FORM 25 Application No:
FORM OF APPLICATION FOR RENEWAL OF CERTIFICATE OF REGISTRATION OF A MOTOR PB250703V7765866
Receipt No:
VEHICLE, OTHER THAN A TRANSPORT VEHICLE.
PB250703C1820963
[See Rule 52(1)]
To
THE REGISTERING AUTHORITY,
SDM TAPA
PUNJAB
I SHAGANVEER SINGH MANN having mobile number 7087530552 hereby apply for the renewal of the certificate of registration which is attached, the particulars of which are as
follows:
(a) Registered number : PB23J3567
(b) Date of issue : 14-May-2010
(c) Date of expiry : 13-May-2025
(d) Registering authority by which the certificate was issued/last renewed : SDM TAPA
My present address is HOUSE NO. 614,VILLAGE MAUR NABHA,SHAINA,Barnala,Punjab-148108 If this address is not entered in the certificate of registration, I do/do not wish that
it should be so entered. 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 authority.
1. Class of vehicle :M-Cycle/Scooter
2. The motor vehicle was registered as : NEW
(a) A new vehicle :
(b) Ex-Army vehicle :
(c) Imported vehicle :No
3. Type of body : SOLO
4. Maker’s name : ROYAL-ENFIELD (UNIT OF EICHER LTD)
5. Month & Year of manufacture : 5/2010
6. Number of Cylinders :1
7. Cubic capacity/Horse power : 350.00
8. Maker’s classification : BULLET
9. Chassis number-Affix pencil print : 826247
10. Engine number : 826247
11. Seating capacity (including driver) :2
12. Unladen weight : 163
13. Fuel used : PETROL
I enclose the certificate of insurance for perusal and return.
I have paid the fee of rupees : 1000
Dated: ____________________ Signature or Thumb impression of the applicant.
Note :- The motor vehicle above described is not subject to an agreement of hire purchase, lease or hypothecation.
The vehicle is:
(i) Subject to hire purchase agreement/lease agreement with ...................
(ii) Subject to hypothecation in favour of ...................
Signature or Thumb impression of registered owner
Specimen signature or thumb impression of registered owner:
1.
2.
3.
CERTIFICATE
Inspected the vehicle-verified the chassis number and engine number. Certificate 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 ve hicle complies with the requirement of the Motor vehicle Act, 1988 and rules made thereunder.
Signature of the Inspecting Authority.
Name .................
Designation .................
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Payment Details
Transport Department, Government of Punjab
Registration Authority SDM TAPA
Application No./RECEIPT No: PB250703V7765866 / PB250703C1820963 Receipt Date: 03-Jul-2025
Vehicle Class: M-Cycle/Scooter Owner Name: SHAGANVEER SINGH MANN
Vehicle No: PB23J3567 Chasis No: 826247
Vehicle Registration Date: 14-05-2010 Payment Transaction No: PBZ2507036729197
GRN No: Bank Reference Number: CPAFIDUAL5
Servicing Authority: SDM TAPA
Particular Period Amount Penalty Total
Green Tax 03-Jul-2025 to 02-Jul-2040 500 0 500
Postal Fee 35 0 35
Renewal of Registration 1000 600 1600
Smart Card Fee 200 0 200
Society Fee 200 0 200
Vehicle Inspection Fee 400 0 400
Total 2935
GRAND TOTAL (in Rs): 2935/- (TWO THOUSAND NINE HUNDRED AND THIRTY FIVE ONLY)
Note:Application for this service is applied via ONLINEFEE .In case of any data discrepancy, please contact respective State/RTO department.
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