FORM P.ST.A. (Rule 53 of the Delhi Motor Vehicle Rules, 1993) APPLICATION FOR A PERMIT IN REPSECT OF A PARTICULAR STAGE CARRIAGE 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, 70, 71, 72 of the Motor Vehicle Act, 1988, I/We the undersigned hereby apply for a permit in respect of stage carriage as hereunder se out: 1. Full Name/Name of the firm of Company 2. Name of father (in case of individual) 3. Address 4. (i) Route/Area for which the Permit is desired (ii) Appx. Length of Route (Attach detailed route plan showing also along with fare table in triplicate) 5. Type of Vehicle 6. Seating Capacity of Vehicle 7. Maximum and minimum No. of daily trips and Time Table is appended 8. The standard rate of fare which it is proposed to charge 9. Particulars of stage carriage permits already held by applicant, (If space is not sufficient, a separate sheet may be attached) 10. (i) Particulars of any permit or Public Motor Vehicle Licence held by the applicant in respect of the use .................. .................. .................. .................. .................. .................. ................. ................. ................. ................... ................. (Yes/No) ................. (Rs. /per km/Passenger) Permit No. Vehicle No. Route (i) (ii) (iii) (iv) (v) .................. .................. .................. 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 .................. if any, 11. I am/the company is in possession of a bus, which is not more than six months old at the time of this application. Certificate of registration of the bus is enclosed. .................. 12. I have not yet obtained possession of the .................. bus and understand the permit will not be issued until I procure a bus not more than six months old. 13. Registration No. of the Vehicle intended to.................. be kept in reserve to maintain service and to provide for special occasion: 14. I have arrangement for parking of the bus (Enclose Location plan of parking area and the premises) .................. 15. Income tax No. and circle where assessed .................. (attach details of assessment for the last three years) 16. I am a permanent resident of Delhi for the last 5 years (Attach a certificate of domicile in Delhi for the period) 17. (i) I do not hold more than 5 stage Carriage Permits. OR (ii) The company does not hold more than 10 Stage Carriage Permits. 18. 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)