To be filled in the office of the Transport Authority) 1. Date of receipt / Challan ............................... 2. Amount of Rupees.............................. received vide receipt number ...................... Date .......... 3. Granted / Granted in modified form / Rejected on the ..................... ........................... day of ........... 4. Number of permit issued .............................. Secretary Transport Authority ............
