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Sign Format (Demo Form)

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0% found this document useful (0 votes)
187 views3 pages

Sign Format (Demo Form)

Done

Uploaded by

sahil deshmukh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
Owner: HOXXKKOOOKKK Mobile: XXXXXXXXXXX FORM 20 Chassis: XXX000OQOOOKK APPLICATION FOR REGISTRATION OR TEMPORARY REGISTRSTION OF A MOTOR VEHICLE To, ‘The REGISTERING AUTHORITY AURANGABAD, 1. Full Name of the Person to be registered as registered owner Son/Wife/Daughter of 2. Age of the Person to be registered as registered owner 3, Permanent address (Electoral Roll / Life Insurance Policy / Passport / Pay Slip issued by any office of the Central Government/State Government of a local body/Any other document or documents as may be prescribed by the State Government/Affidavit sworn before an Executive Magistrate or a First Class Judicial Magistrate or a Notary Public to be enclosed) Temporary address/Official address, if any 1A. Ownership Type Duration of stay at the present address 4 5, 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. 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 12. Class of Vehicle (If motor cycle, whether with or without gear) 13. The Motor vehicle is (a) a new vehicle (b) Ex. = Army vehicle (c) Imported vehicle (d) in-use E- rickshaw or E-cart 14. Type of Body 15. Type of vehicle 16. Makers Name 17. Month and year of Manufacturer 18. Number of Cylinder 19. Horse power 20. Cubic Capacity 21. Maker's classification or if not known, wheel base 22. __ Chassis No(Affix Pencil print) 23, Engine Number or Motor Number in case of Battery Operated Vehicles 24. Seating Cap(Including Driver) YHXK XXXX XXX XXXXKXKKX XXX INDIVIDUAL M/S OLA ELECTRIC TECHNOLOGIES PVT LTD PLOT NO.318,NEAR AUTOMOTIVE SQUARE NARI RING ROAD M.Cycle/Scooter NEW 2 WHEELER 2WN ‘OLA ELECTRIC TECHNOLOGIES PVT LTD Jan-2022 OLA St PRO 1370 18 Owner: XOXOXO XXXX___ Mobile No: XXXXXXXXX Chassis: XXX0000OX 25. Fuel used in the engine ELECTRIC(BOV) 26. —Unladen weight(kgs) fat 27. _ Particulars of Previous Registration and Registered Number(if any) 28. Colour or colours of body wings and front sa LIQUID SILVER 29. Model Manufactured Location : Manufactured in India hereby declare that the Motor vehicle has not been registered in any state in India. Additional particulars to be completed only in the case of transport vehicles other than motor 30. Number Description size and ply rating of tyres, as declared by the manufacturer a) Front axle b) Rear axle ©) Any Other axle d) Tandem axle 31. Gross vehicle a )As certified by manufacturer ) To be registered 32. Maximum axle weight in (Ka.) a) Front axle b) Rear axle ©) Any Other axle d) Tandem axle 33. a) Overall length ) Overall width: ©) Overall height: 4d) 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 semi-trailer are to be registered with an articulated motor vehicle The following particulars are to be furnished for each semi-trailer 34. Type of body 35. Unladen weight 36. Number, description and size of tyres on each axle a) Front axle b) Rear axle ©) Any Other axle d) Tandem axle 37. Maximum axle weight in (.) a) Front axle b) Rear axle ©) Any Other axle d) Tandem axle 38. AC Fitted No 39. Gross Vehicle Weight(kgs) fam 40. : ICICI LOMBARD. Covernote The vehicle is covered by a valid certificate of Insurance under Chapter XI of the Act 41. The vehicle is exempted from Insurance. The relevant order is enclosed. 42. _ Ihave paid the prescribed fee of rupees. No.-3005/238283592/00/000, Valid From 30-Jan- 2022 To 29-Jan-2027 Signature or thumb impression of the dealer [seu] Signature or thumb impression of the owner. Date: 28 Owner XXXXXXAXXXXX, Mobile No: XX20XXXXX Chassis: XXXXXXXXXXXXK Note: The Motor Vehicle above described is \ Subject to He-Purchase agrooment.easo agreomont wit i. Subject to Hypothecation in favour of Not held under Hie-Purchase agreement or Lease agreement or subject to Hypothecaton Hypothecation Deals: Sirke out whatever's inappicable. the vehicle fs subject to any such agreement the signature of he Financier with whom such agreement has boon entared into isto be obiained. aa] Signature of the financier with whom an Agreement of Hire-purchase, ‘Signature or thumb impression of Lease or Hypothecation has been entered into the registered owner CERTIFICATE OF INSPECTION OF MOTOR VEHICLE WHOSE BODY HAS BEEN FABRICATED SEPARATELY TO THE PURCHASED CHASSIS ‘Cerfed thatthe paricalarsconlaived in te appicalon are tue and that ho vehicle complies wth the requrement ofthe Motor Vehicle Act, 1988 ‘and the Rules made there unde. ‘Signature of the INSPECTING AUTHORITY Name... Date: Designation... Ref.No (FOR OFFICE ENDORSEMENT) Office of the “The above said motor vehicle has been assigned the Registration number NEW . and registered inthe name ofthe applicant and the vehice fs ‘subject to an agreement of ire-purchase! Lease! Hypothecation wth the Financier refered above Date: we Signature of the Registering Authority To, The Financier (TO BE SENT BY REGISTERED POST ACKNOWLEDGMENT DUE) ‘Specimen signature or humbampression of the person to be registered as Registered Owner and Financier are o be obtained in orignal application for fing and attestation by the Registering Authority wth ofce seal in Forms 23 and 24m such a manner that he pat of impression ‘of seal ora stamp and atestaton shall fll upon each signature, ‘Specimen signature of the Financier ‘Specimen sianature of the Registered Owner (1)... (hove 38

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