FORM P. TEM.A. [RULE 53 OF THE DELHI MOTOR VEHICLES RULES, 1993] APPLICATION FOR A TEMPORARY PERMIT To The State Transport Authority 5/9, Under Hill Road G.N.C.T. of Delhi Delhi-110054 In accordance with the provision of Secs. 67, and 87 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. Purpose for which permit is required ......................... 5. Route (s) ..................................... 6. Period of duration of permit from............. to............. 7. Type and Gross Vehicle Weight/Seating Capacity of the vehicle for which the permit is required ................... 8. (i) The registered owner(s) of the vehicle(s) is/are................... and the registration mark(s) is/are......................... OR (ii) The Vehicle has/vehicles have not yet been hired by me/us and I/we undertake to intimate the registration mark(s) as required within twenty-four hours of hiring of vehicle/vehicles. 9. 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) (To be filled in the office of the State Transport Authority, Delhi) 1. Date of receipt of the application............................ 2. Granted or granted in modified form or rejected on ............. 3. Permit number granted ............................ 4. Registration Mark(s) of vehicle(s) if intimated after use ............... Secretary/ Asstt. Secretary State Transport Authority, Delhi
