[TEMPORARY PERMIT] Application No : TN240124T8416376

TRANSPORT DEPARTMENT TAMIL NADU

PERAMBALUR RTO
FORM PT
[See Rules 171]

TEMPORARY PERMIT

1. Permit Number TN2024-TEMP-6898D

2. Name of The Permit Holder LATHA S
3. Father's/Husband's Name (In Individual Case) SELVARAJ
4. Address 3/37 VADAKKU THERU MARAVANATHAM V KALATHUR,
Tamil Nadu Perambalur-621117
5.
a). Type of Vehicle Maxi Cab
b). Registration Mark TN21BA4952
c). Chassis Number MAT455096FFH04769
d). UnLaden Weight 3150
e). Seating Capacity 13
f). Laden Weight 5300

6. Purpose of Journey(s) Convenience of Public

7.
a). Route or Area for which Temporary permit is valid From: TRICHY To: TRICHY
b). -Via TAMIL NADU-PONDICHERRY-KERALA-KARNATAKA(IN
ALL ROUND CITIES)

8. Date of expiry From: 24-Jan-2024 To: 26-Jan-2024

9. Nature of goods if to be carried NON HAZARDOUS::OTHER::ONLY
10. Seating/Sleeper Capacity of Vehicle 13/0
11. Number and Description of Permit already held
a). Permit No TN2021-CC-2514B
b). Type of Permit CONTRACT CARRIAGE PERMIT( (MAXI CAB PERMIT))
c). Validity of Permit From: 03-May-2021 To: 02-May-2026

12. Other Details Of Vehicle:

a). Fitness validity 02-OCT-2024
b). Tax validity and Receipt No. and 377340
c). Insurance validity and Policy No 11-Jan-2025 and 73090231230100008246
d). Green Tax validity 15-Oct-2024
e). PUCC validity 12-Oct-2024

Date: 24-Jan-2024 21:59:46

Note : This is a computer generated certificate of Permit and can be verified online through QRCode. No signature
required.