Table ID: 4

Government Of Kerala
Motor Vehicles Department KL2023W14561426
Transaction
Form TR5(c) (See Rule 90(a) of Pay Date: 22-04-2023
Office Name SRTO,TIRUR
Applicant Name MOHAMED YASIR K
Application No 1434290323

Transaction Name Class of Vehicles Fee Amount Addn Fee Total

DLREPLACE 0.00 0.00 0.00
FORM-7 FEE 200.00 0.00 200.00
POSTAL CHARGES 45.00 0.00 45.00

TOTAL Amount : 245.00

TOTAL Amount (In Words) Two Hundred and Forty Five Rupees only

Bank Reference No 88982809

Bank / Gateway FPN

* This is a computer generated document and does not require any signature
* Any modification or misuse of this receipt is an offence which shall attract legal action and

(Office Copy. Please attach with the application)

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

Government Of Kerala Table22-04-2023

ID: 4
Motor Vehicles Department Transaction KL2023W14561426
Form TR5(c) (See Rule 90(a) of Pay Date:

Office Name SRTO,TIRUR

Applicant Name MOHAMED YASIR K

Application No 1434290323

Class of Vehicles Fee Amount

Transaction Name Addn Fee Total
DLREPLACE 0.00 0.00 0.00
FORM-7 FEE 200.00 0.00 200.00
POSTAL CHARGES 45.00 0.00 45.00

TOTAL Amount : 245.00

TOTAL Amount (In Words) Two Hundred and Forty Five Rupees only

Bank Reference No 88982809

Bank / Gateway FPN

* You are instructed to submit the Online application with required documents at the counter of RT office/Sub RT Office within 3
days, belated applications shall not be entertained.
* Department is not responsible for the delay in service due to short remittance of fee,tax,service charge,cess,inaccurancy in
application and documents submitted.
* This is a computer generated document and does not require any signature
* Any modification or misuse of this receipt is an offence which shall attract legal action and
(Acknowledgement and applicant’s copy)

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