Ko lkat a Traffic Po lice
(Infringement report under Motor Vehicles Act, 1988 and Rules made thereunder)
O ffice Name : DC T raffic, Ko lkat a
Challan Date : 19-02-2024 13:15:32
Vehicle Class: M- Challan no: WB164849240219131532
Cycle/Sco o t er(2WN)
Vehicle no WB20BP5102 Chassis no: .........
Book no ......... Engine no / Motor No: JC83EG32*****
Owner's Name: N*M*I*B*R*
Form no: .........
: *******212
Owner's Address 2*5*1*S*D*P*R*F*R*T *L*N*,*K*C*H*R*D*V*U*,*,*K*l*a*a*7*0*8*
Driver's name N*M*I*B*R*
Father's name M*N*A*H* *E*A
Age ........
DL no. ........ Validity .........
Place of incident H89X+ WRF, Hemant a Basu Sarani, Lal Dighi, B.B.D. Bagh, Ko lkat a, West Bengal
700001, India
Circle Name CIRCLE_HQRT P_GUARD
Circle Address Head Quart er Traffic Guard ,32A, Brabo urne Ro ad, Ko lkat a-1
Document Impounded:
1: Others - Physically Impo unded
Offences Charged with:-
1: 122/177MVA No Parking # ( 122/177 )[Fine - 1500]
:- 1500/-
Penalty specified against above offences charged (in numerals and words): 1500/-
Rupees: One T ho usand Five Hundred Rupees o nly
/ Remarks: ........
.........................
T he temporary authorization of impounded document shall be valid till (date)...................... or till the validity of the original document,
whichever is earlier.
Fo r Online Payment
https://echallan.parivahan.gov.in/index/accused-challan / Signature : ..................................
Name and signature of Officer
SOMNAT H PARAMANICK
(Calwb60227@ hqrtp.grd)
Sergeant
(Bo nd under sec 213(5)(e) o f Mo t o r Vehicles Act ,1988)
................. ......................... ..................... 1500
I solemnly affirm that I shall be present at.............(place) on the specified date.............. and time........and, in case of failure to do so, shall
be responsible to pay Rs 1500 in favour of Government of State.
Name and signature of Violator (Driver/Owner)
N*M*I*B*R*/N*M*I*B*R*
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