RETAIL INVOICE

Dealer Code : IN48AP851

Dealer Name : PRAKASH AUTO Print Date :
14/10/2025.
Showroom Address :Near Bajaj Motorcycle showroom, Raniganj Road, Forbesganj, Dist.- Araria, BIHAR, Time : 04:04:41
PIN - 854318 ARARIA (T) 08521112111 (F) PM.
Workshop Address :
GST No.10BGMPV3048L1Z3

Invoice Number : DI2500000068 Date : 14/10/2025 Color : ECO GREEN

Chassis Number : MBX000BRF4G542213 Engine Number : AMBBS Hypothetication By: Cholamandalam Investment &
G43008865 Finance Company Ltd

Customer Name and Address with GST No. if present :CHANDAN KUMAR YADAV
S/O - SADANAND YADAV, WARD 05, SHEKHPURA, RAGHUNATHPUR, BHARGMA,
SHAIKHPURA, ARARIA, SHEIKPURA, BIHAR - 854334 854334
GST No.: not present
Telephone : Mobile : Email :
7482871612
Consignee Consignee Contact
Name : Number : Consignee
Consignee Email : Consignee GST
Address : Number :
Consignee Pin :
Sr. No. Vehicle Part Vehicle Description. HSN Code Item Unit Price Discount Net Amount
Number Quantity (% /
Amt.)
1 DMFB6LF003 Price of One 'APE CITY+ METRO 87032120 1 215,713. 18000.0 197,713.50
LPG', (18%) 50 0
3W LPG (With Spare wheel, Rim,
Complete Toolkit,
Free Service Coupon cum warranty
certificate, Operation & Maintenance
Book, Set of keys, Battery and
Warranty Card etc.)
Total 197,713.50
Sr. No. Tax Description Rate Amount
1 CGST-9 +9% 17,794.22
2 SGST-9 +9% 17,794.22
Total 35,588.43
Total Discount 18000.00
Grand Total 233,301.93
Round Off 0.07
Net Amount 233,302.00
In Words: RUPEES TWO LAKH THIRTY THREE THOUSAND THREE HUNDRED TWO ONLY

For PRAKASH AUTO

Authorized
Signatory

Piaggio Helpline Number : 1800 120 7520

This Vehicle is covered in Extended Warranty period upto 24 months from the date of sale.
Terms and Conditions apply. Please get your vehicle serviced regularly to avail benefit of 24
months warranty.
Your First Service Due on : 13.11.2025
Dealer Code : IN48AP851
Dealer Name : PRAKASH Print Date :
AUTO 14/10/2025. Time
Showroom Address :Near Bajaj Motorcycle showroom, Raniganj Road, Forbesganj, Dist.- Araria, BIHAR, : 04:04:41 PM.
PIN - 854318 ARARIA (T) 08521112111 (F)
GST
No.10BGMPV3048L1Z3

FORM NO. 21
[See Rules 47 (a) and (b)]
SALE CERTIFICATE

(To be issued by manufacturer/dealer or Officer of (Incase of Military auctioned vehicles) for presentation along woth the
Defence Department application for registeration of a motor Vehicle).
TO,
THE REGIONAL TRANSPORT OFFICER NO. DI2500000068
Date 14/10/2025
Certified that APE Three Wheeler L.T.V./A/R Cab
Has been Delivered by us to ......................................... on Date 14/10/2025
Name of the Buyer < CHANDAN KUMAR YADAV

Son / Wife / Daughter of

Address S/O - SADANAND YADAV, WARD05, SHEKHPURA,
RAGHUNATHPUR, BHARGMA, SHAIKHPURA, ARARIA, SHEIKPURA,
BIHA

The Vehicle is held under agreement

Cholamandalam Investment & Finance Company Ltd
of Hire purchase / Lease
Hypothecation
The Details of the Vehicles are given
below:

1. Class Of Vehicle L5M

2. Makers Name: PIAGGIO VEHICLES PRIVATE LIMITED
3. Chassis Number: MBX000BRF4G542213
4. Engine Number: AMBBS G43008865
5. Horse Power or Cubic Capacity 10.07 Hp 399 CC
6. Fuel Used LPG
7. No. Of Cylinders 1
8. Month & Year Of Manufacture July 2025
9. Seating Capacity(including Driver) D+3
10. Unladen Weight 457
11. Maximum Axle Weight and Number

a) Front Axle 177

b) Rear Axle 580
c) Any Other Axle 0
d) Tandem Axle 0
12. Colour or Colours of the Body ECO GREEN
13. Gross Vehicle Weight 757
14. Type Of Body Bolted on Chassis
15. Bharat Stage VI

Authorized Signatory
Dealer Code : IN48AP851
Dealer Name : PRAKASH Print Date :
AUTO 14/10/2025. Time
Showroom Address :Near Bajaj Motorcycle showroom, Raniganj Road, Forbesganj, Dist.- Araria, BIHAR, : 04:04:42 PM.
PIN - 854318 ARARIA (T) 08521112111 (F)
Workshop Address :
GST No.10BGMPV3048L1Z3
FORM 22
{See rules 47(1) (g)}
Road Worthness
Certificate
For Compliance of Emission and Noise Standards
(To be issued by the manufacturer or Importer Registered Association in case of E-rickshaw or
E-Cart along with the Vehicle)
It is certified that the following vehicle complies with the provision of the Act 1988 and the
rules made there under

1. Model/Commercial name of the Vehicle : APE CITY+ METRO LPG ECO GREEN
2. Chassis Number : MBX000BRF4G542213
(Example : Vehicle Identification number (VIN or ATIN or PIN / Trailer identification number Etc.) )
3. Engine No. (Motor number in case of battery operated vehicle) : AMBBS G43008865
4. Applicable Emission norms : Bharat Stage VI
(Example : BharatStage -IV/VI/TERM III as permitted under the Act, select NA for Battery -Operated Vehicles)
5. Emission, sound for horn and pass by noise values of the above vehicle model,obtained during type Approval testing
as per Central Motor Vehiclde Rules,1989 are given below:
i. Type of Approval certificatee number : NA
ii. Type of fuel : LPG
(Example : Diesel/Petrol/CNG/ LPG/DUAL/BI FUEL/HYVBRID etc.)
iii. Emission value of the vehicle :
Sr. No. Pollutant Unit Value
(as (Upto 3 decimal places)
applicable)
1 Carbon Monoxide (CO) mg/ NA
km
2 Hydro Carbon mg/ NA
km
3 Non Methane HydroCarbon (NMHC) mg/ NA
km
4 Oxides of Nitrogen (NOx) mg/ NA
km
5a HC+NOx mg/ NA
km
5b THC+NOx mg/ NA
km
6 Methane (CH4) mg/ NA
km
7 Ammonia (NH3) mg/ NA
km
8 Mass of particulate Matter (PM) mg/ NA
km
9 Number of particles (PN) mg/ NA
km
iv. Noise level (as applicable) :

a) Horn (for all vehicle other than agricultural tractors and construction equipment vehicles) as installed on vehicle (up to
1 decimal place) : NA dB (A)
b) Pass by or Bystander's position : NA dB (A)
c) Driver perceived or Operator's ear level (as applicable for agriculture tractor and construction equipment vehicles ) : NA
dB(A)

PIAGGIO VEHICLES PRIVATE

LIMITED For PIAGGIO VEHICLES PVT LTD
CIN - U34102MH1998PTC113606
Regd. Office & works : E-2/F-1, MIDC
AREA BARAMATI -413133 DIST PUNE
Maharashtra, India
Phone: (91-2112)
304200 (Authorized Signatory)
Fax No.: (91-2112) 243772
www.piaggio.co.in,
[email protected]

(Facsimile signature of manufacturer or Importer or Registered Association, in case of E-rickshaw or

E-cart)
Dealer Code : IN48AP851
Dealer Name : PRAKASH Print Date :
AUTO 14/10/2025. Time
Showroom Address :Near Bajaj Motorcycle showroom, Raniganj Road, Forbesganj, Dist.- Araria, BIHAR, : 04:04:42 PM.
PIN - 854318 ARARIA (T) 08521112111 (F)
Workshop Address :
GST No.10BGMPV3048L1Z3
Tyre size is not maintained, hence Form F is not generated.

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GATE PASS
Vehicle Model APE CITY+ METRO LPG Color ECO GREEN
Chassis MBX000BRF4G542213 Engine Number AMBBS
Number G43008865
Customer CHANDAN KUMAR YADAV Dealer Invoice Date 14/10/2025
Name
Time 00:00

Signature,
Dealer Code : IN48AP851
Dealer Name : PRAKASH Print Date :
AUTO 14/10/2025. Time
Showroom Address :Near Bajaj Motorcycle showroom, Raniganj Road, Forbesganj, Dist.- Araria, BIHAR, : 04:04:43 PM.
PIN - 854318 ARARIA (T) 08521112111 (F)
Workshop Address :
GST No.10BGMPV3048L1Z3

PIAGGIO VEHICLES PRIVATE LIMITED

E-2, M. I. D. C. BARAMATI - 413 133, Dist. Pune. (Maharashtra)
PRE-DELIVERY INSPECTION REPORT
VEHICLE TYPE 3W DATE OF SALE 14/10/2025
CHASSIS Number MBX000BRF4G542213 ENGINE Number AMBBS G43008865
INVOICE Number DI2500000068 INVOICE DATE 14/10/2025
GEAR BOX Number G43008865 PDI DATE 14/09/2025
BATTERY Number /s CDF7623Z101776 CONSIGNMENT 14/09/2025
RCVD. ON
DEALER CODE IN48AP851 LINE STAMP OF
DEALER
BATTERY MAKE AMARON DEALER'S NAME /
PLACE
VEHICLE KEY Number 8541

TYRE MAKE MRF FR. TYRE Number

Fl. TYRE Number RR. REAR TYRE

Number
RL. REAR TYRE INFLANATION LPG
Number

CUSTOMER NAME CHANDAN KUMAR YADAV CONTACT Number 7482871612

ADDRESS S/O - SADANAND YADAV, WARD 05, SHEKHPURA, RAGHUNATHPUR,
BHARGMA, SHAIKHPURA, ARARIA, SHEIKPURA, BIHAR - 854334
CITY STATE Bihar

PIN 854334 Email Id

CUSTOMER SIGNATURE :