Page 584 - The Central Motor Vehicles Rules, 1989

556 THE CENTRAL MOTOR VEHICLE RULES, 1989 FORM 40

(iii) Mechanic ............................
(iv) Helpers ............................
(v) Other administrative staff ............................
9. Particulars of a person as required under clause (a) of
sub-rule (3) of rule 63 of the Central Motor Vehicles Rules
(a) Name ..............................
(b) Age ..............................
(c) Qualification in automobile engineering ..............................
(d) Actual experience in automobile workshop ..............................
(e) Name of firm with full address ..............................
(f) Driving experience of various types of transport vehicles ..............................
(i) Driving licence number ..............................
(ii) Issued by ..............................
(iii) Date of issue ..............................
(iv) Type of vehicle ..............................
(v) Period of validity of driving licence ..............................
(vi) Endorsement on driving licence ..............................
10. Proof of land owned by or hired by the applicant .............................
11. Whether garage is equipped with following facilities
(i) Water supply .............................
(ii) Electricity .............................
(iii) Toilet ............................
(iv) Rest room ............................
12. Sources of finance ............................
13. If application is for the renewal of letter of authority,
furnish following particulars, namely :—
(i) Number of existing letters of authority .............................
(ii) Date of issue .............................
(iii) Period of validity .............................
(iv) If application is not submitted within time,
state the reasons .................................
(v) Whether letter of authority suspended/cancelled/
surrendered earlier. Further details
.......................................................................................................................................
14. I hereby solemnly declare that the information given above is true and correct.
Further, I hereby declare that I shall abide by the rules, regulations and conditions
attached to the letter of authority and as prescribed in the Motor Vehicles Act, 1988, and
the Central Motor Vehicles Rules, 1989.
Dated ......................... Signature of the applicant