Downloading rate at CICs at the cost of Rs.2 per page FORM P. Tem. A (See rule 72(1)(iv) of Tripura Motor Vehicle Rules 1991) Application in respect of a temporary permit To. The Secretary, STA / RTA / DTC / DTO . . . . . . . In accordance with the provisions of sections 69 and 87 of the Motor Vehicles Act, 1998. I, the undersigned, hereby apply for a temporary permit under section 66 of that Act as herein under set out:- 1. Full Name . . . . . . . . . . . (Surname) (Name) (Father's / Husband Name) . . . . . . . . . 2. Age . . . . . . ... 3. Full Address . . . . . . . . . . . H. No. . . .. . . . Road / Lane . . . . . Name of the Locality . . . . City / Town . . . . . . . . . . . Pin . . . Tel No. . . . . 4. Purpose for which permit is required . . . . . . . . 5. Route or routes or area . . . . . . . . . . . . . . . . . . . . . . . 6. Period of duration of permit . . . . . to . . . . . . . . . . . . . . (Both days inclusive) Laden weight : 7. Type and Seating Capacity of the vehicle for which the permit is required . . . 8. Registration mark of the vehicle . . . . . . . . . 9. 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 of 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 challans . . . . . . . dated . . . 3. Granted / Rejected is modified form on the . . . day of . . . 4. Permit No. issued . .. . . . . 5. Registration mark of vehicle if intimated after issue . . . . . . Secretary, . . . . Transport Authority TGPA 15-6.2002 20,000 J. C. No. 9708
