FORM P. Tem. A [See Rule 72 (1) (IV)] Application in respect of a temporary permit To, (The Director of Transport/Asstt. Director of Transport) In accordance with the provisions of Section 69 and 87 of the Motor Vehicles Act, 1988, I, the undersigned, hereby apply for temporary permit under section 66 of that Act as hereinunder set out: 1. Full Name ____________________________________________________________ (Surname) ( Name) (Father's Husband's Name) 2. Age ________________ 3. Full address H.No. _______________________________ Road/lane _____________ Name of the Locality ___________________________ City/Town _______________ Pin ________________ Tel No. ____________________ 4. Purpose for which permit is required ________________________________________ 5. Route or routes or area __________________________________________________ 6. Period of duration of permit: From _________________________to ______________ (Both days inclusive) 7. Type and________________________________ of the vehicle fdor which the permit Seating Capacity is required ____________________________________________________________ 8. Registration mark of the vehicle ___________________________________________ 9. I hereby declare that the above statements are true and agree that they shall be conditions of any permit issued to me. Dated _______________________ 200__________ Place _____________________________ Signature or thumb-impression of applicant (Tobe filled in the Office of the Transport Authoritty) 1. Date of receipt 2. Amount of rupees ___________________________received, vide receipt number ____________________________dated________________ Granted Granted in modified form on the _____________day________________ Rejected 3. Permit number issued ________________________________________________ 4. Registration mark of vehicle if intimated after issue __________________________ (Secretary) ______________________Transport Authority Please pay the cost of this form at the concern RTO Rs.10.00 Printed from www.goatransport.com
