In accodance with the provisions of Sections 69, 73 and 80 of the Motor Vehicles Act, 1998. I/We the undersigned hereby apply for a permit under Section 66 of that Act in respect of a contract carriage as hereunder set out :

1.	Name of the holder	:
2.	Name of the Father (in case of an individual) :	:
3.	Address	:
4.	Area for which required	:
5.	The type of vehicle	:
6.	Registration mark	:
7.	Seating capacity	:
8.	Particulars of service to be performed by the contract carriage not necessary in case of a motor cab and the manner in which it is claimed that the public convenience will be reserved.
9.	Particulars of any contract carriage permit valid in the area for which a permit is now required in respect of the vehicle specified above .
10.	I/We enclose cash / challan / cheque / money order receipt for Rs being prescribed fee.
11.	I/We have not yet obtained possession of the vehicle and 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 desire a permit valid for year.
13.	I/We hereby declare that the above statements are true.

Date	Signature of (or thumb impression of) the applicant