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)] UP230520V1691289
Receipt No:
UP230520C1133706
To
THE REGISTERING AUTHORITY,
KANPUR NAGAR
UTTAR PRADESH
I KRISHNA GOPAL having mobile number 9044542031 hereby apply for the renewal of the certificate of registration which is attached, the particulars of which are as follows:
(a) Registered number : UP78BP6045
(b) Date of issue : 31-May-2008
(c) Date of expiry : 30-May-2023
(d) Registering authority by which the certificate was issued/last renewed : KANPUR NAGAR
My present address is 297-A E W S,BARRA,KANPUR,,Uttar Pradesh-999999 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 : 5/2008
6. Number of Cylinders :1
7. Cubic capacity/Horse power : 100.00
8. Maker’s classification : PLATENA
9. Chassis number-Affix pencil print : RPB25157
10. Engine number : BRB25573
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 : 1000
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 .................
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Payment Details
Transport Department, Government of Uttar Pradesh
Registration Authority KANPUR NAGAR
Application No./RECEIPT No: UP230520V1691289 / UP230520C1133706 Receipt Date: 20-May-2023
Vehicle Class: M-Cycle/Scooter Owner Name: KRISHNA GOPAL
Vehicle No: UP78BP6045 Chasis No: RPB25157
Vehicle Registration Date: 31-05-2008 Payment Transaction No: UPY2305206889916
GRN No: NA Bank Reference Number: CPACTLMSK7
Servicing Authority: KANPUR NAGAR
Particular Period Amount Penalty Total
Green Tax 20-May-2023 to 19-May-2038 160 0 160
Renewal of Registration 1000 0 1000
Total 1160
GRAND TOTAL (in Rs): 1160/- (ONE THOUSAND ONE HUNDRED AND SIXTY ONLY)
Note:Application for this service is applied via ONLINEFEE .In case of any data discrepancy, please contact respective State/RTO department.
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