Application for Registration as Road Transporter

1. Full Name of Applicant Transporter *
2. Business Name *
3. Are you registered under ___ Goods Tax Act?
If Yes, Mention Registration No Reg. No *
4. Constitution of Business:
Proprietorship *
Private Ltd. Company *
Public Sector Undertaking *
Partnership *
Government Company *
Government Corporation *
HUF *
Public Ltd. Company *
Govt Deptt/ Society/ Club/ Trust *
Leasing *
Others, please specify *
5. Permanent Account Number of the applicant Transporter
(PAN) Account No *
Name Of The Bank *
MICR NO *
6. Principal Bank Account Address of Bank *
7. Principal Place of Building Name/ Market Name *
Business Town/ Village *
District *
Pin Code *
Email Id *
Telephone No(s)
Fax Number(s) *
Building Name/ Market Name *
Town/ Village *
District *
8. Address for service of notice If different from principal place of business
Pin Code *
Email Id *
Telephone Number(s) *
Fax Number(s) *
9. Details of STA Permit Permit No *
Issue Date calendar
Expiry Date calendar
10. EXPERIENCE & INFRASTRUCTURE:
Detail of Experience in Transport:-
Sr. No. Period Institute/Establishment Total Amount Of Contract Total Vechiles Involved Average Km Covered Per Day Per Vechile
11. Experience letters from three companies with each contract above Rs. 10 lacs in last three years
Attach the attested copies of the Experience Certificate/s
12. Annual Report for the last three financial years only the Profit & Loss and Balance Sheet pages would suffice.
13. Copies of Trading license or Companies Registration Certificate
14. Copies of Partnership Deed or Certificate of incorporation
15. Number of Trucks owned
Types of Trucks owned
Average age of Trucks owned
16. Do you have preference for routes in India. If yes, please specify
17. What is your specialisation in Transportation?