M.T.C. Letter No.

Form No. (1)

(U.P. Motor Vehicles Taxation Act, 1935)

Form (A)

(See Sections 10(1) And Rule 10,12,14,21,22,25,30,33,41 and 45)

Declaration by the Owner of the Motor Vehicle under Section 10

(See the conditions given in the end of this form before filling this form)

[Rule 34 is for request for registration of the vehicle under the Motor Vehicle Rules.

The Form for both the objects is essential]

Part-I

(This part is to be filled by the Owner of the Vehicle)

I Rajveer Singh, Resident of Gangeshwar Colony request that I should be given

license under Section 12 of the U.P. Motor Vehicles Taxation Act and the said

Vehicle be registered under Indian Motor Vehicle Act, 1939:-

1. Full Name of the Owner: Rajveer Singh

2. Present Residential Address: Gangeshwar Colony, Kasganj

3. Name of the Vehicle(Shape etc.): MBM

4. Year of Manufacture: 2001

5. Horse Power: 58 BHP

6. Number of Cylinder: Four

7. Engine No.: 34459

8. Chassis No.: 15074

9. Type of Vehicle Body and Colour(Like touring and Saloon): Touring

 10. Width of every tyre and Body:

11. Unload Weight:

12. Load Capacity of the Vehicle other than Motorcycle or Car:

13. Only for Heavy Vehicles:

(1)Axle Weight: (2)Diameter of every tyre:

14. Whether Vehicle will be used for (A) Self Purpose or for (B) Public

Purpose.

15. Nature of Vehicle- In Private Vehicle

(1) Bicycle Sidecar With Trailer With

(2) Tricycle Sidecar With Trailer With

Date: 21/03/2001 Signature

Endorsement by R.T.O. - C-7257

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21/03/2001 - (Signature by R.T.O.)