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*
Total number of routes*
No. of Male Workers *
Total number of motor transport vehicles :
on the date of application*
No. of Female Workers
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.*
General Manager in case of Public :
Sector undertaking*
Residential Address*
Mobile Number *