MOTOR VEHICLES ACT, 1939 FORM LPSA Form of application to drive a public service vehicle To, The Regional/State Transport Authority I apply for an authorization to drive a public service Vehicle within the territory of Goa and forward herewith the driving license held (No. ........ .... dated the ..........issued by the Licensing Authority of ......... Name of applicant ............................. (In block letters or clear script) Present address of applicant ........................ ..................................... Date ....... 20 ..... Signature or thumb impression of applicant Please pay the cost of this form at concerned RTO Price Rs. 5.00 Printed from www.goatransport.com