[FRESH PERMIT] Application No : KA221111T7120977

Vahan TRANSPORT DEPARTMENT,JNANABHARATHI RTO

Karnataka

FORM KMV 42

PERMIT IN RESPECT OF CONTRACT CARRIAGE PERMIT (MOTOR CAB PERMIT)

PART-A
The Date of replacement of Vehicle under model condition of the Permit
1. Permit No KA2022-CC-6011G
2. Name Of The Permit Holder DINESH D
3. Father’s/Husband’s Name (in case of Individual) DORESWAMY
4. Permanent Address # 24 1ST MAIN 2ND STAGE SANJEEVINI NAGAR
HEGGANAHALLI CRS SUNKADAKATTE BENGALURU,
Karnataka -560091
5.
(i) Registration Mark of the Vehicle KA41C2037
(ii) Make/Model TOYOTA KIRLOSKAR MOTOR PVT LTD/TOYOTA ETIOS
GD (F) BS IV
(iii) Date of Registration 03-Nov-2017
(iv) Chassis Number MBJB49BT400167284~1017
(v) Engine Number 1ND 1A46751
(vi) Class of Vehicle Motor Cab
(vii) No of Passangers to be carried(including driver) 5
(viii) Fuel Type DIESEL

(viii) Name of Financier,if any,with whom the Vehicle       is SHRIRAM TRANSPORT FINANCE CO LTD
under Hire Purchase aggrement
(ix) Service Type Select Service Type
6. Route/Area for which permit is valid:

Region Covered : THROUGHOUT KARNATAKA STATE

7. Validity of the Permit : From:   11-Nov-2022      To:  10-Nov-2027
8. Date of Replacement of Vehicle
9. Nature of Goods to be Carried
10. Parking Place
11. Purpose Of Journey
12. Rate of fare approved Approved by STA/RTA

13. This permit shall be subject to the conditions laid down in Section 84 of the Motor Vehicle Act, 1988
14. Conditions of Permit List Attached

Date: 11-Nov-2022 14:32:53

Note :
This is a computer generated certificate of Permit and can be
verified online through QRCode. No signature
required.