For any queries contact: Manuj Sharma (9888812008), Tapanjot Singh (9646104418),

Bakul Gupta (9478367327)

Application Form for issue of Vehicle Sticker
PEC University of Technology, Chandigarh

Note: No application on behalf of another persons vehicle would be entertained.
1. Name (in capital letters): ____________________________________________________
2. Fathers name: ____________________________________________________________
3. Male/ Female: ______________ Mobile No. __________________________________
4. Physical Challenged: Yes/ No
5. Address:_________________________________________________________________

_________________________________________________________________
Fill the appropriate column in the table below: (attach photo copy of I-Card, SID Card for students
and other standard Id proof for others):
Faculty PEC Department:
Staff PEC Department:
Student Hosteller/ Day Scholar SID:
BE/ ME/ Ph.D
Others: Department of Technical Education/ Bank Staff (SBI or PNB)/ Post Office
Staff/ Shop in PEC/ Others
Specify what is applicable from the above list: ___________________________________
Sticker required for: (attach photo copy of RC):
S.
No.
Type of
vehicle
(Car,
Bike, etc.)
Make of
vehicle
(Maruti,
Ford, Honda,
Bajaj, etc.)
Type of model
of the vehicle
(Swift, Alto,
Nano/ Pulsar,
etc.)
Registration No. Designated No. of
the sticker issued
(for office use
only)
1.




2.




I ____________________________________________ (name of the applicant), hereby solemnly
declare that the information given above is correct to the best of my knowledge and belief and
nothing has been concealed therein.
Dated:
_____________________
Signature of the Applicant
In case of student applicants, Countersigned by the Head, Student Traffic Management
Committee:
_________________________
Students are
required to
paste a passport
size photograph
here