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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 ——

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