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Vehicle Registration Form

This document is a motor vehicle registration and licensing application form that collects personal information such as name, address, contact details, and identification documents from the applicant. It lists the documents required for motor vehicle registration like citizenship ID, photos, tax clearance, and vehicle inspection. Additional documents are required for a learner's/driving license like a medical certificate and refresher course completion. The applicant signs an undertaking declaring the information provided is true and agreeing to inform authorities of any changes or updates in a timely manner.

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karma wangyal
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319 views2 pages

Vehicle Registration Form

This document is a motor vehicle registration and licensing application form that collects personal information such as name, address, contact details, and identification documents from the applicant. It lists the documents required for motor vehicle registration like citizenship ID, photos, tax clearance, and vehicle inspection. Additional documents are required for a learner's/driving license like a medical certificate and refresher course completion. The applicant signs an undertaking declaring the information provided is true and agreeing to inform authorities of any changes or updates in a timely manner.

Uploaded by

karma wangyal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MOTOR VEHICLE REGISTRATION / LICENSING APPLICATION FORM

I. PERSONAL INFORMATION:
1. NAME OF APPLICANT : .
2. GENDER : ..
3. CITIZENSHIP ID CARD #: ..
4. DATE OF BIRTH : ..
5. NATIONALITY :...
6. BLOOD GROUP : ..
7. OCCUPATION : ......
8. FATHERS NAME : ..
9. IDENTIFICATION MARK (IF ANY):
II. PERMANENT ADDRESS:
A. VILLAGE : .
B. GEWOG : .
C. DUNGKHAG :
D. DZONGKHAG : .
E. COUNTRY : .............................................................................................
III. PRESENT ADDRESS:
A. DZONGKHAG :
B. ADDRESS :

C. MOBILE NUMBER: ......
D. PHONE NUMBER : ....
E. EMAIL ADDRESS : .

DOCUMENTS AND OTHER REQUIRED

FOR MOTOR VEHICLE REGISTRATION: FOR LEARNER/DRIVING LICENSE (DL):


1. Copy of Citizenship Identity Card 1. Copy of Citizenship Identity Card
2. One Recent Passport Size Photograph 2. One Recent Passport Size Photograph
3. Original Challan and Invoice 3. Medical Certificate (for Learners License)
4. Tax Clearance Certificate 4. One Day Refresher Course Certificate (for
5. Produce Vehicle for Physical Inspection DL)
6. Certificate of Incorporation (for Private 5. Attend personally for necessary tests (for
Company only). DL)

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UNDERTAKING

I, ........................................................................................................................, will inform


the Authority about changes in any information related to the present address, mobile
number etc. immediately, and also I will update documents on time. I will be held
responsible and accountable for any lapses as per the Road Safety & Transport Act 1999
and the Regulations for defaulting these undertaking.

I declare that to the best of my knowledge the particulars furnished above are true.

Place: Affix Legal


Stamp here
Date:
&
Signature

FOR OFFICIAL USE ONLY

VERIFIED BY: UPDATED BY: ................

DEGSINATION: DEGSINATION:

SIGNATURE & DATE SIGNATURE & DATE

Page 2 of 2

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