Application for a permit in respect of a stage carriage / service of stage carriages. (See rule 170) To The Regional / State Transport Authority, ................. .. In accordance with the provisions of the sections of the Motor Vehicles Act, 1988 I / We the undersigned hereby apply for permit under section, 69, 70 and 80 of the Act in respect of a Stage Carriage / Service of Stage Carriages as herein under set out : 1. (a) Full name :......................... (b) Age (in words and figures) :......................... (c) If the applicant is a minor, full name and address of the :......................... guardian. . . . . . . . . . . . . . . . . . . . . . . . .. 2. Address : :......................... ........................ 3. Where the applicant is an individual (a) Name of the father or husband as the case may be :......................... (b) When the applicant is / has been in the employee of any road transport undertaking(s) or operator(s). (Full particulars to be furnished with the names and addresses of all concerned). :......................... ........................ 4. Where the applicant is not an individual - (a) nature of the firm or company, i.e. - (i) Whether a Partnership registered or unregistered under the Indian Partnership Act; or (ii) Whether a Private or public limited company registered under the Indian Companies Act; or (iii) Whether a co-operative society registered or deemed to have been registered under any enactment in force for the time being. (b) In the case of a partnership firm, names and addresses of all the partners of the firm. 5. (a) Whether the applicant is an individual, nature and extent of the financial interest, if any held by the applicant in existing transport undertakings in India. ......................................... ......................................... (b) Where the applicant is not an individual nature and extent of the financial interest, if any held existing transport undertaking(s) in India. (i) by the partners if the applicant is a partnership firm : or (ii) by any shareholder or director or member of the managing committee, if the applicant a co-operative society registered or deemed to have been registered under any enactment in force for the time being. Note: -Full particulars together with the names and address of all such persons shall be appended in the form of a statement. 6. (a) The route or area for which the permit is applied for - ......................................... (b) Number of vehicles proposed to be put on the route or area......................................... (c) Particulars of the number of vehicle(s) already kept or intended to be kept in reserve to obtain the service to which application relates and to provide for a special occasion ......................................... (d) Particulars of the arrangements already made or intended to be made for (1) the housing and repair of the vehicles. (2) the comfort and convenience of the passenger. (3) the storage and safe custody of the luggage's. 7. The Vehicle(s) to be used on the service is are: Registration Mark. Type. Seating capacity Maximum laden weight (1) (2) (3) (4) *Where no vehicle is available the proposed type and the seating capacity shall be furnished under the columns (2) and (3) above. 8. (a) The minimum and maximum number of daily trip proposed to be provided on the route or relating to each route lying in the area. (b) Particulars of the time-table is / are not, appended. Note:- No time-table need be appended in any case in which timings have already been fixed by competent authority 9. The Standard rate of fare which is proposed N. P. Per passenger per kilometer to be charged. 10. I / We are at present in possession of the following vehicles available for use under the Permit applied for. ........................................... 11. The extent to which the public interest is served the advantages to the public with special reference to the benefit to be given to a locality and the condition of the road as to its fitness for motor vehicle. ........................................... 12. Full particulars together with the route registration marks of the vehicle and dates of expiry of the permits if any already held by the applicant(s) in this State as well as any other States in India. 13. I / We enclose cash / cheque / challan / money order receipt for Rs.......... .. being the prescribed fee. 14. I / We desire a permit valid for years: 15. I / We hereby declare that the above statements are true. ........... .. Date : Signature of the applicant. Note :-(a) Strike out inapplicable entries or alternative through out. (b) Where the space provided under or against a column is found inadequate particulars should be appended quoting the number of the column concerned. If the applicant is made voluntarily under the first part of section of the Motor Vehicles Act a rough sketch showing already the course of the route applied for, the names of and the distances between the connected places and the adjoining route and places to establish the identity of the route applied for shall be appended.