‘Owner: PRADEEP SHARMA. FORM 20 APPLICATION FOR REGISTRATION OR TEMPORARY REGISTRSTION OF A MOTOR VEHICLE. To, ‘The REGISTERING AUTHORITY RAISEN DTO 1. 12, 13, 14, 15. 16. 17. 18, 19. 20. 21. 23. 24. Full Name of the Person to be registered as registered owner Sor/Wife/Daughter of ‘Age of the Person to be registered as registered owner Pormanent address (Electoral Roll/ Life Insurance Policy / Passport / Pay Slip issued by any office of the Central Govornment/State Government or a local body/Any other document or documents as may be prescribed by the State Government/Affidavit ewomn before an Executive Magistrate or a First Class Judicial Magistrate or a Notary Public to be encosed) Temporary address/Official address, if any Ownership Type Duration of stay at the present address PAN Number (Optional) Place of birth If place of birth is outside India, when migrated to India Nominee Name Relationship with the nominee Name and address of Dealer or Manufacturer from whom the vehicle was purchased (sale certificate and certificate of Toad worthiness issued by the manufacturer to be enclosed) If ex-army vehicle or imported vehicle, enclose: proof. Iflocally manufactured Traller/Semni- Traller, enclose the approval of design by the State Transport Authority and note the proceedings number and date of approval Class of Vehicle (If motor cycle, whether with or without gear) The Motor vehicle is (a) a naw vehicle (b) Ex- ‘Army vehicle (c) importad vehicle (4) in-use E- rickshaw or E-cart Type of Body Type of vehicle Makers Name Month and year of Manufacturer Number of Cylinder Horse power Cubic Capacity Maker's classification or if not known, wheel base Chassis No(Affix Pencil print) Engine Number or Motor Number in case of Battery Operated Vehicles Seating Cap(Including Driver) Mobile: 9109416894 Chassis: MD2A76AXXRPF38611 ate PRADEEP SHARMA RAJENDRA SHARMA NSVINAGAR POST-NAWAI AJGAIN UNNAO, Unnao Uttar Pradesh 209831 WARD NO-19 SHANIWAR MARKET MANDIDEEP RAISEN, Raisen Madhya Pradesh 462046 INDIVIDUAL SHARDA AUTO SERVICE RSN MANDIDEEP RAISEN M-Cycle/Scooter NEW SOLO WITH PILLION WN BAJAJ AUTO LTD set 8.48 15.45 PLATINA 110 1255 MD2A76AXXRPF38611 PFXPRF65526 2 RB weOwner: PRADEEP SHARMA Mobile No: 9109476894 Chassis: MD2A76AXXRPF38611 25, Fuel used in the engine PETROL 26. Unladen weighi(kgs) 119 27. Parliculars of Previous Registration and Registered Number(if any) 28. Colour or colours of body wings and front EB BLK GLOS PEW GRAY 29. end Madel Manufactured Location Manufactured in India ‘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 30. Number Description size and ply rating of tyres, as declared by the manufacturer at. 33, a) Frontaxle : ) Rear axle z ¢) Any Other axie d) Tandem axle Gross vehicle 2 JAS certified by manufacturer b) Tobe registered: Maximum axle weight in (Kg,) a) rontaxle : b) Rear axle ©) Any Other axle d) Tandem axle a) Overall length b) Overall width: ¢) Overall height: ) Over hang: 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 axles, or to the extend applicable for trailer, where a second semi traller or additional semni-trailer are to be registered with an articulated motor vehicle The following particulars are to be furnished for each semitralier 34. Type of body 35. Unladen weight 36. Number. description and size of tyres on each axle 2) Front axle b) Rear axle ¢) Any Other axle 4) Tendem axle : 37. Maximum axle weight in (Ke.) a) Front axle 4 b) Rear axle + ¢) Any Other axle d) Tandem axle 38. AC Fitted NO 39. Gross Vehicle Weight{kgs) : 269 40. id cetificate ©: |FFCO TOKIO GENERAL INSURANCE CO. The vehicle is covered by a valid certificate LD: Covance Wesloatesen Vaan of Insurance under Chapter XI of the Act Ge OuESNos Teor eae 41. The vehicle is exempted from Insurance. ‘The relevant order is enclosed. 42. Ihave paid the prescribed fee of rupees. ‘Signature or thumb impression of the dealer ‘Signature or thumb impression of the owner.1: PRADEEP SHARMA Mobile No: 9109416894 Chassis: MO2A76AXXRPF38611 Ho Nowr Vehicle sbove descbec is: | Subject Him-Purehase agree nse agreement wth | Susjcto Hypothecaton in favou' of ‘Not held under Hre-Purchase agreement or Leaee agreement orcubject to Hypethcation on Detale: (1) Hypathecation Type ‘HT, Financiers Name :IDFC FIRST BANK LTD EF cart tov tee votca uosea oy io sosesten svs tg Fe ee it has been entered Into is to be obtained. es re of the financier with whom an Agreement of Hire- Signature or thumb impression of e, Lease or Hypothecation has been entered Into |_ the registered owner eb KE {TIFICATE OF INSPECTION OF MOTOR VEHICLE WHOSE BODY HAS BEEN FABRICATED ‘SEPARATELY TO THE PURCHASED CHASSIS 3 the pariculars contained inthe appicalion are rua ard thatthe vehi compiles withthe Tequlrement of he Motor Vehida and the Rules made there unde. Signature of the INSPECTING AUTHORITY (FOR OFFICE ENDORSEMENT) Office of the ... ‘The above said motor vehicle has been assigrod tha Registration rurmbec NEW . end registred inthe name of the applicant andthe Vehice Is subject to an agreement of Fire-purchasal Leage/ Hypotnscation wih the Financier refered above. Date: To, ature of the Registering Authority The Financier (TO BE SENT BY REGISTERED POST ACKNOWLEDGMENT DUE) ‘Specimen signature or thumb-impression of the person tobe ragstared as Registered Owner and Finarcler ae tobe cbtaied in orginal application or efixing anc attestation by hie Registenng Autnonty itn ofice seal in Forms 23 and 24 in such a manner that ne part ot Impression of seal ora stemp end aiestation sal fll upon each signature, Specimen signature of the Financier A