Form PSCA

Application for the permit in respect of a particular State Carriage Service of State Carriages
(Rule 171(i) and Rule 179 of the Telangana Motor Vehicles Rules, 1989)

To

The Regional Transport Authority,

State.

Sir,

I / We the undersigned hereby apply for a permit in respect of a stage carriage under Section 70 of
the Motor Vehicles Act, 1988 as hereunder set out:
1. Full Name :
2.
a. Name of father (in case of an
Individual) :
b. If representing a Company or Firm :
i. Name of the Company or Firm :
ii. Head Office of the Company or Firm :
iii. Branch Office of the Company or
Firm, if any :
iv. In the case of a partnership firm,
names and addresses of all partners of
the firm and the name of the person
representing :
3. Permanent addresses :
4. Place of residence, House Number, Name of
Street, Village, Taluk, District and State :
5. The route for which the permit is desired :
6. No. of vehicles for which permit / permits is /
are desired :
7. The type of vehicle / vehicles:
8. Registration Mark (s) :
9.
i. Seating Capacity :
ii. Gross Vehicle Weight :
10. A time table is appended / not appended :

Note :- No time table need be appended in

cases in which timings have already been
fixed by the competent authority.

11. Number of vehicle inteded to be kept in

reserve to maintain the service and to
provide for special occasions:
12. The arrangements proposed and convenience
of passengers for the storage and safe
custody of luggage :
13. The arrangements proposed for the housing
of the vehicle (s) :
14. The classification under which the route
in Item (5) falls under length of the route :
15. Number of stage carriage permits and other
class of permits, the applicant is having and has
had at any time in the past or whether the
 applicant is a new entrant (particulars of the
routes with the length and the date of grant of
permit should be furnished).
16. Whether the applicant is insolvent or
has 'undischarged decrees' :
17. Transfer of permits :
a. The No. of permits transferred to
others during last five years. If so, give
brief details :
b. The authority for the transfer Brief
reasons for the transfer :
18. Residential Qualifications :
Whether the applicant has residence or place
of business at either terminus of the route or
on the route, if so, furnish :
i. Door number of the place, village, taluk
and district :
ii. Name of the owner of the place :
iii. The period of stay of the applicant at
such place :
iv. Certificate and other evidence in
support of the claims made above :
19. Sector Qualification :
i. Whether the applicant is already
providing service on the same route
now applied for :
ii. Whether he is providing service
exclusively, or with others (names of
other operators to be mentioned) :
iii. Whether he is operating any longer
route covering as its sector the entire .
route now applied for. What is the
extent of his sector (in K.Ms) common
with the route now applied for ?
20. Business or Technical experience :
i. Describe the nature and length of
experience (Certificate and evidence to
be enclosed) :
ii. Particulars of Diploma or Degree in
Mechanical or automobile Engineering,
if any, held(evidence to be enclosed).
21. Possession of Workshop :
i. Particulars of the Workshop owned or
possessed with full address of the
premises.
ii. Has it the minimum equipment
specified in the Rule.
22. Is the applicant an ex - serviceman associated
with motor transport while in such service.
(Certificates issued by Secretary, Soldiers and
Sailor's Board to be enclosed).
23.
i. Is he a displaced operator (Details
and proof to be enclosed).
ii. Was he granted a Stage Carriage
permit on an alternative route or area?
24. Particulars of stage carriage permits :
a. Held on the date of application.
b. Number lost due to nationalisation.
c. Surrendered voluntarily.
 d. Transferred to others.

A. If the applicant is a Scheduled Caste /

Scheduled Tribe, he shall state to that
effect and enclose a certificate in
proof thereof issued by Tahsildar in
independent charge concerned.
B. If the applicant holds a valid driving
licence to drive transport vehicle, he
shall enclose certificate to that
effect issued by the Licensing
Authority concerned.
26. If the applicant is a member of a joint family,
details of the permits held by each of the
members of the Joint Family may be furnished.
R.T.A that issued Relationship of the
Names of the members
S.No Route permits, Permit No & member with the
of the family
date of issue applicant
(1) (2) (3) (4) (5)
. . . . .
26.
Particulars of reservation claimed under Sec. 71. .
A.
27. I / We enclose a challan for Rs........ being the
prescribed fee. (Amount paid, No and date of the .
challan should be furnished).
28. I / We declare that the particulars given in the
above statement are true and I am / we are aware
that if on verification any of the particulars
in the statement are found to be false, the .
application will be summarily rejected and
the permit, if any, granted in pursuance of
this application will be cancelled.
Signature of (or thumb
impression
of) the applicant