Form I
(See Rule 4 and 8)
THE CHHATTISGARH.MOTOR TRASPORT WORKERS RULES 1962.
Application for Registration of the Undertaking and grant of Certificate of Registration
Under Motor Transport Workers Act 1961
*1.Name of Motor Transport Undertaking
2.Full Postal address of Establishment
Name of Building Street
Landmark Locality / Ward
State District
Block Village
PinCode Mobile No.
Email-Id
Fax No Landline No
 
2(ii)Full address to which communications relating to the industrial premises should be sent
()
Name of Building Street
Landmark Locality / Ward
State District
Block Village
PinCode Mobile No.
Email-Id
Fax No Landline No
4.Nature of motor transport services,e.g. city services,long distance passenger service,long distance freight service.
Motor Transport Service Type  
5.Details with distances in kilometers of routes operated in case of long distance passenger/freight service 
    Route Distance
6.No of motor transport vehicles used.
No Of Vehicle Used
   
7.Maximum Number Of Motor Transport Workers Proposed to be employed on any one day during the year e day during the year
Males Females Transgender Total Fee E-Chalan No.
E-Chalan Link (Head-0230-101)
8.Full name and residential addresses of the propreitor and partners of the motor transport undertaking in case of a firm not registerd under the companies Act,1956
 
Whether Registered under The Companies Act 1956.
DIRECTOR / PARTNER / PROPRIETOR DETAILS 
 Name 
 
Address
 
I, Mr./Mrs./Ms. hereby declare that the above particulars furnished by me are to the best of any knowledge and belief accurate

Kindly recheck the filled information before submitting the form / application, as you will not be able to change it later.