FORM R.C.

A
Application for issue/renewal of Radio Cab License (Sub-Rule 2 (b) (i), (iv) of Rule 176-B of APMV Rules 1989) To The Secretary, State Transport Authority, Hyderabad. We, the undersigned company hereby apply for a License under Rule 176-B of APMV Rules 1989 for operating Radio Cabs in the State of Andhra Pradesh. 1. Name of the Company 2. Place of Business with full postal address. 3. Telephone Numbers i. Office ii. Mobile iii. Fax 4. E-Mail ID 5. Experience in the management of Transport Business. 6. Number of Radio Cabs held (Details of vehicles with Registration numbers and Registration Certificates to be Enclosed.) 7. Particulars of Parking Places/ Garage facilities ( Particulars Of Locations/areas to be enclosed) 8. Details of Sub-Offices 9. Details of Training facilities provided for the drivers of Radio Cabs Under the control Of the company. 10.Details of Security Deposit 11.Details of Cab Retention Amount Paid. 12.The Prescribed Fee of Rs.5000/is paid by way of ________. : : : : : : : : :

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We hereby declare that to the best of knowledge and belief, the particulars given above are correct and true. Place: Date : SIGNATURE OF THE APPLICANT