B
9. Type of BodY
Two Wheeler
10. Type of Vehicle
I{ERO MOTOCORPLTD.
11. Maker's Nane
&6
12. Month and Year of manufacture
One
13. Number of Cylinders
x.11
14. Horse Power
-3n
15. Cubic CaPacitY
wheel base
SCir-"-hy. *
16. N,Iaker's ctassification or it not knowfl'
l1BlBAulgg-rxc&3ll--
1?. Chassis number (Affix pencil
pint)
HAai FqTH6l4?re
18- Engine Number
Two
19. Seating Capacity (Including Driver)
Petrol
20. Fuel used .in engine
1t
21. Unloaded weight
registered
22. Particulars of previous registration and
number (if anY)
23. Colour or colours of body wings and front
end
not [Link] in any-Sta^[Link] India'
Additional part
I hereby declare that the vehicle has
other than motor cab
..,mpler.O onfy in tl'le (a\e o[ tran'pon ehicler
r
24. Number, description and size of 6T es:
(a) Front Axle
(b) Rear Axle
(c) AnY other axle
(d) Tandem Axle
25. Gross Vehicle weight
(a) As Certificate by the ma4ufacturer
G) To be registered
26. [Link] Weight
(a) Front Axle
(b) Rear Axle Kgms
(c) Any other axle Kgms
(d) Tandem Axle Kgms
21. (a) Oveiall length
(b) Overall Width
(c) Overall height
(d) Overall haug
The abote particulars ale to be filled in for a rigid tiame motor vehicle of two or more axles for a a iculate,i
vehicles ofihree or more excuse or to the extent applicable for hailer where a second semi trailer or additioliil
semi Trailer are to be registefed with an articulated motor vehicle. The following [Link]$ are to lle
firmished for each such semi-trailer
28. Type ofBody
l 29. Unloaden Weight
30. Number, Description and sjze of tyres on each a,\le
31. maximum axle weight in .espect of each axle
32. The vehicle is covered by a valid certificate of Insuance Certilicate or cover note
to be
:s lnsurance Certificate or Cover note lnsurance under
Chapter XI of the Act.
No@
off/,ald ms (Name ofCompany)
valid from aq-o{-aoa6 {c ?3"oq-ao3l
__l 33. The vehicle is exempted from insurance
j I The relevanl order is enclosed
3,1. I have paid he prcscribed fee ofRupees
_Kgms
Prsa,rr trr
singh
Signature or thumb impressiotr of
-Kgms Date the person to be registered as
negiste{ed Owner
\ote:- The motor vehicie above described is:
(i) Subject to hhe-purchase agrcement/loase agleement with
(iD Subject to hypothecation in favour of-
(iii) Not held under hire-purchase agreement or lease agreement or subject to hypotlrccation.
Strike out whatever is inapplicable. lfthe vehicle subject to any such agreement the signature
oflhe person with whom such agreement has been entered into is to be obtaired.
I mqh t^r !r'hJl)
Bst'..iit 3--ir.,'-. Sigrature and Thumb lmpression
of the Owner
Signature of the person with whom an
agreement of hirc purchase, lease or
hypothecatiol has b€dtr eotered into
Specimen Signrture or thumb impression ofthe
perso[ to be registered owner.
1. Avnat"' xr r r'agl
2. ttvna,, t^Y Sri#
3. Rvnar U(.r Crhrt,
[Link].I.D
Inspected the Vehicle
Ceftified tllat the particulars contained i[ the applicatiors aretrue ard that the vehicle complies with the
requirements of the Motor Vehicles Act, 1988 and Rule made there under.
Signatuie of Inspecting Authority
Name
Desisnation
{!!am Schedule- LIX (part_IV)
Asaeo4aTorqilgtq Z:=jajqq
Form No. Z0
[See rule - 47]
Form ofApplication for Registration
ofa Motor Vehicle
. l, t ,, i
To
The Registration Authority
Golaghat
l
,n oe reri\rered as regisrered
l:-9lr1ne
owner Son ".,.p:i""1 I
/ Wife / Daughrer of
2 Age of the pctson to be registered
as rcgistered owner
C1o- N qJr-""&J,
3
3 r",41" H No l3o Ho.l,"-,.rr
ofrhe ro be [Link] as resisrered
l:::i:lll9".,s
owoer (evldence to be producedt
C\tra^^l, Hql-ir, *r=u- tt1.,L, Coo k#"t,
!8c,^,1691o^
4. Temporaq, addresr of the person
to registered as
registered owner
5. Name and adclress of the f)ealer
or manufacturer from
whom the |ehicie rvas purchaseri rsales
Ceflificate or rnad $ onhine.s issued
C"rtin.u[ nna Auto World, (;olaghat
by the
manufacturer to be enclosed)
6 vehrcle or imponed vehrcte
I^.:;.ll
rocar) manutactured Trailer/Semi
enclose proof. [I
trailer encloie Lhe
appror al and notc rhe proceeding
number and date o[
approval
7 CIass ofVehicle
(If motor Cycle, whether with
or withour gear f4*
8. The Motor Vehicle is
(i) A New Vehicle
A Iv c
(b) Ex-Army Vehicle
(c) Imporred Vehicle