FORM OF APPLICATION FOR GRANT OF AUTHORIZATION TO ESTABLISH POLLUTION CHECKING CENTRE S. No: The Transport Commissioner, J&K Government Jammu/Srinagar. Sir, I/We..............................................(address)........................................................................... ....................................... hereby submit the following information namely: 1. Name of the applicant ....................................................................................... 2. S/o, D/o, wife of ......................................................................................... 3. Address .......................................................................................................................(Proof to be enclosed) 4. Whether individual/ connected directly/ indirectly with the business of transport ............................................................................................................... 5.Name and style of concern/ firm with address ..................................................................................... 6. Staff engaged in different cadres with qualification as per para No. 2nd & 3rd of annexure to G. O. No. 49-TR of...2008 alongwith specimen signatures of authorized signatory on a separate sheet: ............................................ 7. Proof of land owned/hired by the applicant with the information regarding open parking area for minimum of 5 vehicles and 2 covered bays for repair of vehicles. 8. Whether Garago is fully equipped with the following equipments/machinery. a) Smokemeter of the type approved by the M. O. S. T. Govt. of India, New Delhi .............................. b) Fuel injunction pump phasing and calibration machine owned, by the concern or a copy of contract entered with the authorised dealer/agent for phasing and calibration of pump .................................. c) Injection Nozzle tester ..................................... d) Dechometer .................................................. e) Fueler gauge ................................................. f) Compression guage in addition to the tools/equipment recommended by manufacturer. 9, Whether permission obtained from local authorities to establish Pollution Control Centre unit .............................................................................................. 10. If application is for the renewal of authorisation to establish a P. C. C. U. furnish following particulars names: i) Number of existing authorisation ...................................................................... ii) Date of issue.............................................................................. iii) Period of validity ........................................................... iv) If application not submitted within time state the reasons..................................................... v) Whether authorization suspended/cancelled/surrendered earlier, Further details ............................................................................... I hereby solemnly declare that the information given above is true and correct. Further I, undertake to abide by the rules, regulations and conditions attached to the authorization and as prescribed in Motor Vehicles Act, 1988 and rules framed there under. Signature of the applicant Date Place: