FORM P.R.A [RULE 53 OF THE DELHI MOTOR VEHICLES RULES, 1993] APPLICATION FOR RENEWAL OF PERMIT/COUNTERSIGNATURE To The State Transport Authority 5/9, Under Hill Road G.N.C.T. of Delhi Delhi-110054 I/We the undersigned apply for renewal of permit/countersignature as hereunder set out Number of Permit/Countersignature ....................... 2. Regn. Mark(s) of the vehicle(s) covered by ....................... permit countersignature number 3. Name and Address of Permit holder ........................ ....................... 4. Date of issue of Permit/Countersignature ....................... 5. Date of Expiry ....................... 6. Permit/Countersignature is in respect of ....................... Stage Carriage Reserve of Stage Carriage/Contract carriage/Goods Carrier/ Private Service Vehicle (Tick whichever is the case) 7. Route/Area for which permit/ ....................... Countersignature is valid 8. Goods which are not permitted to be carried (in case goods carrier permit) I/We hereby submit the photo copy of the registration certificate and copy of the permit. I/We further declare that the information furnished above are true to best of my knowledge and I/We am/are liable for any in accuracies. Dated: Signature or thumb impression of the applicant (s)
