FORM - 48 (See Rule 86) Application for the grant of National Permit 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 ....................................................................................................................................................... .......................................................................................................................................................................... 1. Name of the applicant (s) in full 2. Status of the applicant, whether individual, Company or partnership firm, Co-operative Soceity etc. 3. Name of father or husband (in case of individual) and in the case of company or firm the particulars of managing partners or 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 memorandam of association or copy of the deed of partnership as the case may be) 5. (a) Whether applicant himself intends to drive the vehicle (b) (i) If so, whether applicant holds Heavy Goods Vehicle Driving Licence (ii) The number, date and validity period of the driving licence (iii) Name and address of the licensing Authority 6. Registration certificate along with the date of first registration, Insurance Certificate 7. Details of any other permits if held in respect of a particular vehicle 8. Details of number of National permits held by the applicant 9. Type of vehicle, whether two-axle truck or articulated vehicle or multi-axle vehicle or track-trailer combination (here write the name of the States desired) : ................................................................................... : ................................................................................... : ................................................................................... : ................................................................................... .................................................................................. ................................................................................... : ................................................................................... : ................................................................................... : .................................................................................... : ................................................................................... .................................................................................... : ................................................................................... : ................................................................................... :..................................................................................... 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 declared 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 :................................................................................... Date: ........................................... Signature of the Applicant
