FORM P.R.S.A. [Rule 53 of Delhi Motor Vehicles Rules, 1992] APPLICATION FOR A PERMIT IN RESPECT OR RESERVE STAGE CARRIAGE To The State Transport Authority, Delhi In accordance with the provisions of Secs. 69,70,71,72 of Motor Vehicles Act, 1988, I/We the undersigned hereby apply for a permit in respect of reserve stage carriages as hereunder set out. 1. Full name/Name of firm or Company ................. 2. Name of father (in case of an individual) ................. 3. Address ................. 4. The route or area for which a permit is ................. Desired 5. Maximum number of vehicles which it ................. Is desired to operate at any one time Under the terms of the permit 6. Minimum number of vehicles which will ................. Be operated at any one time under the Terms of the permit in the area or on any Route or any part of the route. 7. The type and seating capacity of each ................. Vehicle. 8. Maximum and minimum number of daily ................. Trips and particulars of the time table(s) Proposed are appended 9. The standard rate of fare which it is Proposed to charge Rs..... Per ................. Per K.M. 10. Particulars of any stage or contract ................. Carriage permit valid in the N.C.T. of Delhi, held by the applicant and details Of the route over which or area in which The applicant's vehicles wee plying Regularly. 11 (i) Particulars of any permit or public ................. Motor vehicle licnece held by the Applicant in respect of the use of any Transport vehicle in India during the Last four years, which has been subject Of an order of suspension or cancellation. (ii) Prosections/Challans or Convictions, if any ............... 12. Provided that if sufficient passengers do not offer at any time. I/We desire to carry goods in these vehicles in addition to passengers on the understanding that goods will be so carried on not more than.................. Of the vehicle trips on any route on any one day and not more than ................ the accommodation for passengers in any vehicle will be replaced by goods. 13. I/We declare that not more than ................... of these vehicles are or will be subject of permits (other than temporary permits) for use as a contract carriage. 14. I am/We are at present in possession of vehicle(s) available for use under the permit applied for, [Indicate the Regn. Mark(s) of the vehicle(s)]. 15. I/We desire for a permit valid for.............. years. 16. I/We hereby declare that the above statements are true and agree that they shall be condition of any permits issued to me/us. I/We also agree that in event of any of the statements made above of information furnished being found false, the permit granted shall be liable for cancellation. Dated: Signature of thumb impression of The applicant(s)
