Permit Forms - Form HR 26 - Form26GCP

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Serial No. …………..…….

GOVERNMENT OF HARYANA
TRANSPORT DEPARTMEN
------------------------------------------------------------------------------------------------------------

FORM No. 26
(See Rule 56 of the Haryana Motor Vehicles Rules 1993)
Application for a goods carriage for hire or reward.
To
The Regional Transport Authority
__________________________
In accordance with the provisions of sections 67,77 and 80 of the Motor Vehicles Act
1988. I the undersigned hereby apply for a goods carriage permit under section 66 of the Act as
herein under set out.
1. Full Name ______________________________________
2. Name of Father __________________________________
3. Address________________________________________
4. Route or routes of area for which the permit is
desired___________________
5. Type and capacity of vehicle including trailer and the alternative trailers of
articulated vehicles
No. of Vehicle Type Load Capacity Laden Weight Registration Mark
________________________________________________________________________
Note :- (1) If any of the vehicles are not in the possession of the applicant it will suffice if the
figures in column 3 and 4 are correct with in ten percent above or below subject to any limitation
of weight in force. The certificate of registration must be presented to the Transport Authority so
that the registration marks may be entered on the permit before the permit is issued.
(2) If the application is in respect of large number of vehicles that can be specified above, an
additional schedule may be appended in same form
6. Full particulars of the service to be performed by the vehicle and the
manner in which claimed that the public convenience will be serviced.
7. Particulars of any goods carriage permit or public motor vehicle licence
held by the applicant at present or at any time during the last two years
and the maximum and minimum rates charged for the carriage of goods
with details of area over which the vehicles have been regularly operated.
(Note if the particulars are extensive append a further statement)
__________________________________________________________
8. Particulars of any goods carriage or public motor vehicle licence held by
the applicant which has been subject of any order of cancellation.
____________________________________________________________
9. Particulars other than particulars furnished under item 7 of any agreement
or arrangement effecting in any material in respect of the provision within
the region of the Regional Transport Authority of facilities for the
Serial No. …………..…….

GOVERNMENT OF HARYANA
TRANSPORT DEPARTMEN
------------------------------------------------------------------------------------------------------------

transport of goods for hire or reward entered into by the applicant with any
other person by whom such facilities are provided, whether within or
without the region.
___________________________________________________________
10. I/we desire to use the vehicle or vehicles as for the carriage of goods
which are my/our property or the carriage of which is incidental to my/our
business of _________________________________________________
__________________________________________________________
(2) the goods which I/we desire to carry as goods carriage the ________
__________________________________________________________
11. I/we forward herewith the certificate of the Registration of the vehicle (or)
I/we will produce the certificate of the vehicle before the permit is issued.
12. I/we desire a permit valid for ________________-yeas.
13. I/we hereby declare that the above statements are true and that they shall
be conditions of any permit issued to me.

Signature or thumb of
applicant
To be filled in by the office of the Regional Transport Authority
1. Date of receipt.
2. Date or publication.
3. Date or dates of hearing objections.
4. Granted in modified form on the ________-day of __________20 ____rejected.
5. Number of permit issued

Secretary, Regional Transport Authority


_________________________________

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