FORM D.T.V.B. [See rule 24 (3 )] Application for duplicate of a Public Service Vehicle ( Stage Carriage or Contract Carriage ) Authorisation badge To The Licensing Authority ------------------------------------------------------------------------ I ( name in full ) ---------------------------------------------------------------------------------of (permanent address ) -------------------------------------------------------------------------hereby report that the original Cab/Bus * Badge No. ---------------------------------------is lost /destroyed in the following circumstances :( to be filled in ) ( 2 ) I hold motor driving licence No. ----------------------------------------issued by the Licensing Authority --------------------------------------------------------------which is valid upto ----------------------------- (3) I hereby apply for duplicate Cab/ Bus badge and tender rupees ten by cash/money order/cheque/challan. (4) I further declare that my motor driving licence has not been suspended, or revoked and has not ceased to be valid by efflux of time. Dated ---------------------- Signature or thumb impression of the badge holder *Strike out whichever is not applicable. Please pay the cost of this form at the concerned RTO Rs 5.00 Printed from www.goatransport.Com
