Owner:
4/23/2019 M/S STAR AIR SEA https://vahan.parivahan.gov.in/vahan/vahan/ui/dealer/form_form20Report.xhtml
Mobile: 9500074659 Chassis:
LOGISTICS PVT LTD MD621HP10K1D15604
FORM 20
APPLICATION FOR REGISTRATION OF A MOTOR VEHICLE
To,
The REGISTERING AUTHORITY
MEENAMBAKKAM RTO
............................
1. Full Name of the Person to be :
M/S STAR AIR SEA LOGISTICS PVT LTD
registered as registered owner
Son/Wife/Daughter of : NA
2. Age of the Person to be registered :
as registered owner
3. Permanent address of the Person to : 2ND FLOOR NO 16/21 BHARATHIYAR ST
be MEENAMBAKKAM CHENNAI,
registered as registered owner Kancheepuram
(Evidence to be produced) Tamil Nadu
600027
4. : 2ND FLOOR NO 16/21 BHARATHIYAR ST
Temporary address of the Person to
MEENAMBAKKAM CHENNAI,
the registered
Kancheepuram Tamil Nadu 600027
5. Name and address of Dealer or :
MG MOTORS NO 15 G.S.T. ROAD
Manufacturer from whom the vehicle
SANATORIUM CHENNAI
is purchased
6. If Ex-Army vehicle or imported :
vehicle, enclose proof of approval of
design by State Transport Authority
7. Class of Vehicle If motor cycle, :
M-Cycle/Scooter
whether without or with gear
8. The Motor (a) a new vehicle (b) Ex- :
NEW
Army vehicle (c) Imported
9. Type of Body : 2 WHEELER
10. Type of vehicle : 2WN
11. Makers Name : TVS MOTOR COMPANY LTD
12. Month and year of Manufacturer : Apr-2019
13. No of Cylinder : 1
14. Horse power : 4.29
15. Cubic Capacity : 99.70
16. Makers Classification : TVS XL 100 HD I-TOUCH START
17. Wheel base : 1228
18. A. Chassis No(affix Pencil print) : MD621HP10K1D15604
B. Engine Number : CP1DK1215318
19. Seating Cap(Including Driver) : 2
20. Fuel used in the engine : PETROL
21. Unladen weight(kgs) : 89
22. Particulars of Previous Registration :
and Registered No(if any)
23. Colour or the body, wings and front :
BLACK
end
24. Model Manufactured Location : Manufactured in India
I hereby declare that the Motor vehicle has not been registered in any state in India. Additional
particulars to be completed only in the case of transport vehicles other than motor
https://vahan.parivahan.gov.in/vahan/vahan/ui/dealer/form_form20Report.xhtml 1/3
Owner:
4/23/2019 M/S STAR AIR SEA https://vahan.parivahan.gov.in/vahan/vahan/ui/dealer/form_form20Report.xhtml
Mobile No: 9500074659 Chassis:
LOGISTICS PVT LTD MD621HP10K1D15604
25. Number Description
a) Front axle :
b) Rear axle :
c) Other axle :
d) Tandem axle :
26. Gross vehicle
a )As certified by :
b) To be refitted :
27. Maximum axle weight in (Kg.)
a) Front axle :
b) Rear axle :
c) Other axle :
d) Tandem axle :
28. a) Overall length :
b) Overall width: :
c) Overall height: :
d) Over hang: :
The above particulars are to be filled in for a rigid frame motor vehicle of two or more axle for an
articulated vehicles of three or more axles, or to the extend applicable for trailer, where a second
semi-trailer are to be registered with an articulated motor vehicle
The following particulars are to be furnished for each semi-trailer
29. AC Fitted : NO
30. Gross Vehicle Weight(kgs) : 219
31. : RELIANCE GENERAL INSURANCE CO.
The vehicle is covered by valid LTD.. Covernote
insurance certificate or cover note of No.-99029192375678999999, Valid From 23-
Apr-2019 To 22-Apr-2020
32. The vehicle is exempted from :
Insurance.
The relevant order is enclosed. :
33. I have paid the prescribed fee of :
rupees.............................
Signature or thumb impression of the
Date: ....... ....... ....... person to be registered as registered owner
Note: The Motor Vehicle above described is :
i. 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
Hypothecation Details:
https://vahan.parivahan.gov.in/vahan/vahan/ui/dealer/form_form20Report.xhtml 2/3
Owner:
4/23/2019 M/S STAR AIR SEA https://vahan.parivahan.gov.in/vahan/vahan/ui/dealer/form_form20Report.xhtml
Mobile No: 9500074659 Chassis:
LOGISTICS PVT LTD MD621HP10K1D15604
CERTIFICATE INSPECTION OF MOTOR VEHICLE
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 there under.
Signature of the INSPECTING AUTHORITY
Name: ....... ....... ....... .......
Date: ....... ....... ....... Designation:....... ....... ....... .......
(FOR OFFICE ENDORSEMENT)
Office of the ...... ....... ....... ....... .......
Ref. No: ....... ....... ....... Dated ....... ....... ....... ....... ....... ......
The vehicle 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 or hire purchase / lease /hypothecation.
Registering Authority
To,
....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... .......
....... ....... ....... ....... ....... ....... .......
Name and address of the Financier By Registered post or deliver under proper
acknowledgment
https://vahan.parivahan.gov.in/vahan/vahan/ui/dealer/form_form20Report.xhtml 3/3
