Application for the grant of National Permit (See Rule 86) To, The Regional/State Transport Authority, I/We, the undersigned hereby apply for the grant of national Permit valid throughout, the territory of India/in the State of................................. (Here write the name 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 of husband (in case of individual) and in case of company or firm the particulars of managing partner 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 documentary proof to the satisfaction of State Transport Authority/Regional Transport Authority and in case of company or firm the certified copy of the Memorandum of Associations or copy of the deed of partnership as the case may be). 5. (a) Whether applicant himself intends to drive the vehicle (b) 1. If so, whether applicant holds Heavy Goods vehicle Driving License. 2. The number, date and validity period of the driving license. 3. Name and address of the Licensing Authority. 6. Registration certificate alongwith the date of first registration, Insurance Certificate................................... 7. Details of any other permits if held in respect of particular vehicle............. . 8. Details of number of National Permits held by he applicant............... .. 9. Type of vehicle, whether two-axle truck, or articulated vehicle or multi-axle vehicle or tracktrailer combination........... .................... 10.Make of Motor Vehicle............................. 11. Particulars of convictions suspensions/cancellation, if any, during the past three years in respect of the vehicle/permits held by the applicant (s).................... 12. I/We forward herewith the certificate of registration of the vehicle of I/We will produce the certificate of 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 or thumb impression of the applicant (s)
