FORM P.G.A. [RULE 53 OF THE DELHI MOTOR VEHICLES RULES, 1993] APPLICATION FOR A GOODS CARRIER 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, and 77 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. Name of Applicant .................................. 2. Name of father (in case of an individual)......................... 3. Address ..................................... .......................................... 4. Route or area for which permit is desired .......................................... 5. Type and Capacity of vehicle (s) for which permit derived: Type GVW in kgs. Unladen weight in kgs Registration Mark(s) (1) (2) (3) (4) Note: If any of the vehicles are not in the possession of the applicants it will suffice if the figures in columns 2 and 3 are correct within 10 per cent above or below, subject to any limitation of weight in force. The certificate of registration must be presented to the State Transport Authority, so that the registration marks may be entered in the permit before the permit is issued. 6. The arrangement intended to be made for the parking, maintenance and repair of the vehicle and for the storage and safe custody of goods............................ 7. Details of any business as a carrier of goods for him on hire or reward carried by the applicant at any time before making of application and the rates charged by the applicant ............ .......................................... 8. Particulars of any agreement or arrangement regarding facilities for the transport of goods for hire or reward entered into by the applicant with any person by whom such facilities are provided........................................... .......................................... 9. Particulars of the service to be performed by the vehicle(s) and the manner in which it is claimed that the public convenience will be served.......................................... 10. Particulars of any goods carrier permit held by the applicant at present: Ring Mark of Type of Permit Permit No. Max/Min freight Area where Vehicle charged applied 11. (i) Particulars of any goods carrier permit or public motor vehicle licence held by applicant which has been subject of any order of suspension or cancellation ................... ............................................... (ii) Particulars of challan/prosecution/conviction of any goods carrier of the applicant...... .......................................... 12. Particulars, other than particulars furnished under item 8, of any agreement or arrangement effecting in any material in respect of the provision of facilities of transport of goods for hire or reward entered into by the applicant with any other person whom such facilities are provided whether within or outside the N.C.T. of Delhi........... ............................................... 13. (i) Nature of goods proposed to carry.......................... .......................................... (ii) Whether these are dangerous or hazardous goods Yes/No (iii) Nature of the chemical or explosive to be carried with special reference to their dangerous or hazardous nature to human life................................. ................................................ ................................................ 14. I/We desire to use the vehicle(s) as goods carrier(s) for carriage of goods which are my own property on the carriage of which is incidental to my business (indicate nature of business)......................................... .............................................. 15. I/We enclose herewith the certificate(s) of registration of the vehicle(s) or will produce the certificate(s) of registration of the vehicle(s) before the permit is issued. 16. 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)
