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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