TIME AGENCY AREA TRANSIT MIXTURE No. AIC TRANSIT MIXTURE OPERATOR TRANSIT MIXTURE HELPER NAME NAME G.P No. G.P No. D.L No. SL No. OBSERVATIONS OK NOT OK REMARKS 1 Brake 2 Front Light 3 Back Light 4 Front Horn 5 Back Horn 6 Tyre condition 7 Both side Indicator condition 8 Ignition Key 9 Seat Belt 10 Rear View Mirror on both side 11 Parking Brake 12 Trolley Condition All documents are with TRANSIT 13 MIXTURE 14 Registration Date 15 Vehicle Fitness Validity 16 Insurance Validity 17 Road Tax Validity 18 PUC Validity Vehicle Pass Number (SEZ Pass 19 Holder)
Name & Signature of Agency Supervisor Name & Signature of SSL-Shift I/c