ORIGINAL

TELANGANA TRANSPORT DEPARTMENT

FORM C.R. Tem
Temporary Certificate of Registration
(Rules 86 and 87 of the Telangana Motor Vehicle Rules, 1989)
Temporary Registration Mark : TS11ZTR1809
Name of the Owner : MALA MOGULAPPA
Display Name on RC Card : MALLA MOGULAPPA
Date Of Birth : 27-05-1991
Father/Husband/Rep. by Name : YESU
Nationality : Indian
Address : H.NO:1-47, GANDIPET,RANGAREDDY

Description of Vehicle : MOTOR CYCLE

Class of Vehicle : MCYN
Maker's Name : INDIA YAMAHA MOTOR PVT LTD
Type of Body : Solo
Seating Capacity 2
Colour : METRIC BLACK
Engine No : G3L5E0143135
Chassis No : ME1RG44DAK0023330
Maker's Class : YAMAHA-FZ-BSIV
Fuel Used : PETROL
Vehicle to be Registered at : RTA RANGAREDDY – TS11
PETBASHEERABAD ,MEDCHAL QUTHUBULLAPUR MANDAL ,RANGAREDDY
500505

Under the provisions of the Section 43 of the Motor Vehicles Act, 1988 the
vehicle described above has been registered by me and the registration is

TS11ZTR1809
Valid From : 11-03-2020 ValidUpto : 12-04-2020
Tax Paid Rs. : 11190
TR Fees Rs. : 150.00
HPA Fees Rs. : 0.00
Transaction No : NETR026286923 Date : 11-03-2020
Date : 11-03-2020

Signature and Designation

of the Registering Authority

Please collect the following documents from the dealer free of charge:
1) Welcome letter from the Transport Deportment, Temporary registration certificate, Tax receipt,
Form 20 (in duplicate if covered by hypothecation), Form 21, Form 22,Invoice, Insurance Papers
Note: Please ensure to get HSRP (Number Plate) affixed at your Dealer from whom the vehicle was purchased after
Registration of your vehicle within 4 days from the date of Registration failing which fine would be levied.
 ASHOKA MOTORS INDIA PVT LTD
Authorised Dealer of India Yamaha Motors Pvt Ltd
5/4/187/3/4Soham MansionMGRoadSecunderabad
Showroom040/66821111/66174444
Workshop/040/66333399/66333377
GST : 36AAJCA4587G1ZE

Vehicle Tax Invoice / Retail Tax Invoice

Inv No. : AM-VSI-2425 347 Date: 11-03-2020
To,
MALLA MOGULAPPA - S0010627
H.NO:1-47, GANDIPET,RANGAREDDY
RANGAREDDY - 500505

Particulars Qty Rate Disc Gross Amt SGST 14% CGST 14% Net Amount

1Nos 72851.56 .00 72851.56 10199.22 10199.22 93250.00

Chasiss Number : ME1RG44DAK0023330
Engine Number : G3L5E0143135
Colour : METRIC BLACK

Vehicle Discription ; YAMAHA -FZ-BSIV

Coupon Book 10094740

HSN Code 87112019

Note:
1. Price Prevailing at the time of delivery only will apply Gross Amount : 72851.56
2. Delivery against full payment only. SGST Amount : 10199.22
3. All disputes are subject to Bangalore jurisdiction.
4. Vehicles once sold will not be taken back or exchanged. CGST Amount : 10199.22
5. Delivery taken without registration is purely under owner's risk. Net Amount : 93250.00
Declaration: Round off Amount : .00
I have taken delivery of the vehicle along with the standard accessories which are 2 Total Invoice Value : 93250.00
mirrors, 2 keys, 1 user manual and 1 first aid kit and 1 tool kit. I do hear by declare the condition of the
vehicle as per my satisfaction
Net payable : 93250.00

Amount in words Ninety Three Thousand Two Hundred and Fifty rupees only

For ASHOKA MOTORS INDIA PVT LTD

Customer Signature Authorised Signature

 FORM – 20
(See Rule 47)
APPLICATION FOR REGISTRATION OF A MOTOR VECHILE
(To be made in duplicate if the vehicle is held under an agreement of hire-purchase /lease/
hypothecation and duplicate copy with the endorsement of the registering authority to be returned to
the financier simultaneously on registration of motor vehicle)

To
The Registering Authority,
RTA-RANGAREDDY
1. Full Name of person to be registered as MALA MOGULAPPA
Registered owner
2. Son/Wife/Daughter of MALLA YESU
3. Age of person to be registered as Registered
Owner
4. Permanent Address (Proof to be enclosed) H.NO:1-47, GANDIPET,
(Electoral Roll/ Life Insurance/ Policy/ Passport/ Pay slip RAJENDRANAGAR,
issued by any office of the central Government/ State RANGAREDDY,
Government or a local body/ Any other document or
documents as many be prescribed by the State
TELANGANA,
Government) 500505

5. Temporary/Official Address (if any) H.NO:1-47, GANDIPET,

RAJENDRANAGAR,
RANGAREDDY,
TELANGANA,
500505

6. Duration of stay at the present address

7. The annual income and PAN/GIR number of
the owner
8. If place of birth outside India, when migrated
to India
9. (a) Place of Birth
(b)Date of Birth 27-05-1991
10. Declaration of citizenship status
(i) If deemed citizen or citizen by birth (Birth
certificate and school certificate in support of
citizenship as Indian to be enclosed)
(ii) If citizenship is acquired by
Decent/Registration (In case citizenship acquired
by descent, birth certificate, Land/Property document
of parent/in case of citizenship acquired by registration,
certificate to be enclosed)
11. Name and address of the Dealer or 5/4/187/3/43
Manufacture from whom the vehicle was Soham Mansion MGRoad
purchased (sale certificate and certificate of Secunderabad
road worthiness issued by the manufacturer
to be enclosed)

12. If ex-army vehicle or imported vehicle,

enclose Proof.If locally manufactured
Trailer/Semi-trailer,enclose the Approval of
design by the State Transport Authority and
Note the proceedings number and date of
approval
13. Class of vehicle Motor cycle
(if motor cycle,whether with or without gear)
14. The motor vehicle is
(a)a new vehicle
(b)ex-army vehicle
(c)imported vehicle
15. Type of body Solo
16. Type of vehicle Non Transport
17. Makers name YAMAHA FZ BSIV
18. Month and year of manufacture 10-2019
19. Number of cylinders 1
20. Horse power 12.4
21. Cubic capacity 149
 ASHOK MOTORS INDIA PVT.
5/4/187/3/4 Soham Mansion MG Road Secunderabad

FORM – 21
(SeeRule 47 (a) and (d))
SALE CERIFICATE

Certified that YAMAHA - FZ - BSIV METRIC BLACK has been delivered on 11-03-2020 by us to

1 Name of the buyer MALA MOGULAPPA

2 Permanent Address Temporary Address
H.NO:1-47, GANDIPET,
H.NOO:1-47, GANDIPET,
RAJENDRANAGAR, RAJENDRANAGAR,
RANGAREDDY, RANGAREDDY,
TELANGANA, TELANGANA,
500505
500505
1 Class of Vehicle MCYN
2 Maker's Name INDIA YAMAHA MOTOR PVT LTD
3 Chassis No. ME1RG44DAK0023330
4 Engine No G3L5E0143135
5 Horse power / Cubic Capacity 149.00
6 Fuel used PETROL
7 No. of Cylinders 1
8 Month & Year of manufacture 10-2019
9 Seating Capacity(including driver) 2
10 Unladen Weight 137
11 Maximum axel weight & number & Description of tyres (In case of Transport vehicle)

90/100-10
a) Front Axle= b) Rear Axle=
53J

90/100-10
c) Any Other Axle= d) Tandem Axle=
53J
12 Gross Vehicle Weight 279.00
13 Type of Body Solo
14 Blinkers / Indicators Fitted

Authorised Signatoty
(ASHOK MOTORS INDIA PVT.)
22. Maker’s classification or if not known, wheel base 1238

23. Chassis No.(Affix pencil print) ME1RG44DAK0023330

24. Engin Number or Motor Number in case of G3L5E0143135
Battery Operated Vehicles

25. Seating capacity (Including driver) 2

26. Fuel used in the engine PETROL

27. Unladen weight 137.00

28. Particulars pf previous registration and registered

number (if any)

29. Colour or colours of body wings and front end METRIC BLACK

30. Number, description, size and ply rating of tyres,

as declared by the manufacture 90/100-
a)Front Axle= 10 53J
b) Rear Axle=
c) Any Other 90/100-
Axle= 10/53J

31. Gross Vehicle Weight (a) As certifies by manufacture 279.00 Kgms

(b) To be registered 279.00 Kgms

32. Maximum axle weight a) Front Axle= 86.00

b) Rear Axle= 193.00
c) Any Other 0.00
Axle=
d) Tandem Axle= 0.00

33. (a)Overall length

(b)Overall width
(c)Overall height
(d)Over hang

34. Type of body Solo

35. Unladen weight 137

36. Number, description and size of tyres

On each axle

37. Maximum axle weight in respect of each axle

38. Class of vehicle MOTOR CYCLE

(if motor cycle, whether with or with out gear)
 39. The vechile is covered by a valid certificate of Insurance Certificate or Cover Note
insurance under Chapter XI of the Act
Date 11-03-2020
Of
(name of company) Valid from 11-03-2019 to
11-03-2025
23. The vechile is exempted from insurance.The
relevant order is enclosed

24. I have paid the prescribed fee of Rs.

Date: Signature or thumb impression of

the person to be registered
as registered owner
Note:-The motor vechile above decribed 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
Strike out whatever is inapplicable,if the vechile is subject to any such agreement the signature of the
Financier with whom such agreement has been entered into is to be obtained

……………………………………………… …………………………………………………………..
Signature of the financer with whom an agreement of Signature or thumb impression of owner
Hire-purchase, lease or Hypothecation has been entered into

CERTIICATE OF INSPECTION OF MOTOR VECHILE

Certified that the particulars contained in the application are true and that
the vechile complies with the requirements of the motor Vechile Act 1988 and rules

Date: Signature of the Inspecting Authority

Ref No Name
TR NO TS11ZTR1809 Designation
Chassis No ME1RG44DAK0023330 OFFICE ENDORSEMENT
Engine No G3L5E0143135 Office of the……………………………

The above said motor vechile has been assigned the Registration number and
registered in the name of the applicant and the vechile is subjected to an agreement of
Hire-purchase/Lease/Hypothecation with the financier referred above

Date: Signature of the Registering Authority

To
The Financer
……………………………………………………………………………………………………………………………………….
(to be sent by registered post acknowledgment due)
Specimen signature or thumb-impression of the person to be Registered
Owner and Financier are to be obtained in original application for affixing by the
Registering Authority with office seal in form 23 and 24 in such a manner that the part
of impression of seal

Specimen signature of the financier Specimen signature of the

registered owner
(1) (1)
(2) (2)