Place*

 

Name of the Employer*

 




 

Name of Motor Transport Undertaking *

 

Address of the Employer *

 


 

Full address to which communications relating to :

the motor transport undertaking should be sent*

 

Nature of Motor Transport service*

 


 

Date of Commencement of the Business  *


 

 

 

 


 

Total number of routes*

 

No. of Male Workers *

 


 

Total number of motor transport vehicles :

on the date of application*

 

No. of Female Workers

 


 

Vehicle Registration No*

 

Name of Proprietor of the motor transport :

undertaking in case of a firm not registered

under the Companies Act, 1956.*

 


Maximum number of motor transport workers :

employed on any day during the preceding year*

 

Residential Address*

 


Maximum number of motor transport :

workers proposed to be employed during

the period of registration / renewal*

 

Name of Partner of the motor transport :

undertaking in case of a firm not registered

under the Companies Act, 1956.*

 


Date of Birth of Owner/Employer

 

 

 


General Manager in case of Public :

Sector undertaking*

 

Residential Address*

 


Father/Guardian Name

 

Address of Father/Guardian

 


Residential Address*

 

Email

 


Upload Employees Details *



Mobile Number *


*Mandatory fields 

Upload supporting documents (pdf only) *

 

 

 






 

 


 

 



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