[TEMPORARY PERMIT] Application No : TN230406T9293185

TRANSPORT DEPARTMENT TAMIL NADU

TIRUVALLUR RTO
FORM PT
[See Rules 171]

TEMPORARY PERMIT

1. Permit Number TN2023-TEMP-4685J

2. Name of The Permit Holder VIDHYA B S
3. Father's/Husband's Name (In Individual Case) VADIVELAN
4. Address NO 3/1146/1057 GANDHI NAGAR,KODIVALASA
ATHIMANJERIPET, Tamil Nadu Thiruvallur-631202
5.
a). Type of Vehicle Maxi Cab
b). Registration Mark TN20BV6526
c). Chassis Number MA1HB2GEA93K17960
d). UnLaden Weight 2585
e). Seating Capacity 13
f). Laden Weight 4450

6. Purpose of Journey(s) TEMPLE VISIT

7.
a). Route or Area for which Temporary permit is valid From:   ATHIMANCHERI   To:  VELANKANNI
b). -Via ATHIMANCHERI - PONDYCHERI - VELANKANNI

8. Date of expiry From:   07-Apr-2023      To:  09-Apr-2023

9. Nature of goods if to be carried
10. Seating/Sleeper Capacity of Vehicle 13/0
11. Number and Description of Permit already held
a). Permit No TN2022-CC-0271F
b). Type of Permit CONTRACT CARRIAGE PERMIT( (MAXI CAB PERMIT))
c). Validity of Permit From:   12-Oct-2022   To:  11-Oct-2027

12. Other Details Of Vehicle:

a). Fitness validity 06-SEP-2023
b). Tax validity and Receipt No. 30-JUN-2023 and TN230405C9203653
c). Insurance validity and Policy No 07-Feb-2024 and 2804823122P111619984
d). Green Tax validity 06-Dec-2023
e). PUCC validity 04-Oct-2023

Date: 06-Apr-2023 13:39:59

Note : This is a computer generated certificate of Permit and can be verified online through QRCode. No signature
required.