Owner: Ravindra Baburao Mobile: 9422951622 Chassis:
Mandade MALB241CLMM101256
FORM 20
APPLICATION FOR REGISTRATION OF A MOTOR VEHICLE
To,
The
REGISTERING AUTHORITY
LATUR
............................
1. Full Name of the Person to be :
Ravindra Baburao Mandade
registered as registered owner
Son/Wife/Daughter of : Baburao Mandade
2. Age of the Person to be registered :
as registered owner
3. Permanent address of the Person : Ahmadpur Uday Nagar
to be , Latur
registered as registered owner
Maharashtra
(Evidence to be produced)
413515
4. Temporary address of the Person : AHMADPUR UDAY NAGAR AHMADPUR,
to the registered Latur Maharashtra 413515
5. Name and address of Dealer or :
SUJAYA ENTERPRISES PVT. LTD. PLOT
Manufacturer from whom the
NO B17 MIDC BARSHI ROAD LATUR
vehicle 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, :
Motor Car
whether without or with gear
8. The Motor (a) a new vehicle (b) :
NEW
Ex-Army vehicle (c) Imported
9. Type of Body : SALOON
10. Type of vehicle : LMV
11. Makers Name : HYUNDAI MOTOR INDIA LTD
12. Month and year of Manufacturer : Nov-2021
13. No of Cylinder : 4
14. Horse power : 81.74
15. Cubic Capacity : 1197.00
16. Makers Classification : AURA 1.2MT CNG S
17. Wheel base : 2450
18. A. Chassis No(affix Pencil print) : MALB241CLMM101256
B. Engine Number : G4LAMM060045
19. Seating Cap(Including Driver) : 5
20. Fuel used in the engine : PETROL/CNG
21. Unladen weight(kgs) : 1050
22. Particulars of Previous :
Registration and Registered No(if
any)
23. Colour or the body, wings and :
POLAR WHITE 2
front 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
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Owner: Ravindra Baburao Mobile No: 9422951622 Chassis:
Mandade MALB241CLMM101256
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 : YES
30. Gross Vehicle Weight(kgs) : 1500
31. : MAGMA HDI GENERAL INSURANCE CO.
The vehicle is covered by valid
LTD. Covernote No.-
insurance certificate or cover note
POO22000100/4111/717454, Valid From 06-
of
Dec-2021 To 05-Dec-2024
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: (1) Hypothecation Type :HT, Financier's Name :BANK OF MAHARASHTRA
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Owner: Ravindra Baburao Mobile No: 9422951622 Chassis:
Mandade MALB241CLMM101256
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
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