Form PTOVA
(Rule 171 (v) of Vehicles Rules, 1989)

To

The Regional Transport Authority.

.......................................State.

I/We the undersigned hereby apply for the special permit under section 88(8) of the Motor Vehicles Act. 1988, in respect of the vehicle as hereunder set out :
  1. Full Name :
  2. Name of the Father
    (in case of an individual) :
  3. Place of residence and business with full postal address :
  4. Type of vehicle :
  5. Registration Marks :
  6. Seating capacity :
  7. Particulars of permit already possessed in respect of the above.
    1. Permit No.
    2. Validity
  8. Particulars of person engaging the Service.
    1. Full Name :
    2. Name of father or husband :
    3. Age :
    4. Place of residence with full postal address :
    5. No. of persons included in the party :
    6. Copy of the contract is enclosed in duplicate :
  9. Name of place to be visited :
  10. I/We enclosed challan/cash/cheque for Rs.......... being the prescribed fee.
  11. I am/we are in possession of the Vehicle the certificate of registration of which is enclosed.
  12. I/We desire a permit valid from .................. to .............
  13. I/We hereby declare that the above statements are true.
.




Date................... Secretary,
State/Regional Transport Authority

          Note : Strike out inapplicable entries or alterations throughout.