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Form 25 Form of Application For Renewal of Certificate of Registration of A Motor Vehicle, Other Than A Transport Vehicle

Vijay Lohar is applying for the renewal of the certificate of registration for his motorcycle. The details provided include: the registered number, date of issue, expiry and registering authority; the applicant's address; vehicle class, type of body, maker, manufacturing details, seating capacity, and fuel used. Vijay encloses the insurance certificate and declares the vehicle is not subject to any hire purchase, lease or hypothecation agreement. The inspecting authority certifies the application particulars match those on the registration certificate and the vehicle complies with motor vehicle laws. Vijay has paid Rs. 550 for the renewal which includes postal, registration and smart card fees.

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2K views2 pages

Form 25 Form of Application For Renewal of Certificate of Registration of A Motor Vehicle, Other Than A Transport Vehicle

Vijay Lohar is applying for the renewal of the certificate of registration for his motorcycle. The details provided include: the registered number, date of issue, expiry and registering authority; the applicant's address; vehicle class, type of body, maker, manufacturing details, seating capacity, and fuel used. Vijay encloses the insurance certificate and declares the vehicle is not subject to any hire purchase, lease or hypothecation agreement. The inspecting authority certifies the application particulars match those on the registration certificate and the vehicle complies with motor vehicle laws. Vijay has paid Rs. 550 for the renewal which includes postal, registration and smart card fees.

Uploaded by

Vijay Lohar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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FORM 25

FORM OF APPLICATION FOR RENEWAL OF CERTIFICATE OF REGISTRATION OF A MOTOR


VEHICLE, OTHER THAN A TRANSPORT VEHICLE. Application No:
[See Rule 52(1)] MH211015V4748394
Receipt No:
MH211015C5196917

To

THE REGISTERING AUTHORITY,

KALYAN

MAHARASHTRA

I VIJAY LOHAR
having mobile number
8850689127
hereby apply for the renewal of the certificate of registration which
is attached, the particulars of which are as follows:­
(a)
Registered number : MH05AG9618
(b) Date of issue : 07-Oct-2006
(c) Date of expiry : 06-Oct-2021
(d) Registering authority by which the certificate was
issued/last renewed : KALYAN
My present address is
DEVI DARSHAN APT 1ST FLR,R NO-2 KON GAON,KALYAN,Thane,Maharashtra-421301
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 : BAJAJ AUTO LTD
5. Month & Year of manufacture : 9/2006
6. Number of Cylinders :1
7. Cubic capacity/Horse power : 100.00
8. Maker’s classification : PLATINA
9. Chassis number-Affix pencil print : MD2DDDZZZNWF69123
10. Engine number : DUMBNF01087
11. Seating capacity (including driver) :2
12. Unladen weight : 113
13. Fuel used : PETROL
I
enclose the certificate of insurance for perusal and return.
I have paid the fee of rupees
: 300
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
.................
Payment Details
Transport Department, Government of Maharashtra

Registration Authority KALYAN

Application No./RECEIPT No: MH211015V4748394 / MH211015C5196917 Receipt Date: 15-Oct-2021

Vehicle Class: M-Cycle/Scooter Owner Name: VIJAY LOHAR

Vehicle No: MH05AG9618 Chassis No: MD2DDDZZZNWF69123

Vehicle Registration Date: 07-10-2006 Payment Transaction No: MHY2110154998176

GRN No: 7353013149527 Bank Reference Number: 128820905047

Servicing Authority: KALYAN

Particular Period Amount Penalty Total

Postal Fee 50 0 50

Renewal of Registration 300 0 300

Smart Card Fee 200 0 200

Total 550

GRAND TOTAL (in Rs): 550/- (FIVE HUNDRED AND FIFTY ONLY)

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