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Firefox Owner: SHAHNAWAZ ALAM Mobile: 9004044786 https://vahan.parhtssisg d4Ah R8B466ANbTo6G00aler/forn fom..
sIDDIQUE
FORM 20
APPLICATION FOR REGISTRATION OR TEMPORARY REGISTRSTION OF A MOTOR VEHICLE
To,
The REGISTERING AUTHORITY
THANE

Full Name of the Person to be registered as

registered owner SHAHNAWAZ ALAM SIDDIQUE
SonMife/Daughter of MUKHTAR ALAM SIDDIQUE
2. Age of the Person to be registered as registered:
Owner
3 Permanent address (Electoral Rol / Life
Insurance Policy /Passport / Pay SIip issued by
any office of the Central Governmen/State ROON NO 904 BUILDING NO 11, VASTU ANAND CHS LTD
Government or a local bodylAnyother OLD MUMBAI, PUNE ROAD PARSIK NAGAR KALWA WEST.
document or documents as may be prescribed Thane, Maharashtra-400S05
by the State Government/Afidavit swom
before an Executive Magistrate or a First Class
Judicial Magistrate ora Notary Public to be
enclosed)
4. ROON NO 904 BUILDING NO 11,VASTU ANAND CHS LTD
Temporary address/Official address, if any OLD MUMBAJ, PUNE ROAD PARSIK NAGAR KALWA WEST,
Thane, Maharashtra-400605
4A. Ownership Type INDIVIDUAL
5. Duration of stay at the preset address
PAN Number (Optional)
7 Place of birth
8 If place of birth is outside India, when migrated
to india
9A. Nominee Name
98. Relationship with the nominee
10 Name and address of Dealer or
Manufacturer from whom the vehicle was MIS COUNTO AUTOMOBILES PVT LTD WS COUNTO
purchased (sale certificate and certificate of AUTOMOBILES PVT LTD,SURVEY NO 20/1 NH 17,
road worthiness issued by the manufacturer to PORVORIM BARDEZ,
be encosed)
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 (f motor cycle, whether with or : Motor Car
without gear)
13. The Motor vehicde is(a) a new vehicie (b) Ex
Army vehicle (c) Imported vehicle (d) in-use NEW
E-rickshaw or E-cart
14. Type of Body STATION WAGON
15. Type of vehicde LMV
16. Makers Name HYUNDAl MOTOR INDIA LTD
17. Month and year of Manufacturer Dec-2023
18. Number of Cylinder 4
19. Horse power 113.90
20. Cubic Capacity 1493.00
21. Maker's cdassification or if not known,wheel
base CRETA 1.5 CRDI MT S+ SE 2610
22. Chassis NoAffix Pencit print)
23. MALPB813LPM705680
Engine Number or Motor Nuber in case of
Battery Operated Vehides D4FAPMO41891
24. Seating Cap(lncduding Driver) 5
 27 Unleder
Partiaars gtt(kgs)
Prov0ON Registration and
1312

28 Rogistor9d Numbett ory)

Color or coor od tody wings nd rok
29 Model Manufdsd L0cion ATLAS ITEAACK
Ihroby decero thet the Molor voiche
Dny in hece of raneoort ehdee oher than moOY
30
Numbar
a) Frort Dosaiptlon szg dply rsing of tyro, as decdred by the
b) Rear te
e manutourer
c) Ay Other sxe
31
Groos veticle
Acarihad by
metcurs
b) To be
32 registorsd
Maámum sde weigt in (Kg)
a) Front ade
b) Rear de
Ay Oher ade
33. Tandemade
a) Overa longh
b)Overal wotr
))Overal height:
Over hang.
The aboe
a more paricuars are to be tled n for a
wih an ades, or to he etond appicable for iod frame nolor vohide of two or
ariautated motor vehicde tralor. where &Ocond more ades for n
The folowing ricuteted
semitrailer or addionat m-rier are vohice
f
to be ro
34 pasiculars are to be
Type of body furnished for each semitrailer regtered
35.
38. Unladen weight
Number, desanpbon and sizeof tyres
a) Frort ade
b) Rear ate on sach axe
c)Any
Oherdeade
o) Tandem
37
Maámun de woigt in (g)
) Front ade
b) Reas ade
Ay Oher ade
Tandem ade
38 AC Fibed
30.
40 Gross Veicde WeighØge) NO
The vehide is
insurane undercovered by 1786
41. The vehcde is
Chapter XSavaid
of certificate of
the Act TATA AG
GENERAL INSURANCE CO. LTD..
42.
The
Ihavereleont
oenpted frOm inouranca.
orders ondoeed.
paid theprecribed See of
No-62023339240000,
Dec-2026 Valid From
22-Dec-2023Covernote
To 21
npeos.

Signsture or thumb impresslon of the

dealer
Signature or thumb improssionof the
owmer.
 ANAZ ALAM Mocie Nio 9004044786 h s

S tcttecaticnin facud

Finarcars Nane OFC BANK LTD WNB

h e t Detais (1) yochecation Tce HT, te Francer wtRom Sct
t t r s iracccacie te veice s bect t ay s c crement the g r a e
he u

Hrepurchase, Lease or Sgratre o hun r O r S o f e

Signature of the funancer with whom an Agreernent of regsta ne
Hypothecaton has been entered irto
TE
BODY HAS BEEN FABRICATED SEPARATELY TO
CERTIFACATE OF INSPECTION OF MOTOR VEHIKcLE WHOSE
PURCHASED CHASSIS
eaoglicaion are tte ard rate e c e congies t t egurenent
Cerhed hat te porialars rtarec n

Signature of the NSPECTING AUTHORIT

Name
Designatan
Date.
Ref.No
(FOR OFFICE ENDORSEMENT)

Ofice of the
eistarednhe ane of e apoict ard he vetice s sA
The aboe ud motor vetde has been assgned the Regstration umber T1223GAS07 tA and
grsernert of irpurchase Loasef Hypotheecaton wth the Financer referred above

Date Signature of the Registering Authonity

To.
The Financer

(TO BE SENT BY REGISTERED POST ACKNOWLEDGMENT DUE)

Specamen ugnature or thumnb-mpression of eperson to be regstared as Regstered Owner and Feancer are obe octained e ongina appicaton or affng ag
shestabon by the Regsierng Auroty wth oflce sesi n Foms 23 and 24 in such a marner that te part f pression of seal ora stamp and atesiaton shl tal pon
ch gnature

Specimen signature of the Financier Specimen signature of the Registered Owner

(1). (1).
(2). (2)