Form Of Application For The Registration Of Motor Vehicle
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1
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3FORM OF APPLICATION FOR THE REGISTRATION OF MOTOR VEHICLE
To be filled in by the office
Section-1
Regn No :
Date :
Prev. Regn. No. (If any)
Issue No :
Date :
Issue by :
Diary No :
Date :
Received by :
Customer ID :
District :
Vehicle ID :
Veh. Description :
Call non date :
Refusal date :
Refusal Code :
Refused by :
P.O./Bank :
Index :
Remarks (if any)
Index No.
To be filled in by the Owner
Section II
(Owner information)
1.
Name of owner :
2. Date of birth :
3.
Father/Husband :
4.
Nationality :
5.
5. Sex :
6.
Guardian’s name :
7.
Owner’s Address (One only) :
8.
Phone No. (if any) :
9. PO/Bank :
10.
Joint owner :
11. Owner type :
12. Hire :
13. Hire purchase :
To be filled in by the Owner
Section III
(Owner information)
14. Vehicle or trailer :
15. Prev. Regn. No. (if any) :
14a. Class of vehicle :
15a. Maker’s name :
16. Type of body :
17. Maker’s Country :
18. Color (cabin/body) :
19. Year of manufacture :
20. Number of cylinders :
21. Chassis number :
22. Engine number :
23. Fuel used :
24.
Horse power :
25. RPM :
26. Cubic capacity :
27. Seats (incl. driver) :
28. No. of Standee :
29. Wheel base :
30. Unladen weight (kg)
31. Maximum laden/train weight (kg) :
Section IV
(Additional information for transport vehicle)
32. No. of types :
33. Tyres size :
34. No. of axle :
35. Maximum axle weight (kg) :
a) Front axle (1)
(2)
b) Central axle(1)
(2)
(3)
c) Rear axle (1)
(2)
(3)
36.
Dimensions (mm) :
a) Overall length
b) Overall width
c) Overall height
37.
Overhangs (%)
a)
Front
b) Rear
c) Other
38. A copy of the drawing showing the vehicle dimension specifications of the body and of the seating
arrangements approved by ....................................................on...............................................................is attached herewith.
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