...............................
Secretary.
Regional/State Transport Authority.
Date.. .. ..20..
Renewal
Renewed up to.. .. .. .. .. 20.. .. ..subject to.. .. .. .. .. .. .. .. ..
...............................
Secretary,
Regional/State Transport Authority.
Dated.. .. 20..
Counter-signature
Regional/State Transport Authority.. .. .. .. .. .. .. .. ..
No. P.Pr.S.. .. .. .. .. .. .. .. ..
Countersigned for the region of.. .. .. .. .. .. .. ..subject to the following variation of conditions.. .. .. .. .. .. .. .. ..
.........................
Secretary,
Regional/State Transport Authority.
Dated.. .. ..20..
Renewal of Counter-signature
The above counter-signature is hereby renewed up to the day.. ..20.. .., subject to the following conditions.
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
.........................
Secretary,
Regional/State Transport Authority.
Dated.. .. ..20..
Form XVI