FORM R.C.

D Form of Duplicate Radio Cab License

(Sub-Rule 2 (b) (vi) of Rule 176-B of APMV Rules 1989) To The Secretary, State Transport Authority, Hyderabad. We, the undersigned company hereby apply for a Duplicate Radio Cab Licence under Rule 176-B of APMV Rules 1989. 1. Details of the Radio Cab License 2. Name of the Company that held the License. 3. Place of Business with full postal address. a. Telephone Numbers i. Office ii. Mobile iii. Fax 4. E-Mail ID 5. Reasons for applying for Deplicate License. 6. The Prescribed Fee is paid by way of ______. : : : : : : : : : :

We hereby declare that to the best of knowledge and belief, the particulars given above are correct and true.

Place: Date: SIGNATURE OF THE APPLICANT.