Page 1 of 1 Form PUCA. Application in respect of Goods Carriage Permit (Rule 171 (iii) of the Andhra Pradesh Motor Vehicles Rules, 1989) To The Regional Transport Authority. State 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 : 1. Full Name : 2. Name of the Father (in case of an individual) : 3. Address . 4. The route, routes or area for which the permit is desired : 5. Type and capacity of vehicles including trailer and alternative trailers of articulated vehicle : 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 : . Signature or thumb impression of Date ................. the applicant file://E:\pdf\form_puca.htm 2/13/2009 Close Window
