MOTOR VEHICLES ACT, 1988 FORM - 48 [See Rule-86] APPLICATION FOR GRANT OF PERMIT NATIONAL PERMIT To, The Regional/State Transport Authority, I/We the undersigned hereby apply for the grant of National Permit valid throughout of India/in the State (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 company or firm 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 Individuals or any other valid documentory 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 ? (b) (I) If so, whether, applicant hold : heavy Goods Vehicle (II) The number, date and validity : period of driving license. (III) Name and address of the : Licensing Authority. 6. Registration certificate along with the date of first registration, Insurance certificate number. 7. Details of other permits if any, held in : respect of a particular Vehicle. 8. Details of total number of Nations permits held by the applicant. 9. Type of Vehicle : Whether two axle truck, or articulated vehicle or multi-axle vehicle or trucktrailer combination. 10. Make of Motor Vehicle : 11. Particulars of convictions/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 : or registration of the vehicle or I/We will produce the certificate or 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 rupees Signature of Thumb Impression of Applicant Date :