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The document is a receipt for the temporary registration of a motor vehicle issued by the Transport Department of Uttar Pradesh. It details the payment of Rs 600 made by Karan Singh Rai for the registration of a motor car with specific chassis and vehicle numbers. The receipt confirms the online payment and includes relevant transaction and bank reference numbers.
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GOVERNMENT OF UTTAR'RRADESH
‘Transport Department
KANPUR NAGAR, Uttar Pradesh
RECEIPTIAPPL No: ‘up78D250100035771UP25010865189619..
Vehicle Ciass Motor Car
Received From KARAN SINGH RAI
Receipt ate: oesan-2025 Vericle No: Tor2suP2310A
‘Chassis No: MASCNCS2SAMA02218 ‘Transaction Ke 1uPY2501081062708,
Bank Ref No: ccHs1502585
Remarks: (ONLINE-PAYMENT
Particular ‘Amount Fine/Penalty/Addl.Fee Total
“Temporary Registration (RTO Side) 600 o 600
‘GRAND TOTAL (in Rs): 600!- (SIX HUNDRED ONLY)
Note~ This is computer generated sip, no need of signature (tpsliparivaen gown).
imy_cot_nexs
IMS MYCAR NEXA PVT LTD.
‘Customer Copy Printed On: 20-Jun-2025 16:17:25,
DAS
GOVERNMENT OF UTTAR PRADESH
‘Transport Department
KANPUR NAGAR, Uttar Pradesh
RECEIPTIAPPL No: up78025010003677/UP25010865193619
Vehicle Class Motor Car
Received From: KARAN SINGH RAL
Receipt date: 08-Jan-2025 Vehicl No: To125UP23108
‘Chassis No: MascNCe2sRMA02218 ‘Transaction i: upy2501081062708,
Bank Ref Ne: cHs1502565 |
Remarks: ‘ONLINE-PAYMENT.
Particular ‘Amount Fine/PenaltyiAdal F Total:
"Temporary Registration (RTO Side) 60 7 eon
GRAND TOTAL (in Rs): 600/- (SIX HUNDRED ONLY)
Note~ This is computer generated slip, no need of signe.ure (itps//oarvahen.gov.in).
‘my_car_nexa
MIS MYCAR NEXAPVT LTD
)
46693049 = 5
Q0ysS4joagaa
atSOVERNMENT OR UTTAR PRADESH}
[KANPUR NAGAR]
DISCLAIMER
REGISTRATION NO: TEMPREG
‘pleston No upazoreassi0619
Applicant Namo: KARAN SINGH RAI
Sontwite/daughler of: MANGLA RAL
‘Ovmarship Typo: INDIVIOUAL |
Purchase Date; 07-Jan-2025, Chassis No: MASCNCB2SAM40Z218
KISCNEGH8S7_ ‘Passport Na: ;
eda:
"Wate:
Ful Address (Petanan); GURAUNA CHUN GURAUNA CHURN, ,BUXAR, BIHAR-202114 |
Fal sacs (Tompovary} GURAUNA CHUNNI, GURAUNA CHUNNL , BUXAR-EIHAR-202114
Doata’' Nam and AdrescNVS MYGAR NEXA PVT LTD, 84/275 AFIM KGTHL, GT ROAD KANPUR,»
tance tne tsn sued NOALD |
Naterecinaefeaion — LSZETACNG
Sato Aneune a, 255000 Rgetabontype: -—«|_—_TEMPORARY REGISTERED
Norns: [BHARAT STAGE Morteor ot Manuf: | 12/2004
‘Santing Capfine. drivor}: 6 {ws A
Feo Por eas e200
No ot Gyr 4 m0
Class of Vehicle: MOTOR CAR ‘SALOON
Fao uted in egies PETROLENS
Uniosonvicgnin tae 125
Arie: y
Veo Fite
Wis Gamat
Kttianwearee
Ktsera N=
peo Wee
poproral Dae
ppporal Lote No
Uiypethecation Detal
" psurance Detalle: THIRD PARTY Inguranco From The|
1550009 12¢0916158407 le vad om G7 ~en-2025 06-202.
ton Pec Partclast
sao Description ‘Amount
7 “Temporary Registration 600,
Grand Totat Raz
ides 3 aes Paticulars Veifcaton
Noto: Tho pation a jee Rog Abr Apron an of Seapprova oka Rihana wl oo wsI
‘Qwner: KARAN SINGH RAI
FORM 20
‘The REGISTERING AUTHORITY
BUXUR
Full Name of the Person to
registered owner
‘Son/Wife/Daughter of
‘Age of the Person to be re._
‘owner
Permanent address (Elect
Insurance Policy | Passpor
any office of the Central Gai
Government or a local body/
by the State Governmentif
before an Executive Magistrate ofa First Class
Judicial Magistrate or a Notary Public to be
enclosed)
Temporary address/Official address, if any
4A. Ownership Type
5. Duration of stay at the present address
6. PAN Number (Optional)
7." Place of birth
8. If place of birth is outside India, when migrated
to India
9A. Nominee Name
9B. _ Relationship with the nominee
10. Name and address of Dealer or
Manufacturer from whom the vehicle was
purchased (sale certificate and certificate of
road worthiness issued by the manufacturer to
be enclosed)
11. Ifex-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
12. Class of Vehicle (If motor cycle, whether with or
without gear)
43, The Motor vehicle is (a) a new vehicle (b) Ex:
Army vehicle (c) Imported vehicle (4) in-use E-
rickshaw or E-cart
14. Type of Body
18. Type of vehicle
16. Makers Name
47. Month and year of Manufacturer
48. Number of Cylinder
19. Horse power
20. Cubic Capacity
24. Maker's classification or if not known, whee!
base
22. Chassis No(Affix Pencil print)
23. _ Engine Number or Motor Number in case of
Battery Operated Vehicles
24, Seating Cap(Including Driver)
o0anc SODAMERSERMDD ORE See bER tad,
Mobile: 7204304652
ee
a a
To, \PPLICATION FOR REGISTRATION OR TEMPORNAY,RESISTESTION OF AMOTOR VEHICLE
ft 7
ald .
. Chassis; MASCNC62SRM402212
1,
KARAN SINGH RAI
MANGLA RAL
GURAUNA CHUNNI, GURAUNA CHUNNI,
Buxar, Bihar-802114
Buxar, Bihar-802114
INDIVIDUAL,
MIS MYCAR NEXA PVT LTD MIS MYCAR)
NEXA PVT LTD, 86/275 AFIM KOTHI, G T
ROAD KANPUR,
Motor Car
NEW
SALOON
IMV
MARUTI SUZUKI INDIA LTD
Dec-2024
4
99.16
1462.00
XL6 ZETA CNG 2740
MA3CNC62SRM402211 \e ay
K15CN9684937 Soph
6a SRMA02218
‘Qwner: KARAN SINGH RAI 1 Mobile No: 7204304652 ~~ Chassis: MASCNC62!
25. Fuel used in the engine tag roan?
26. —_Unladen weight(kgs) ss @ht 1215 4
27. Particulars of Previous Registration and ; #4 (@ a ‘
Registered Number(if any)
28. Colour or colours of body wings and front: pEARLARCTIC WHITE
end 4 ‘ ‘i
29. — Model Manufactured Location 3, ‘Manufactured in India
iticulars to be
‘hereby declare that the Motor vehicle has not been registered invany state in India, Additional pat
cotnpleted only in the case of transport vehicles other than motor
30, Number Description size and ply rating of tyres, a5 declafed by the manufacturer
a) Front axle
b) Rear axle
©) Any Other axle
d) Tandem axle
31. Gross vehicle :
a)As certified by :
manufacturer
b) To be registered
32. Maximum axle weightin (K.)
a) Front axle
b) Rear axle
©) Any Other axle
4) Tandem axle
33. a) Overall length
) Overall width: A i
c) Overall height: :
4) 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-trailer or additional
‘semictrailer are to be registered with an articulated motor vehicle
‘The following particulars are to be furnished for each semi-trailer
34. Type of body
38. Unladen weight
38. Number, description and size of tyres on each ato
a) Front axle
b) Rear axle
©) Any Other axle
d) Tandem axle
37. Maximum axle weight in (Kg.)
a) Front axle
) Rear axle
©) Any Other axle
» d) Tandem axle
38. AC Fitted 1! YES
39. Gross Vehicle Weight(kgs) 1810
40. The vehicle is covered by a valid i The New India Assurance Company Li
certcate of Insurance under Chapter Xi No.-980 Valld Fromay sovemmate
cericate No-98000081240816156487, Vald From 07-Jan-2028
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.‘Owner: KARAN SINGH RAI Mobile No: Kia
Noto: The Motor Voile above described is:
1 Sister Puce
se ayreonanteneapeanen
‘i, Subject to Hypothetation in favour of : * me
Wi, Not held under Hice-Pure
Hire-Purchase agreement or Lease agreement or subject io Hypothecation
Chassis; MASCNC625RM402216
cancion oematecaton Type AT, Fanciers Nama :AU SMALLFINANCE BANK LTD
boon enlord ints tobe eta, “ene subject to ary such agreement the sgnature ofthe Financier wit whom euch agreement has
. rege
‘Signature of the financier with whom an Agreement of : 38
P Hire-purchase, Signature of tharnib impression of
Lease or Hypothecation has been entered into o , ithe registered owner
CERTIFICATE OF INSPECTION OF MOTOR VEHICLE WHOSE BODY HAS BEEN FABRICATED
SEPARATELY TO THE PURCHASED CHASSIS
‘Ceried that the particulars contained in the application are rue and tha the vehicle Gomples withthe requirement ofthe Mofor Vehicie Ac, 1868
‘and the Rules made there under.
‘Signature of the INSPECTING AUTHORITY
Name: ire
Date: ..... Designation...
Ref.No
(FOR OFFICE ENDORSEMENT)
Office of the ...
“The above said motor vehicle has been assigned the Registration number TO'25UP2310A.. and registered inthe name ofthe applicant and the
‘vehicle i subject to an agreement of Hire-purchase! Lease! Hypothecation with the Financier referred above.
Date:
To,
The Financier ....
Signature of the Registering Authority
(TO BE SENT BY REGISTERED POST ACKNOWLEDGMENT DUE)
“Specimen signature or thumb-nprssion ofthe person tobe registered as Registered Owner and Financier are tobe obtained in origina application
{er tang and attestation by the Registering Aur with ofie seal in Forms 23 and 24 in uch a manner thatthe part of impression of seal ora
‘stamp and attestation shall fall upon each signature
Specimen st
‘Specimen signature of the Financier
(1)... -
(2).
‘AU SMALL FINANCE
IK LTD.
AU SMALL FINANCE IK LTD.
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