Form N. A. M. V.

Notice of alteration to a motor vehicle

(Rule 101)

PART – I
To
The Registering Authority,

..........................................

I / We,................................................................residing at .........................................................

......................................................... am / *are the owner(s) of the Vehicle.

I / We propose to make the following alteration(s) to the vehicle(s).

I / We hereby apply for the approval of the alteration proposed.

........................................
Date : Signature of the Owner(s)

* Strike out alterative not applicable.

PART – II

Ref. Number ............................................ Office of the Registering Authority

The proposed alteration given notice of by the owner in Part I of this form, the details of which
are given below / * is not approved.

Place :

Date :
............................................................
Signature of the Registering Authority.

NOTE : Application should be made in duplicate.

A copy of the will be returned to the owner(s) by the Registering Authority with his approval or disapproval of
the alteration proposed.