Form of application for Registration of a Motor Vehicle

To,
The Registering Authority,

1. Full name of person to be registered as registered owner
Son/wife/daughter of

2. Age of the person to be registered as Registered owner (Proof of age to be attached)

3. Permanent address of the person to be registered as registered owner (Evidence to be produced)

4. Temporary address of the person to be registered as registered owner

5. Name and address of the dealer or manufacturer from whom the vehicle was purchased (Sale certificate and certificate of road worthiness issued by the manufacturer to be enclosed)

6. 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

7. Class of vehicle (If motor cycle, whether with or without gear)
8. The motor vehicle is
(a) a new vehicle;
(b) Ex-army vehicle;
(c) Imported vehicle;
9. Type of body
10. Type of vehicle
11. Maker’s name
12. Month and Year of manufacture
13. Number of Cylinders
14. Horse power
15. Cubic capacity
16. Maker’s classification or if not known, wheel-base
17. Chassis number (Affix pencil print)
18. Engine number
19. Seating capacity (including driver)
20. Fuel used in the engine
21. Unladen weight
22. Particulars of previous registration and registered number (if any)
23. Colour or colours of body, wings and front end
I hereby declare that the 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 cab.
24. Number, description and size of tyres

(a) Front axle
(b) Rear axle
(c) Any other axle
(d) Tandem axle
25. Gross vehicle weight

(a) as certified by the manufacturer
(b) to be registered
26. Maximum axle weight

(a) Front axle
(b) Rear axle
(c) Any other axle
(d) Tandem axle
27. (a) Overall length
(b) Overall width
(c) Overall height
(d) Over hang
The above particulars are to be filled in for a rigid frame motor vehicle of two or more axles for an articulated vehicles of three or more axles, or, to the extent 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 such semi-trailer.
28. Type of body
29. Unladen weight
30. Number, description and size of tyres on each axle
31. Maximum axle weight in respect of each axle
32. The vehicle is covered by a valid certificate of insurance under Chapter XI of the Act.
Insurance Certificate or cover note No...................dt......... of........ (Name of Company)
32. The vehicle is exempted from Insurance. The relevant order is enclosed.
Valid from..........to.........
34. I have paid the prescribed fee of rupees
Date......................
Signature of the person to be registered as Registered Owner
Note.-The motor vehicle above described is,-
(i)
Subject to hire-purchase agreement/lease agreement with.....
(ii)
Subject to hypothecation in favour of ........................
(iii)
Not held under hire-purchase agreement, or lease agreement or subject to hypothecation.
Strike out whatever is inapplicable. If the vehicle is subject to any such agreement the signature of the person with whom such agreement has been entered into is to be obtained.
Signature of the Owner
Signature of the person with whom an agreement of hire-purchase, lease or hypothecation has been entered into.
Specimen signature of the person to be registered as registered owner :
(1)
(2)
(3)
CERTIFICATE
Inspected the vehicle
Certified that the particulars contained in the application are true and that the vehicle complies with the requirements of the Motor Vehicles Act, 1988 and the Rules made thereunder.
Signature of the Inspecting Authority
Name........................
Designation........................
(For office endorsement)
Ref. number........................
Office of the........................
Dated........................
The ........................ bearing chassis number ........................ and engine number ........................ has been assigned the registration number........................ and registered in the name of ................................................ and the vehicle is subject to an agreement of hire-purchase/lease/hypothecation........................
Registering Authority
To
(Name and address of the financier)
By registered post or deliver under proper acknowledgement.