GOVERNMENT OF KERALA

MOTOR VEHICLES DEPARTMENT

Form TR5(c) (See Rule 90(a) of KTC)
Table ID: 2
Transaction No: Q/17016/2014
Date : 17/07/2014
Office : SRTO,THIRUR
Payee Name : BAVA K
Address : KALLINGAL HOUSE
: THEKKUMMURI PO
: TIRUR MALAPPURAM DT
License No : 10/208/1973
Purpose : Renewal of DL- form 7
Fee : 250
Service Charge : 50
Total Amount : 300.00
Amount in words : Three Hundred Rupees Only
Bank Reference No: IK53402463 Bank : STATE BANK OF INDIA
* This is a computer generated document and does not require any signature
* Any modification or misuse of this receipt is an offence which shall attract legal action and punishment
(Office Copy. Please attach with the application)
......................................................................................................................................................................................................
GOVERNMENT OF KERALA
MOTOR VEHICLES DEPARTMENT
Form TR5(c) (See Rule 90(a) of KTC)
Table ID: 2
Transaction No: Q/17016/2014
Date :17/07/2014
Office : SRTO,THIRUR
Payee Name : BAVA K
Address : KALLINGAL HOUSE
: THEKKUMMURI PO
: TIRUR MALAPPURAM DT
License No : 10/208/1973
Purpose : Renewal of DL- form 7
Fee : 250
Service Charge : 50
Total Amount : 300.00
Amount in words : Three Hundred Rupees Only
Bank Reference No: IK53402463 Bank : STATE BANK OF INDIA
* You are instructed to submit the Online application with required documents at the counter of RT office/Sub RT Office within 3 days, belated applications shall not be entertained.
* Department is not responsible for the delay in service due to short remittance of fee,tax,service charge,cess,inaccurancy in application and documents submitted.
* This is a computer generated document and does not require any signature
* Any modification or misuse of this receipt is an offence which shall attract legal action and punishment
(Acknowledgement and applicants copy) IT Services NIC Kerala
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