The Registering Authority.
1. Full Name :- ..
2. Son/Wife/Daughter of
3. Age of person to be registered owner (proof of age to be attached):-
4. Permanent Address :- ..
of the person to be
registered as registered owner .
5. Temporary Address of the person to be registered as registered owner:-
6. Name and Address of the dealer or manufacture from whom the vehicle was purchased :-
7. (Sale certificate and certificate of road worthiness issued by the manufacture to be enclosed.)
8. If ex-army vehicle, or imported vehicle, enclose proof of locality manufactured trailer semi-trailer enclose the
approval of design by the State Transport Authority and not the proceeding number and date of approve :- .
9. Class of Vehicle (if motor cycle, whether with or without year ) :-
10. Type of vehicle :- .
11. The motor vehicle is :- a) a new vehicle .
b) ex-army vehicle .
c) imported vehicle .
12. Type of body :-
13. Makers Name :- .
14. Month of year of manufacture :-
15. Number of cylinder :- ..
16. Horse Power :- .
17. Cubic capacity :- .
18. Makers classification brief not known wheel as :- .
19. Chassis No. (affix pencil print) :- ..
20. Engine No. :- .
21. Seating capacity :- .
22. Fuel use in the engine :-
23. Unladed weight :-
24. Particulars of previous registration and registered no. (if any) :- .
25. Colour or colours of body wings and front and
26. Description and size of tyre :-
a. Front axle :- .
b. Rear axle :- ..
27. Gross vehicle weight :-
Signature of the person to be registered
Note :- The motor vehicle above description is :-
Signature of owner
Certified that the particulars contained in the application are true and that the vehicle complies with the requirement of the Motor vehicle Act, 1988 and the Rules made under.
Signature of inspecting Authority.
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