Form PTVA.
Application for a Permit in respect of a Private Service Vehicle
(Rule 171 (vi) of the Andhra Pradesh Motor Vehicles Rules, 1989)

To

The Regional State Transport Authority.

In accodance with the provisions of Section 76 of the Motor Vehicles Act, 1998. I/We the undersigned hereby apply for a permit under in respect of a private service vehicle :-
1. Full Name : .
2. Name of the Father :
3. Address :
4. Route/Area for which the permit is desired :
5. Purpose for which the vehicle will be used :
6. Type of vehicle :
7. Registration mark :
8. Seating capacity :
9. Gross vehicle weight :
10. I/We desire a permit valid for :
11. The vehicle will not be used for hire or reward :
12. I/We enclose challan for Rs being the prescribed fee.
13. I/We enclose the certificate of registration of
the vehicle
.
       




Place


Date 

Secretary,
State/Regional Transport Authority