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)] MH241127V4466173
Receipt No:
MH241127C1232860
To
THE REGISTERING AUTHORITY,
AMRAWATI
MAHARASHTRA
I MOHAMMAD JAVED MOHAMMAD SHAFAQUAT having mobile number 9604209471 hereby apply for the renewal of the certificate of registration which is attached, the particulars
of which are as follows:
(a) Registered number : MH27AC3883
(b) Date of issue : 31-Oct-2009
(c) Date of expiry : 30-Oct-2024
(d) Registering authority by which the certificate was issued/last renewed : AMRAWATI
My present address is A/P-WARD NO 10-MOKASPURA,MORSHI,TQ-MORSHI DIST-AMRAVATI,Amravati,Maharashtra-444905 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 :Motor Car
2. The motor vehicle was registered as : NEW
(a) A new vehicle :
(b) Ex-Army vehicle :
(c) Imported vehicle :No
3. Type of body : SALOON
4. Maker’s name : TATA MOTORS LTD
5. Month & Year of manufacture : 9/2009
6. Number of Cylinders :4
7. Cubic capacity/Horse power : 70.00
8. Maker’s classification : AQUA/INDICA/VISTA/EIII/2470
9. Chassis number-Affix pencil print : MAT6085219PJ79341
10. Engine number : 475IDT14JQZP94045
11. Seating capacity (including driver) :5
12. Unladen weight : 1135
13. Fuel used : DIESEL
I enclose the certificate of insurance for perusal and return.
I have paid the fee of rupees : 5000
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 Maharashtra
Registration Authority AMRAWATI
Application No./RECEIPT MH241127V4466173 /
Receipt Date: 27-Nov-2024
No: MH241127C1232860
MOHAMMAD JAVED MOHAMMAD
Vehicle Class: Motor Car Owner Name:
SHAFAQUAT
Vehicle No: MH27AC3883 Chasis No: MAT6085219PJ79341
Payment Transaction
Vehicle Registration Date: 31-10-2009 MHY2411279706342
No:
Bank Reference
GRN No: 1441952240945 420990546013
Number:
Servicing Authority: AMRAWATI
Particular Period Amount Penalty Total
Postal Fee 58 0 58
Renewal of Registration 5000 500 5500
Smart Card Fee 200 0 200
Vehicle Inspection Fee 800 0 800
Total 6558
GRAND TOTAL (in Rs): 6558/- (SIX THOUSAND FIVE HUNDRED AND FIFTY EIGHT 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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