CENTRAL MOTOR VEHICLE RULES, 1989
FORW OF APPLICATION FOR REGISTRATION OF MOTOR VEHICLE
The Registering Authority,
severe DEAS cP TID. “
1. Full name of person to be rogistered as 4 a Ee,
i areal ‘Owner Son/Wife/Daughter of Golu . kuna iz @
* {ig® ofthe person to be ragistered as Slo -Aron pate/ eo
3, pisistered owner (Proof of age to be attached) a
Permanent address of the person to be 4r- Bang that North “2:
registered as registered owner (Evidence to produced) =
3
4. Temporary address of the person to be Prmndiv Mixy, Buddha
registered as Registered Owner apna
5. Name & address of the Dealer r manufacture from ° foniguler
whom the vehicle was purchased (sales certificates of
‘ ‘oa jvorthiness issued by the manufacturer to be enclose)
. I eXarmy vehicle of imported. Vehicle enclose proof >
iflocaly manufactured TrallerSemi-tailor enclose the | > iorabiles
approval of besing by the State Transport Authorities
and note the procedings number & date of approval.
7. Class of vehicle (if motorcycle whether with or wthour gear) ER
8. The motor vehicles is (a) Anewvehicle _(b) Ex-army vehicle _(c) Imported vehicle
8. Type of body >) Gig
10. Type of vehicle:
11. maker's name Adoypagt—eete- [driShnq Vehicaky
12, Month & year of manufacture 0% | roiq
13. Numbers fcylinders oO n.0.
44. Horse power
15, Cubic capacity |
16, Maker's classifacation of it not know heal base
17. Chasis number (Affix pencil print) MOT ku H FER
48, Engine number Dolq CMe
49. Seating capacity (including driver) (4
20. Fuelused inthe engine Getler}
21. Unladed weight 33
22, Patel of previous relstaon and ested number (it ny)
23. Colour or Colours of body, wings and fronted
I hereby declare that the vehicle has not been registered in any state in India Additional
particulars to be completed only in thé case of transport vehicles other motor cab.
24, Number description and size of tyers _ fa] Front axle [b] Real axle
[c] Any other axle [d] Tendom axle
25, Gross vehicle weight [a] as cortified by the manufacture kgms
[b] to be registered kgms
26,-Maximum axle [a] Front axle kgms [b] Real axte gms
: [eJAny other axle gins [a] Tendom axle. kgms
Overall length kgias {b] Overall weight + kgms
27. fa] s kgms [a] Over hand kgms
[c] Overall height
Specimen Signature Specimen Signature
; Gute _kermey
(_Qooly keene ——