FORM P.C.A. [RULE 53 OF THE DELHI MOTOR VEHICLES RULES, 1993] APPLICATION FOR A CONTRACT CARRIAGE PERMIT To The State Transport Authority 5/9, Under Hill Road G.N.C.T. of Delhi Delhi110054 In accordance with the provision of Secs. 69, 73, 74 of the Motor Vehicles Act, 1988, I/We the undersigned hereby apply for a permit in respect of a contract carriage as hereunder set out: 1. Full name/Name of the Firm or Company ................... 2. Name of father (in case of an individual) ................... 3. Address ................... ................... ................... 4. Area for which permit required ................... 5. Type of vehicle ................... 6. Seating Capacity of Vehicle ................... 7. Particulars of service to be performed by the ................... contract carriage and the manner in which it is ................... claimed that the public convenience will be ................... served 8. Particulars of any stage carriage or contract carriage permit already held by the applicant: Registration No. of Vehicle Type of Permit (Whether Permit No. contract/stage carriage 9 (i) Particulars of any permit or ................... . Public Motor Vehicle Licenses held by the applicant in respect of the use of any ................... transport vehicle in India during the last 4 ................... years which has been subject of an order of suspension or cancellation ................... (ii) Prosecutions/Challans or Convictions, ................... 10. (i) I do not hold more than 5 stage Carriage Permits. OR (ii) The company does not hold more than 10 Stage Carriage Permits. 11. I/we hereby declare that the above statements are true and agree that they shall be conditions of any permit issued to me/us. I/We also agree that in event of any of the statements made above or information furnished being found false, the permit granted .................. shall be liable for cancellation. Dated: Signature or thumb impression of the applicant (s)