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Form Application for Registration of a Motor Vehical

Fees 100/-

Please enter the information in the form below

To,

The Registering Authority,

Full name of person to be registered as registered owner:

Son/Wife/Daughter of:

Age of person to be registered as registered owner:

Permanant address of person to be registered as registered owner (Evidence to be produced):

Temporary address of person to be registered as registered owner:

Name & address of dealer or manufacturer from whom the vehical was purchased (Sale Certificate & Certificate of road worthiness issued by the manufacturer to be attached):

If Ex-army vehical or imported vehical, enclose proof. If locally manufactured Trailer / Semi-trailer enclose the approval of design by the State Transport Authority and note the proceedings number and date of approval.:

Class of vehicle (if motor cycle , whether with or without rear )

The motor vehical is:

A new vehical Ex-army vehical Imported vehical

Type of body:

Type of vehical:

Maker's name:

Month & year of manufacturer:

No. of cylinder:

Horse Power:

Cubic capcacity:

Maker's classifcation or if not known, wheel base:

Chasis number (Affix pencil print) and its location:

Engine number:

Seating capacity including driver:

Fuel used in the engine:

Unladen weight:

Particulars of previous registration and registered number, if any:

Colour or colour of body, wings and front end :

I hereby declare that the vehicle has not been registered in any State in India. Additional particulars to be completed only in the case of Transport Vehicles other than motor cab.

Number, description and size of tyres :

Front axle
Rear axle
Any other axle
Tandem axle

Gross vehicle weight :

As certified by the manufacturer
To be registered

Maximum axle weight :

Front axle
Rear axle
Any other axle
Tandem axle