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FORM CCPA Application for a permit in respect of a Contract Carriage See Rule 170 To The Regional/State Transport Authority In accordance with the provisions of sections of 69 73 and 80 of the Motor Vehicles Act 1988. I/We the undersigned hereby apply for permit under section 66 of the Act in respect of a contract carriage 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. Registration number of the vehicle 6. Seating capacity 7. Number of Vehicle proposed to be put in the area Registration Mark Type Seating Capacity 8. Particulars of service to be performed by Contract carriage not necessary in case of Motor car and the manner in which it is Claimed that public convenience will be Served* valid in State held by the applicant at present and whether any permit in any other State is held by the applicant of registration cancelled or vehicles seized on account of the offence committed under any rule of order made thereunder prohibiting or regulating the import or transfer of passengers of good. 11. I/We enclose cahs/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 2. In the case of applicants who are not individual please state whether d Partnership firm e Private or public limited company f 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 permit under section 66 of the Act in respect of a contract carriage 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. Registration number of the vehicle 6. Seating capacity 7. Number of Vehicle proposed to be put in the area Registration Mark Type Seating Capacity 8. Registration number of the vehicle 6. Seating capacity 7. Number of Vehicle proposed to be put in the area Registration Mark Type Seating Capacity 8. Particulars of service to be performed by Contract carriage not necessary in case of Motor car and the manner in which it is Claimed that public convenience will be Served* valid in State held by the applicant at present and whether any permit in any other State is held by the applicant of registration cancelled or vehicles seized on account of the offence committed under any rule of order made thereunder prohibiting or regulating the import or transfer of passengers of good.

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