Form 48 (see Rule 86) APPLICATION FOR THE GRANT OF NATIONAL PERMIT To, The State Transport Authority, ............. I/We the undersigned hereby apply for the grant national permit valid throughout the territory of India/in the State of ....................... (here write the names of the States desired) 1. Name of the applicant(s) in full ................... 2. Status of the applicant whether .................... individual, company or partnership firm, co-operative society etc. 3. Name of father or husband (in case ................... of individual and in case of firm or company the particulars of managing partner or managing director as the case may be) 4. Full address (To be supported by .................... Attested copy of ration card, electricity bill, etc. in case of individual or any other valid documentary proof to the satisfaction of State Transport Authority/and in case of company or firm the certified copy of the Memorandum of Association or copy of the deed of partnership, as the case may be) 5 (a) Whether applicant himself intends ................. to drive the vehicle ? (i) If so, whether the application holds Heavy passenger Motor Vehicle Driving Licence ................ (ii) The number, date and validity period Driving licence .............. (iii) Name and address of the Licensing Authority ............... 6. Registration certificate alongwith the ................ date if first registration, Insurance Certificate number. 7. Details of other permits if held in ............... in respect of a particular vehicle 8. Details of number of national ................ Permits held by the applicant 9. Type of vehicle, whether two-axle truck or ............... articulated vehicle or multi-axle vehicle or tractor trailer combination 10. Make of Motor Vehicle ............... 11. Particulars of conviction/suspensions/ ............... cancellation, if any during the past three years in respect of the vehicle /permit held by the applicant(s) 12 I/We forward herewith the certificate ............... of registration of the vehicle or I/We will produce the certificate of registration of the vehicle before the permits are issued 13. I/We hereby declare that the above statements are true and that I/we am/are the resident(s) of this state having principal place of business in this State at ............... 14. I/We have paid the fee of Rs ............... Date ...... Signature or thumb impression of the Applicant Please pay the cost of this form at concerned PRICE : RS 10.00 Printed from www.goatransport.com
