form45
form45
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I/We undersigned hereby apply for the grant of Permit for tourist vehicle valid throughout the territory
2. Status of the applicant, whether individual, company or partnership firm, Co-operative society
etc.,.........................................................................................................................................................
3. Name of the father or husband (incase of individual) and in case of firm or company the particulars of
4. Full address :-
(To be supported by attested copy of ration card, electricity bill, etc. In case of individual
or any other valid documentary proof to the satisfaction of State Transport Authority and in case of
company or firm certified copy of the Memorandum of Association or copy of the partnership deed).
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6. Registration certificate along with the date of first registration, Insurance Certificate Number.
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9. Type of vehicle.........................................................................................................................................
11. Particulars of convictions / suspensions / cancellations, if any, during the past three years in respect
of the vehicle / permit held by the applicant (s).
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12. I / We forward herewith the certificate of registration of the vehicle or I / We will produce the certificate
or registration of the vehicle before the permits are issued
13. I / We hereby declare that the above statements are true and that I / We am / are the resident (s) of
Date : ..............................................
Signature of the applicant