........................
Secretary,
........................
Transport Authority.
Date.. .. ..20..
Renewal
Renewed up to.. .. .. .. .., subject to.. . .. .. .. .. .. .. .. .. ..and also valid in.. .. .. .. .. .. .. .. .. .. .. .. .. ..
........................
Secretary,
........................
Transport Authority.
Date.. .. ..20..
Counter-signature
.. .. .. .. .. .. .. ..Transport Authority .. .. .. .. .. .. .. .. ..
Goods Carriage Permit No. P.Gd.C. .. .. ..
Countersigned for the region of.. .. ..... subject to.. .. .. .. ..
........................
Secretary,
........................
Transport Authority.
Date.. .. ..20..
Renewal of counter-signature
Counter-signature renewed upto.. .. .. .. .. .. ..
........................
Secretary,
........................
Transport Authority.
Date.. .. ..20..
Form XI
[See rule 123 of the West Bengal Motor Vehicles Rules, 1989]
Application for a special permit in relation to a public service vehicle
To
The Regional/State Transport Authority
..........................................................
In accordance with the provision of sub-section (8) of section 88 of the Motor Vehicles Act, 1988, I/we, the undersigned, hereby apply for a special permit in respect of a public service vehicle as hereunder set out :-
(1)
Full name of owner of vehicle, name of father or husband and permanent address.. ... .. .. .. .. .. .. .. ..
(2)
Particulars of vehicles-
(i) Engine No.. .. .. .. .. .. .. .. .. .. .. ..
(ii) Chassis No.. .. .. .. .. .. .. .. .. .. .. ..
(iii) Registration No .. .. .. .. .. and registered by the Registering Authority.. .. .. .. .. .. .. .. .. .. ..
(iv) Permit No .. .. .. .. .. .., dated.. .. .. .. .. .. ... issued by the Regional/State Transport Authority.. .. .. .. ..
(v) Seating capacity of the vehicle.. .. .. .. .. .. .. .. .. .. .. ..
(vi) Existing garage facility.. .. .. .. .. .. .. .. .. .. .. .. .. ..
(3)
Particulars of person/persons by whom the vehicle has been engaged : -
Full name and name of father or husband
Age
Place of residence
(1)
(2)
(3)
1
2
3
4
(4)
Particulars of place or places to be visited.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
(5)
I/We desire a special permit valid for.. .. ..month(s)/day(s).
(6)
I/We hereby declare that the 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 the applicant.
N.B. : Verification sheet as appended to these rules shall be duly filled in and submitted along with the application for any kind of permit.'
Form XII
[See rule 125 of the West Bengal Motor Vehicles Rules, 1989]
Temporary Permit
.. .. .. .. .. ..Transport Authority. No. P.Tem. .. .. .. .. .. .. ..