FORM P.Co. P. A.
(See Rule 67(a) (iii) of
the Andaman and Nicobar Islands Motor Vehicles Rules, 1939).
Application for a permit
in respect of a particular contract carriage to be regularly so used.
To
The Deputy Commissioner,
In accordance with the provisions of Section 45, 49 and 57 of the Motor
Vehicles Act, 1933, I/ We the undersigned hereby apply for a
permit under Section 42 of that Act in respect of a contract carriage as
hereunder set out.
1.
Full Name
:
2.
Name of
father(in the case of an individual)
:
3.
Address
:
4.
Area for
which required :
5.
Type of
vehicle (*)
:
6.
Approximate
seating capacity :-not less than
and not more than…………….seats including drives :
7.
Particulars
of service to be performed by the contract carriages (not necessary in case of a
motor cab), and the manner in which it is claimed that the public convenience
will be served :
8.
Particulars
of any stage carriage or contract carriage permit (or similar authorisation
under the Indian Motor Vehicles Act, 1914) valid in the province held by the
applicant in respect of :
(a) this vehicles
:
(b) any other vehicles
:
9.
Particulars
of any permit (or similar authorisation under the Indian Motor Vehicles Act,
1914) held by the applicant in respect of the use of any transport vehicle in
“the Dominion of India “ during the last four years which has been the
subject of an order or suspension or cancellation :-
Cash/Stamp
10.
I / We enclose Cheque
for Rs.
,being the
Money order receipt
Prescribed
fee.
I am/We are in possession of the vehicles the certificate of registration
of which is enclosed.
(*)
Here state whether single or double deck, fixed roof or hood only, glass
windows or side curtains
11.
I/We have not yet obtained possession of the vehicle. I/We understand
that the permit will not be issued until I/We have done so and have produced the
certificate of registration.
12.
I/We intend to drive the vehicle
13.
I/We desire a permit valid for
years.
14.
I/We hereby declare that above statements are true and agree that they
shall be conditions of any permit issued to me/us.
Date
20.
Signature or thumb
impression of applicant.
Strike
out inapplicable alternatives throughout.
to be
filled in the office of the Deputy Commissioner.
1. Date
of receipt
:
2. Date
of decision
:
3.
Granted
Granted in modified form on
the
day of 20.
Rejected
4.
Number of permit :
Deputy
Commissioner