|
|
To,
The
Registering Authority,
__________________________________________
|
1.
Full Name of the person to be registered as
registered
owner
son/wife/daughter of
2. Age of the person to be
registered as Registered owner
(Proof of age
to be attached).
3. Permanent address of the person
to be registered as
registered
owner (evidence to be produced)
4. Temporary address of the person
to be registered as
registered owner.
5. Name and address of the dealer
or manufacturer from
whom the
vehicle was purchased.
(Sale
Certificate and certificate of road worthness
issued by
the manufacturer to be enclosed).
6. If ex-army
vehicle or imported vehicle,
enclose
proof. If
locally manufactured Tailor Semi/Tailor
enclose the
approval of design by the State
Transport
Authority &
note the
proceedings
number &
date of approval.
7. Class of vehicle :
(If motor
cycle, whether with or without gear )
8. The motor vehicle is :
a) A new vehicle
b) Ex-army vehicle
c) Imported vehicle
9. Type of body
10. Type of vehicle
11. Maker's Name
12. Month and year of manufacturer
13. No. of cylinders
14. Horse power
15. Cubic capacity
16. Makers classification or if not known
wheel base
17. Chassis number (Affix pencil pint)
18. Engine number
19. Seating capacity (including driver)
20. Fuel used in the engine
21. Unladen weight.
22. Particulars of previous registration and
registered
number (if
any)
23. Colour or Colours of body wings and front
and
|
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
|
|
|
|
|
|
I hereby declare that the vehicle has not been
registered in any State in India.
Additional particulars to be completed only in the case
of Transport vehicles other then motor cab.
|
24.
Number, description and size of types
a) Front axle
b) Rear axle
c) Any other axle
d) Tandam axle
25.
Gross vehicle weight:
a)
As certified by the manufacturer.
b)
to be registered
26.
Maximum axle weight:
a)
Front axle
b)
Rear axle
c)
Any other axle
d) Tandem
axle
27.
a) Overall Length
b) Overall width
c)
Overall height
|
:
:
:
:
|
The above particulars are to be filled in for a
rigid frame motor vehicle of two or more axles for
an
articulated vehicle of three or more axles or, to
the extent applicable, for trailer, where a second
semi-trailer or
additional semi-trailer are to be registered with an
articulated motor vehicle. The fallowing particulars
are to be
furnished for each such semi-trailer.
|
28. Type of body
29. Unladen weight
30. Number, description and of size of types on each axle.
31. Maximum axle weight in respect of each axle. |
:
:
:
: |
32. The vehicle is covered by a valid
certificate of
insurance
under Chapter XI of the
Act.
|
Insurance certificate or cover note
No...........................................dt.
|
33. The
vehicle is exempted from the insurance. The
relevant is enclosed.
|
:of................................................
(Name of company)
|
| 34. I
have paid the prescribed fee of Rs.
|
|
|
Date:
Valid from................to..................
|
|
|
Signature
of the person to be
registered
as registered owner |
|
|
|
Note:-The motor vehicle above described is :-
(i) Subject to hire purchase agreement/lease agreement
with
(ii) Subject to
hypothecation in favour of
(iii) not held under
hire purchase agreement or lease agreement or
subject to hypothecation
the person with whom such agreement has been entered
into is to be obtained.
|
|
|
Signature of the person with whom agreement of the
purchase lease or hypothecation has been entered into
|
Signature of the owner
|
|
|
|
|
|
Specimen of the person to be registered as registered
1.
2.
3.
|
|
CERTIFICATE
|
|
INSPECTED THE VEHICLE
|
Certificate
that the particulars contained in the application
are true and that the vehicle companies with
the requirement of the Motor. Vehicle Act. 1988 and
the rules made there under.
|
|
|
|
Signature of the
inspecting Authority
Name & Designation
|
|
|
________________________________________________________________________________________
|
|
(FOR OFFICE ENDORSEMENT)
|
|
| Ref.Number................................. |
|
Office of the
dated............................. |
|
|
The
...........................................................................bearing
chassis number......................................
and Engine number ............................has
been assigned the registration
number..................................
and registered in the name
of...................................................................................
.and the vehicle is
subject to an agreement of hire
purchases/lease/hypothecation..............................................................
|
|
|
|
|
|
| To, |
|
Name & address of the financier) by
registered
post or deliver under proper acknowledgement. |
|
Registering
Authority
|
|
|
|
|
|
|
|
|
|
|
|
------------------------------------------------------***********-------------------------------------------------
|
|
|
|
|