Form PSCA
Form PSCA
Form PSCA
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<strong>Form</strong> <strong>PSCA</strong><br />
Application for the permit in respect of a particular State Carriage Service of State Carriages<br />
(Rule 171(i) and Rule 179 of the Andhra Pradesh Motor Vehicles Rules, 1989)<br />
To<br />
Sir,<br />
The Regional Transport Authority,<br />
State.<br />
I / We the undersigned hereby apply for a permit in respect of a stage carriage under Section 70 of<br />
the Motor Vehicles Act, 1988 as hereunder set out:<br />
1. Full Name :<br />
2.<br />
a. Name of father (in case of an<br />
Individual) :<br />
b. If representing a Company or Firm :<br />
i. Name of the Company or Firm :<br />
ii. Head Office of the Company or Firm :<br />
iii. Branch Office of the Company or Firm,<br />
iv.<br />
if any :<br />
In the case of a partnership firm, names<br />
and addresses of all partners of the firm<br />
and the name of the person<br />
representing :<br />
3. Permanent addresses :<br />
4. Place of residence, House Number, Name of<br />
Street, Village, Taluk, District and State :<br />
5. The route for which the permit is desired :<br />
6. No. of vehicles for which permit / permits is /<br />
are desired :<br />
7. The type of vehicle / vehicles:<br />
8. Registration Mark (s) :<br />
9.<br />
i. Seating Capacity :<br />
ii. Gross Vehicle Weight :<br />
10. A time table is appended / not appended :<br />
Note :- No time table need be appended in<br />
cases in which timings have already been<br />
fixed by the competent authority.<br />
11. Number of vehicle inteded to be kept in<br />
reserve to maintain the service and to provide<br />
for special occasions:<br />
12. The arrangements proposed and convenience<br />
of passengers for the storage and safe<br />
custody of luggage :<br />
13. The arrangements proposed for the housing of<br />
the vehicle (s) :<br />
14. The classification under which the route in<br />
Item (5) falls under length of the route :<br />
15. Number of stage carriage permits and other<br />
class of permits, the applicant is having and<br />
has had at any time in the past or wheyher the
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applicant is a new entrant (particulars of the<br />
routes with the length and the date of grant of<br />
permit should be furnished).<br />
16. Whether the applicant is insolvent or has<br />
'undischarged decrees' :<br />
17. Transfer of permits :<br />
a. The No. of permits transferred to others<br />
during last five years. If so, give brief<br />
details :<br />
b. The authority for the transfer Brief<br />
reasons for the transfer :<br />
18. Residential Qualifications :<br />
Whether the applicant has residence or place<br />
of business at either terminus of the route or<br />
on the route, if so, furnish :<br />
i. Door number of the place, village, taluk<br />
and district :<br />
ii. Name of the owner of the place :<br />
iii. The period of stay of the applicant at<br />
iv.<br />
such place :<br />
Certificate and other evidence in<br />
support of the claims made above :<br />
19. Sector Qualification :<br />
i. Whether the applicant is already<br />
providing service on the same route<br />
now applied for :<br />
ii.<br />
iii.<br />
Whether he is providing service<br />
exclusively, or with others (names of<br />
other operators to be mentioned) :<br />
Whether he is operating any longer<br />
route covering as its sector the entire<br />
route now applied for. What is the<br />
extent of his sector (in K.Ms) common<br />
with the route now applied for <br />
20. Business or Technical experience :<br />
i. Describe the nature and length of<br />
experience (Certificate and evidence to<br />
be enclosed) :<br />
ii.<br />
Particulars of Diploma or Degree in<br />
Mechanical or automobile Engineering,<br />
if any, held(evidence to be enclosed).<br />
21. Possession of Workshop :<br />
i. Particulars of the Workshop owned or<br />
possessed with full address of the<br />
premises.<br />
ii.<br />
Has it the minimum equipment specified<br />
in the Rule.<br />
22. Is the applicant an ex - serviceman associated<br />
with motor transport while in such service.<br />
(Certificates issued by Secretary, Soldiers and<br />
Sailor's Board to be enclosed).<br />
23.<br />
i. Is he a displaced operator (Details and<br />
proof to be enclosed).<br />
ii.<br />
Was he granted a Stage Carriage<br />
permit on an alternative route or area<br />
24. Particulars of stage carriage permits :<br />
a. Held on the date of application.<br />
b. Number lost due to nationalisation.<br />
c. Surrenderd voluntarily.<br />
.
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S.No<br />
d. Transferred to others.<br />
A. If the applicant is a Scheduled Caste /<br />
Scheduled Tribe, he shall state to that<br />
effect and enclose a certificate in proof<br />
thereof issued by Tahsildar in<br />
independent charge concerned.<br />
B. If the applicant holds a valid driving<br />
licence to drive transport vehicle, he<br />
shall enclose certificate to that effect<br />
issued by the Licensing Authority<br />
concerned.<br />
26. If the applicant is a member of a joint family,<br />
details of the permits held by each of the<br />
members of the Joint Family may be furnished.<br />
Route<br />
R.T.A that issued<br />
permits, Permit No &<br />
date of issue<br />
Close Window<br />
Names of the members<br />
of the family<br />
Relationship of the<br />
member with the<br />
applicant<br />
(1) (2) (3) (4) (5)<br />
. . . . .<br />
26.<br />
Particulars of reservation claimed under Sec. 71. .<br />
A.<br />
27. I / We enclose a challan for Rs........ being the<br />
prescribed fee. (Amount paid, No and date of the .<br />
challan should be furnished).<br />
28. I / We declare that the particulars given in the<br />
above statement are true and I am / we are<br />
aware that if on verification any of the particulars<br />
in the statement are found to be false, the .<br />
application will be summarily rejected and the<br />
permit, if any, granted in pursuance of this<br />
application will be cancelled.<br />
Signature of (or thumb<br />
impression<br />
of) the applicant