Form PTVA.
Application for a Permit in respect of a Private Service Vehicle
(Rule 171 (vi) of Vehicles Rules, 1989)

To

The Regional State Transport Authority.

In accodance with the provisions of Section 76 of the Motor Vehicles Act, 1998. I/We the undersigned hereby apply for a permit under in respect of a private service vehicle :-
  1. Full Name :
  2. Name of the Father :
  3. Address :
  4. Route/Area for which the permit is desired :
  5. Purpose for which the vehicle will be used :
  6. Type of vehicle :
  7. Registration mark :
  8. Seating capacity :
  9. Gross vehicle weight :
  10. I/We desire a permit valid for :
  11. The vehicle will not be used for hire or reward :
  12. I/We enclose challan for Rs............ being the prescribed fee.
  13. I/We enclose the certificate of registration of
    the vehicle :
.




Place..................
Date...................		 Secretary,
State/Regional Transport Authority