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FORM GCPA Application for a permit in respect of a Goods Carriage See Rule 170 To The Regional State Transport Authority In accordance with the provisions of sections of 69 76 77 and 80 of the Motor Vehicles Act 1988. I/We the undersigned hereby apply for a public private carrier permit under the provisions of 66 of Motor Vehicles Act 1988 as hereunder set out 1. a Name b Age in words and figures c If the applicant is a minor Full name and Address of the Guardian 2. Father s Name/Husband s Name in the case of individual 3. Full Address 4. Area/Route for which the permit is required 5. Nature of goods to be carried 6. Type and capacity vehicle including trailer and alternative trailers or articulated vehicle proposed to be a put on the road* Type Unladen Weight in Kgs 7. In the case of private carrier Registered Laden Weight in Kgs Indicate the applicant s own Business and The grounds on which it is claimed that it is necessary of the applicant to use the vehicle specified above for the purpose of his business. 8. Particulars of all Goods carriage permit valid the State held by the applicant at present. vehicle and the manner in which it is claimed that a public need will be served by the vehicle. registration canceled or vehicles seized on account of the offence committed under any Registration Marks law or any rule of order made there under prohibiting or regulating the import or transfer or passengers of goods. 11. I/We enclose cash/challan/cheque/money order receipt for Rs. Being the prescribed fee. 12. I/We desire the permit valid for years. I/We hereby declare that the above statement Are true. Date Note Signature of applicant 1. Strike out words not applicable a Partnership firm b Private or public limited company c Registered co-operative society 3. In the case of clause a above please attach statement showing the name and address of Managing Partner and Partners. I/We the undersigned hereby apply for a public private carrier permit under the provisions of 66 of Motor Vehicles Act 1988 as hereunder set out 1. a Name b Age in words and figures c If the applicant is a minor Full name and Address of the Guardian 2. a Name b Age in words and figures c If the applicant is a minor Full name and Address of the Guardian 2. Father s Name/Husband s Name in the case of individual 3. Full Address 4. Area/Route for which the permit is required 5. Father s Name/Husband s Name in the case of individual 3. Full Address 4. Area/Route for which the permit is required 5. Nature of goods to be carried 6. Type and capacity vehicle including trailer and alternative trailers or articulated vehicle proposed to be a put on the road* Type Unladen Weight in Kgs 7. Nature of goods to be carried 6. Type and capacity vehicle including trailer and alternative trailers or articulated vehicle proposed to be a put on the road* Type Unladen Weight in Kgs 7. In the case of private carrier Registered Laden Weight in Kgs Indicate the applicant s own Business and The grounds on which it is claimed that it is necessary of the applicant to use the vehicle specified above for the purpose of his business.

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