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WITH / NO. H.P.A.

           FORM 20

                                   [See Rule 47]

MH -    

Form of Application for Registration of a Motor Vehicles

To

                The Registering Authority,

       

1.

Full Name of person to be registered as    registered owner son / wife /

daughter of

2.

Age of the person to be registered as registered owner (proof of age to be attached)

Age

3.

Permanent address of the person to be registered as registered owner (Evidence to be produced)

AT/POST- YEOLE AKHADA,RAHURI BK.     

Tal.- RAHURI,DIST-ANAGAR     

4.

Temporary address of the person to be registered as registered owner

5.

Name and address of the dealer or manufacturer from whom the vehicle was purchased

(Sale Certificate and certificate of road worthiness issued by the manufacturer to be enclosed)

6.

If an ex-army vehicle or imported vehicle, enclose proof. If locally manufactured Trailer/Semi Trailer enclose the approval of design by the State Transport Authority and note the proceeding number & date of approval

7.

Class of Vehicle (If motor Cycle, whether with or without gear)

8.

The Motor Vehicle is

a) A New Vehicle is

b) Ex-Army Vehicles

c) Imported Vehicle

16. Maker's classification or it not known wheel-base

9.

Type of Body

17. Chassis number (Affix pencil print) & its location

10. 

Type of Vehicle

11.

Maker's Name

Engine Number

12.

Month and year of Manufacture 01/2013

13.

No. of Cylinders

Seating capacity (including driver)

14.

Horse Power

 Fuel used in the engine

15.

Cubic Capacity

 Unloaded weight Kgs

22.

Particular of previous registration and registered number(if any)

 

23.

Colour or Colours of body wings and front end

 

I hereby declare that the vehicle has not been registered in any state of india.

Additional Particulars to be completed only in the case of transp other than Motor cab

24.

Number, description and size of tyres:

a)Front Axle

b) Rear Axle

c)Rear Axle

d) Rear Axle

26. Maximum Axle Weight

  1. Front Axle

  1. Rear Axle

  1. Any other axle

  1. Tandem Axle

25.

Gross Vehicle weight Kgs.

 

a) as certified by the manufacturer Kgs.

b) To be registered Kgs

27. a)Overall length

      b)Overall Width

      c)Overall height

      d)Overall huag

 

       The above particulars are to be filled in for a rigid frame motor vehicle of two or more axles for an articulated vehicle of three or more excuse or to the extent applicable for trailer where a second semi trailer or additional semi-trailer are to be registered with an articulated motor vehicle. The following particulars are to be furnished for each semi-trailer

28.

Type of Body

29. Unlading Weight Kgs

30.

Number, Description and size of tyres on each axle

 

31.

Maximum axle weight in respect of each axle

 

32.

The vehicle is covered by a valid Certificated

of Insurance under Chapter XI of the Act.

Insurance Certificate or Cover note

No                       Dated            

of                   (Name of Company)

Valid from             to             

33.

The Vehicles is exempted from insurance

The relevant order is enclosed

34.

I have paid the prescribed fee of Rupees

Date

Signature of the person to be .

Registered as registered owner

Note:- *The Motor Vehicle above described is:-

        (l) Subject to hire-purchase agreement/lease agreement with

        (ii) Subject to hypothecation in favour of

        (iii) Not held under hire-purchase agreement or lease agreement or subject to hypothecation.

*Strike out inapplicable. If the vehicle is subject to any such agreement, the signature of the person with whom Such agreement has been entered into to be obtained.

Signature of the Owner

      Signature of the person with

          whom an agreement

Hire-Purchase, case of hypothecation

          has been entered into.

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(FOR OFFICE ENDORSEMENT)

 

Ref. No

Office of the

Dated

The bearing Chassis No. and Engine No.          has been assigned the registration number and registered in the            name of and the vehicle is subject to an agreement         of purchase lease / hypothecation

Registering Authority        

To,

    (name and address of the Financier)

By registered post or deliver under proper acknowledgement

Specimen signature of the person to be Registered Owner.

1)___________________2)___________________3)___________________

Regi Fee

Chassos No.

H.P.A.

Engine No.

C.F.

WITH / NO. H.P.A.

CERTIFICATE

Inspection of the Vehicle

Certified that the particulars contained in the applications are true and that the vehicle complies with the requirements of the Motor Vehicles Act, 1988 and Rule made there under. (Special features of the vehicle to be recorded if necessary.)

Invoice Price

Signature of The Inspecting Authority

Name _________________________

Designation ____________________

O.T.Tax

Regi/Tax/Exempted


With / No. H.P.A

A.R.T.O. / Dy.R.T.O