| To |
| The Licensing Authority, |
| _______________________. |
I
hereby apply for the renewal of the certificate of registration which is attached, the particulars of which are as follows:
| (a) | Registered number |  | ||
| (b) | Date of issue |  | ||
| (C) | Date of expiry | | ||
| (d) | Registering authority by which the certificate was issued / last renewed | | ||
| My present address is |
|
The renewal of the certificate has not been refused
by any registering authority.
I hereby declare that the certificate
of registration has not been cancelled or suspended by any registering authrotiy. I enclose the certificate of insurance for perusal and return. I have paid the fee of Rs.________________
Note: The motor vehicle above described is not subject to an agreement of hire
purchase, lease or hypothecation.
The vehicle is:
The particulars are as follows.
1.
Class of vehicle
2.
The Motor vehicle was registered as .
(a)
A new vehicle
(b)
Ex-army vehicle
(c)
Imported vehicle
3.
Type of body
5.
Month & Year of manufacutrer
4.
Maker's name
6.
Number of Cylinders
7.a)
Cubic capacity
cc.b).
Horse Power
8. Maker's classification
9.
Chassis Number:
(Affix pencil print)10.
Engine Number
11.
Seating capacity (including driver)
12.
Fuel used in the engine:
Petrol
Diesel
Any other fuel 13.
Unladen weight
Kgms
Date: _______________
Signature or thumb impression
of the applicant
.
Signature or thumb impression
of the owner
Inspected the vehicle___________________ . Verified the chassis number and engine number.
Certified that the particulars contained in the application and the corresponding particulars declared in the
certificate of registration of the vehicle are true and that the vehicle complies with the requirement of the Motor
Vehicle Act,1988 and rules made thereunder.
| Date: _______________ | Signature of the Inspecting Authority Name:________________________ Designation:____________________ |