MOTOR VEHICLES DEPARTMENT

FORM CFA/CFRA
Application for Certificate of Fitness / Application for Renewal of Certificate of Fitness
See KMV Rule 105(2)
   
Transaction ID : B/51014/2018 Date: 09-04-2018
Table ID          : 7  
Test Date         : 10/04/2018  
Test Time         : 10AM
 
To
The Registering Authority / The Inspector of Motor Vehicles
SRTO, TRIPUNITHURA
I here by apply for the issue of a certificate of fitness / renewal of the
certificate of fitness as required by section 56 of Motor Vehicle Act 1988
   
Registration Mark of Vehicle     : KL-39-E-8374
Name of Owner     : THE MANAGER
Permanent Address     : PRABHATH PUBLIC SCHOOL
        UDAYAMPEROOR P.O
        TRIPUNITHURA
        ERNAKULAM 682 307
Temporary Address     :
      
SPEED GOVERNOR:
      
M/S.BOSCH
        ECU NO.11510399
Place where the vehicle is normaly kept :
Name of the manufacture of vehicle : TATA MOTORS
Manufacturer's Model, or, if not known,
: 2012
wheel base
LMV-CONTRACT CARRIAGE
Type of Vehicle :
(EIB)
Chassis Number : MAT455091C8B08291
Engine Number : 497SPTC39BXY613654
Number of the certificate of fitness and date
: 39 / 28554 / 2017
of issue or last renewal
Authority by which the certificate of fitness
: Jt.RTO, SRTO, TRIPUNITHURA
was issued or last renewed
Date of expiry of last certificate of fitness : 18-04-2018
Exemption if any sought for :  
     
      Signature of Applicant