GOVERNMENT OF TELANGANA
TRANSPORT DEPARTMENT
TAX RECEIPT
Transaction Number : 49NETR026869802 Invoice Date : 17-08-2023
ULW : 112.00 Class of vehicle : MCYN
GVW : 242.00 Tax : 8977.32
Seating Capacity : HPA Fee : 500.00
Temp Regn No : TS07CRTR4733 TR Fee : 150.00
Chassis No : MBLHAW228P5G52138 Penality : 0.00
Engine No : HA11E7P5G01361 TR Service Charge : 100.00
Tax Type : Application Fee : 300
ToBe Registered At : RTA-RANGAREDDY - TG07 Smart Card Fee : 200
Name Of Customer : SURAJ RAJBHAR Postal Charge : 35
Date : 17-08-2023 Reg. Service Charge : 200
Invoice Amount : 74811.00 Collected Amt : 10462.32
Permit Fee :0 Authorization Fee :0
Permit Service Fee :0
AUTHORISED SIGNATORY
SANDEEP MADALA
Dear SURAJ RAJBHAR ,
Please collect the following documents from the dealer free of charge:
1) Welcome letter from the Transport Department.
2) Temporary registration certificate.
3) Tax receipt.
4) Form 20 (in duplicate if covered by hypothecation).
5) Form 21.
6) Form 22.
7) Insurance Papers.
With Regards
Telangana Transport Dept.
FORM - 20
(See Rule 47)
APPLICATION FOR REGISTRATION OF A MOTOR VEHICLE
(To be made in duplicate if the vechile is held under an aggrement of hire-purchase/lease/hypothecation and
duplicate copy with the endorsement of the registring authority to be returned to the financier simultaneously on
registration of motor vehicle)
To
The Registering Authority,
RTA-HYDERABAD-SZ - TG012
1. Full Name of person to be registred as SURAJ RAJBHAR
Registered owner
Son/Wife/Daughter of MITHALESH RAJBHAR
2. Age of person to be registered as Registered
owner
3. Permanent Address (Proof to be enclosed) H.NO:25-235 GOPANPALLY THANDA
(Electoral Roll/Life Insurance/ Policy/ Passport/ Pay slip SERILINGAMPALLY
issued by any office of the Central Government/State
Government or a local body/ Any other document or SERILINGAMPALLY(M) RANGAREDDY(DT)
documents as may be prescribed by the State Government)
SERILINGAMPALLY (M)
RANGAREDDY (DT)
TG
4. Termporary/Official Address (if any) H.NO:25-235 GOPANPALLY THANDA
SERILINGAMPALLY
SERILINGAMPALLY(M) RANGAREDDY(DT)
SERILINGAMPALLY (M)
RANGAREDDY (DT)
TG
5. Duration of stay at the present address
6. The annual income and PAN/GIR number of
the owner
7. (a) Place of Birth Village/Town/City:
Mandal/Zone:
District:
State:
(b) Date of Birth 05-01-2003
8. If place of birth outside India, when migrated
to India
9. 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
Descent/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)
(iii) If citizenship by Naturalization (Certificate of
Naturalization and certificate of registration to be enclosed)
(iv) If Non-Indian Citizen (Valid passport or other
travel documents and such other document or authority as
may be prescribed by law to be enclosed)
10. Name and address of the Dealer or PHOENIX MOTORS PRIVATE LIMITED
Manufacturer from whom the vechile was PLOT NO.12,SURVEY NO.161 OPP
purchased(sale certificate and certificate of MUPPA GREEN GRANDER SERILINGAMPALLI
road worthiness issued by the manufacturer to GOPANAPALLE
be enclosed) HYDERABAD
HYDERABAD
HYDERABAD - 500107
11. If ex-army vechile or imported vechile,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
12. Class of vechile MOTOR CYCLE
(if motor cycle,whether with or without gear)
13. The motor vehicle is
(a) a new vehicle
(b) ex-army vehicle
(c) imported vehicle
14. Type of body Solo
15. Type of vehicle Non Transport
16. Makers name HERO MOTOCORP LTD
17. Month and year of manufacture 05-2024
18. Number of cylinders 1
19. Horse power 7.91
20. Cubic capacity 97.20
21. Maker's classification or if not known,wheel 1995
base
22. Chassis No.(Affix pencil print) MBLHAW228P5G52138
23. Engin Number or Motor Number in case of HA11E7P5G01361
Battery Operated Vehicles
24. Seating capacity (including driver) 2
25. Fuel used in the engine PETROL
26. Unladen weight 112.00
27. Particulars of previous registration and
registered number(if any)
28. Colour or colours of body wings and front end BLACK AND ACCENT
I here by declare that the motor vechile has not been registered in any state in India
ADDITIONAL PARTICULARS TO BE COMPLETED ONLY IN THE CASE OF TRANSPORT VEHICLES OTHER THAN MOTOR CAB
29. Number,description,size and ply 80/100-
rating of tyres,as declared by the a) Front Axle=
18 47 P
manufacturer
b) Rear Axle=
c) Any Other 80/100-
Axle= 18 54 P
d) Tandem Axle=
30. Gross vehicle weight (a) as certified by manufacturer 242.00 Kgms
(b) To be registered 242.00 Kgms
31. Maximum axle weight a) Front Axle= 73.00
b) Rear Axle= 169.00
c) Any Other
0.00
Axle=
d) Tandem Axle= 0.00
32. (a)Overall length
(b)Overall width
(c)Overall height
(d)Over hang
The above particulars are to be filled in for a rigid frame motor vehicle of two or more axle for an articulated vehicle of
three or more axles or,to the extent applicable,for trailer,where a second semi-trailer or additional semi-trailer are to be
registered with an articulated motor vehicle.The following particulars are to be furnished for each such semi-trailer
33. Type of body Solo
34. Unladen weight 112.00
35. Number,description and size of tyres
on each axle
36. Maximum axle weight in respect of
each axle
37. The vechile is covered by a valid Insurance Certificate or Cover Note
certificate of insurance under No 3195764473/000000/00
Chapter XI of the Act
Date 17-08-2023
of
(name of company)valid from 17-08-2023 to 16-08-2028
38. The vechile is exempted from
insurance. The relevant order is
enclosed
39. I have paid the prescribed fee of Rs.
Signature or thumb impression of
Date: the person to be registered as
registered owner
Note:-The motor vechile above described is-
(i) Subject to Hire-purchase agreement/lease agreement with
(ii) Subject to hypothecation in favour of HERO FIN CORP LTD.
(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 financier with whom an Agreement of Hire-
Signature or thumb impress of the registered owner
purchase,Lease or Hypothecation has been entered into
CERTIFICATE OF INSPECTION OF MOTOR VECHILE
Certified that the particulars contained in the application are true and that the vehicle complies with the requirements of
the Motor Vehicles Act 1988 and the Rules made there under
Date: Signature of the Inspecting Authority
Ref No Name
TR No TS07CRTR4733 Designation
Chassis No MBLHAW228P5G52138 OFFICE ENDORSEMENT
Engine No HA11E7P5G01361 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 as Registered Owner and Financier are to
be obtained in original application for affixing and attestation by the Registering Authority with office seal in form 23 and 24 in
such a manner that the part of impression of seal or a stamp and attestation shall fall upon each signature
Specimen signature of the financier Specimen signature of the Registered Owner
(1) (1)
(2) (2)
PHOENIX MOTORS PRIVATE LIMITED
PLOT NO.12,SURVEY NO.161,OPP MUPPA GREEN GRANDER SERILINGAMPALLI HYDERABAD
FORM - 21
(See Rule 47 (a) and (d))
SALE CERTIFICATE
Certified that SPLENDOR+ i3s-(DRS) BSVI-PH2 has been delivered on 17-08-2023 by us to
1 Name of the buyer SURAJ RAJBHAR
2 Permanent Address Temporary Address
H.NO:25-235,GOPANPALLY H.NO:25-235,GOPANPALLY
THANDA SERILINGAMPALLY THANDA SERILINGAMPALLY
RANGAREDDY RANGAREDDY
RANGAREDDY RANGAREDDY
SERILINGAMPALLY (M) SERILINGAMPALLY (M)
RANGAREDDY (DT) RANGAREDDY (DT)
TG TG
The vehicle is held under agreement of Hire Purchase/Lease/Hypothecation with, HERO FIN CORP LTD
Details of the vehicle are given below :
1 Class of Vehicle MOTOR CYCLE
2 Maker's Name HERO MOTOCORP LTD
3 Chassis No. MBLHAW228P5G52138
4 Engine No. HA11E7P5G01361
5 Horse Power / Cubic Capacity 7.91/97.20
6 Fuel Used PETROL
7 No. of Cylinders 1
8 Month & Year of manufacture 05-2024
9 Seating Capacity (including driver) 2
10 Unladen Weight 112.00
11 Maximum axel weight & number & Description of tyres (In case of Transport vehicle)
80/100-18
a) Front Axle= b) Rear Axle=
47 P
80/100-18
c) Any Other Axle= d) Tandem Axle=
54 P
12 Colour of Body SPARKLING BLUE
13 Gross Vehicle Weight 242.00
14 Type of Body Solo
15 Blinkers / Indicators Fitted
Authorised Signatory
(PHOENIX MOTORS PRIVATE LIMITED)
