HP FORM XXI. St. S.A. (Rule 62(1) of the H.P. Motor Vehicles Rules, 1991) APPLICATION FOR A PERMIT IN RESPECT OF A SERVICE OF STAGE CARRIAGE To The Regional Transport Authority, ____________________________ In accordance with the provisions of Section 69, 70 and 80 of the Motor Vehicles Act, 1988, I/We the undersigned hereby apply for permit under section 66 of that Act in respect of a service of a Stage Carriage as hereunder set out: - 1. Full Name ________________________________________________________ 2. Name of father (in case of an individual) ________________________________ ____________________________________________________________________________________________________________________________________ 3. Address __________________________________________________________ __________________________________________________________________ 4. Route/routes or area which a permit is desired ____________________________ 5. Maximum number of vehicles (with registration marks) which it is desired to operate at any one time under the terms of the permit ______________________ __________________________________________________________________ 6. Minimum number of vehicles which will operated at any one time under the terms of the permit in the area or on any route or/and part of any route, and the minimum number of daily vehicle trips __________________________________ __________________________________________________________________ 7. The type or types of vehicles to be used on the service and the approximate seating capacity are: _______________________________ vehicle of not less than _______________ and not more than _________________seats. ______________________________ vehicle of not less than ________________ and not more than __________________ ______________________________ vehicle of not less than ________________ and not more than __________________ ______________________________ vehicle of not less than ________________ and not more than __________________ 8. Particulars of the time-table(s) proposed are appended. 9. The standard rates of fare which it is proposed to charge is __________________ paise per passenger per Km. 10. Particulars of any stage or contract carriage permit (or similar authorization under the Motor Vehicle Act, 1939 and 1988 valid in State, held by the applicant and details of the route over which or area in which the applicant(s) vehicles were regularly operated (i) before July, 1989 and (ii) subsequently __________________________________________________ __________________________________________________ __________________________________________________ 11. Particulars of any permit of public motor vehicle license held by the applicant in respect of the use of any transport vehicle in India during the last four years which has been the subject of an order of cancellation ___________________________ _____________________________________________. 12. Provided that sufficient passengers do not offer any time, I/we desire to carry goods in these vehicles in addition to passengers on the undersigned that goods will be so carried on not more than ________________________________ of vehicle trips on any route on any one day and that not more than _____________ the accommodation for passengers in any vehicle will be replaced by goods. 13. I/ we declare that not more than ______________________ of these vehicles are or will be the subject of permits (other than temporary permits) for use as contract carriages. 14. I am/we are at present in possession of ____________________ vehicles available for use under the permits applied for. The vehicles are my/our own property. (If the vehicles are not the property of the applicant, give particulars of the hiring agreement). 15. I/ we desire a permit valid for _________________ years. Signature of applicant(s).