HP FORM XXII PPSVA
(Rule 62(III) of the Himachal Pradesh Motor Vehicle Rules, 1999).
APPLICATION FOR PERMIT IN RESPECT OF PRIVATE SERVICE VEHICLE
To
The Regional Transport Authority,
……………………………………….
In accordance with the provisions of Section 69, 76 and 80 of the Motor Vehicle Act,
1988, I /We the undersigned hereby apply for a permit under section 66 of that Act in
respect of a Private Service Vehicle as under:
1. Full name ……………………………………………………………………………...
2. Father’s name (in case of and individual) ……………………………………………..
3. Address
…………………………………………………………………………………………..…..
4. Route
or
routes
or
area
for
which
the
permit
is
desired
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
5.
Manner and purpose of carrying persons otherwise then for hire or reward or in
connection with the trader’s business.
6.
Brief description of vehicle and Registration Mark…………………………
………………………………………………………………………………
7.
Seating capacity……………………………………………………………………
8.
A time table is appended
……………………………………………………………….…………………….
(Alternatively) : - No time-table is proposed but I undertake to run the following
minimum services: -
9.
Particulars of any stage carriage or contract carriage permit or similar
authorization under the Motor Vehicle Act, 1989/Motor Vehicle Act, 1988 valid in
the State and held by the applicant in respect of:
(a)
This vehicle Any other vehicle …………………………………………
Details of any route or routes over which this vehicle was operated regularly (i) before
July, 1989 and (ii) subsequently …………………………………………………………
10.
Particulars of any permit or public motor vehicle licence held by the applicant in
respect of the use of any transport vehicle in India during the last four years
which has been the subject of an order of cancellation
………………………………………………………………………………………
……………………………………………………………………………………...
11.
(i)
I/We desire to use the vehicle for the carriage of goods as and I/We apply
for vehicle permit in addition to a private service goods carriage in respect of the
route, routes or area above specified.
(ii)
I/We intend to carry goods of the following description
……………………………………………………………………………………
12.
I/We are already in possession of the vehicle which is my own property. ( If the
vehicle is not the property of the applicant, give particulars of the hiring
agreement)
13.
I/We have not yet obtained possession of thee 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.
14.
I/we intend to drive the vehicle personally/through the driver.
15.
I/We desire permit valid for ……………………..years.
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)
Signature or thumb impression
of the applicant
____________________________________________________________________
To be filled in the office of the Regional Transport Authority.
1.
Date of receipt:
2.
Date of publication:
3.
Date or dates of hearing of objections…………granted……………………….
4.
Granted in modified form on the …………………….day of …………………
Rejected…………………………………………………………………….
5.
Number of permit issued
Secretary,
Regional Transport Authority.
*Strike out in-applicable entries or alternative throughout.