Form PUCA. Application in respect of Goods Carriage Permit (Rule 171 (iii) of Vehicles Rules, 1989) To The Regional Transport Authority, State : I/We the undersigned hereby apply for a public carrier's permit/private carrier's permit under section 66 of the Motor Vehicles Act. 1988 as hereunder set out : 1. Full Name : 2. Name of the Father (in case of an individual) : 3. Address 4. The route, routes or area for which the permit is desired : 5. Type and capacity of vehicles including trailer and alternative trailers of articulated vehicle : . Registration mark Unladed weight Gross Vehicle weight Type Make and Model (1) (2) (3) (4) (5) . . . 6. Description of goods to be carried : . 7. Particulars of any other permits held by the applicant : . 8. Arrangement for housing the vehicles and storage of goods to be carried : . 9. Applicant's previous experience of goods transport business and the rate charged by him, if any : . 10. Nature of applicant's business and grounds on which the necessity for the permit to use the vehicle is claimed : . 11. If the applicant holds a valid driving license to drive transport vehicles, enclose a certificate to that effect issued by the licensing authority concerned : . 12. I/We enclose a challan/cash for Rs : . 13. I/We hereby declare that the above statements are true : . Date................. Signature or thumb impression of
