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Form P. GD .C. A.: Application in Respect of Goods Carriers Permit

This document is an application for a goods carrier's permit submitted to the Assistant/Deputy Regional Transport Officer. It contains information such as the applicant's name and address, type and details of the vehicles to be used, nature of goods to be carried, and a declaration that the statements are true. If approved, the transport authority would grant the permit and provide the permit number.

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Rohit Jain
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© Attribution Non-Commercial (BY-NC)
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263 views

Form P. GD .C. A.: Application in Respect of Goods Carriers Permit

This document is an application for a goods carrier's permit submitted to the Assistant/Deputy Regional Transport Officer. It contains information such as the applicant's name and address, type and details of the vehicles to be used, nature of goods to be carried, and a declaration that the statements are true. If approved, the transport authority would grant the permit and provide the permit number.

Uploaded by

Rohit Jain
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Space for fee stamps

FORM P. Gd .C. A.
[See Rule 71 (1) , (iii) ]

Application in respect of Goods Carriers Permit


To,
Asstt. / Dy. Regional Transport Officer,
___________________________________
In accordance with the provisions of sections 69, 77, 79 and 80 of the Motor Vehicles Act , 1988. I, the
Undersigned, hereby apply for a goods carriers permit under section 66 of that Act , as here in under set out :
1. Full name the Applicant /Company ______________________________________________________________
( Surname )
_____________________________________________________________________________________________
(Name )
(Fathers /Husband name )
2. Age _______________________________________________________________________________________
3. Full Address : H.No.__________________________ Road /Lane ______________________________________
Name of the Locality _________________________________________City Town _______________________
Pin _______________________ Tel .No. (if any) ________________________________________________
4. The Nature of goods proposed to be carried _______________________________________________________
__________________________________________________________________________________________
5. Type and capacity of vehicle including trailer and alternative trailers of articulated vehicles :
_____________________________________________________________________________________________
No. of
Load
Laden
Registration
Overall
Vehicles
Type
Capacity
Weight Kg.
Mark
length
Width
1
2
3
4
5
6
7

_____________________________________________________________________________________________

Notes :- 1) If any of the vehicles are not in the possession of the applicant it will suffice if the figures in colomns (3) and (4) are correct
Within ten percent , above or below subject to any limitation of weight in force . The certificates of registration must be
Presented to the Transport Authority so that the registration marks may be entered in the permit before the permit is issued.
2) If the application is in respect of a larger number of vehicles than can be specified above an additional schedule may be
appended to the form.

7. Particulars of any goods carriers permit valid in any state and held by the application which has been the
subject of any order of suspension or cancellation_____________________________________________
_____________________________________________________________________________________
8. I forward herewith the certificates of registration of the vehicles or I will produce the certificates of registration
of the vehicles before the permit is issued.
9. I, hereby declare that the above statements are true and agree that they shall be conditions of any permit
issued to me.

Date :________________________19/20

Place : __________________________________________

Signature or thumb impression of


Applicant

(To be filled in the office of Transport Authority )


1. Date of receipt ______________________________________________________________________________
2. Amount of rupees _____________________________________________________________________received.
3. Vide receipt number ________________________________________dated _____________________________
4. Granted/Granted in modification form/Rejected on the _______________________________________________
____________________________date of ____________________________19/20
5. Number of permit issued _______________________________________________________________________

_______ _____________
Secretary,
_______________________________ Transport Authority.
_________________________________________________________

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