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Form 25

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FORM 25

FORM OF APPLICATION FOR RENEWAL OF CERTIFICATE OF REGISTRATION OF A


MOTOR VEHICLE, OTHER THAN A TRANSPORT VEHICLE. Application No:
[See Rule 52(1)] UK240830V5801480
Receipt No:
UK240830C5901109

To
THE REGISTERING AUTHORITY,
HARIDWAR ARTO
UTTARAKHAND

I VINAY RAWAT having mobile number 8750582233 hereby apply for the renewal of the certificate of registration which is attached, the particulars of which are as
follows:
(a) Registered number : UA08C3007
(b) Date of issue : 17-Apr-2004
(c) Date of expiry : 27-Aug-2024
(d) Registering authority by which the certificate was issued/last renewed : HARIDWAR
ARTO
My present address is P 27 SHIVALIK NAGAR,BHEL,,Hardwar,Uttarakhand-249401 If this address is not entered in the certificate of registration, I do/do not wish that it
should be so entered. The renewal of the certificate has not been refused by any registering authority. I hereby declare that the certificate of registration has not
been cancelled or suspended by any registering authority.

1.Class of vehicle :Motor Car


2.The motor vehicle was registered as : NEW
(a) A new vehicle :
(b) Ex-Army vehicle :
(c) Imported vehicle :No
3.Type of body : SALOON
4.Maker’s name : MARUTI SUZUKI INDIA LTD
5.Month & Year of manufacture : 4/2004
6.Number of Cylinders 3
7.Cubic capacity/Horse power : 796.00
8.Maker’s classification : MARUTI 800 MPI STD
9.Chassis number-Affix pencil print : SB308IN1926138
10. Engine number :
F8BIN2678332
11. Seating capacity (including driver) 4
12. Unladen weight 640
13. Fuel used : PETROL
I enclose the certificate of insurance for perusal and
return. I have paid the fee of rupees : 5000 Signature or Thumb impression of the
Dated: applicant.

Note :- The motor vehicle above described is not subject to an agreement of hire purchase, lease or
hypothecation. The vehicle is:
(i) Subject to hire purchase agreement/lease agreement with ...................
(ii)Subject to hypothecation in favour of ...................

Signature or Thumb impression of registered


Specimen signature or thumb impression of registered owner: owner
1.
2.
3.

CERTIFICATE
Inspected the vehicle-verified the chassis number and engine number. Certificate that the particulars contained in the application and the corresponding particulars
declared in the certificate of registration of the vehicle are true and that the ve hicle complies with the requirement of the Motor vehicle Act, 1988 and rules made
thereunder.
Signature of the Inspecting
Authority.
Name .................
Designation .................
Payment Details
Transport Department, Government of Uttarakhand

Registration Authority HARIDWAR ARTO

Application No./RECEIPT 830V5801480 / UK240830C5901109Receipt 30-Aug-2024


No:UK240 Date:
Vehicle Class: Motor Car Owner Name: VINAY RAWAT

Vehicle No: UA08C3007 Chasis No: SB308IN1926138

Vehicle Registration Date: 17-04-2004 Payment Transaction 408306547237


No:UKY2
GRN No: NA Bank Reference IHYE1
Number:IK0CX
Servicing Authority: HARIDWAR ARTO

Particular Period Amount Penalty Total

Green Tax 30-Aug-2024 to 29-Aug- 3000 0 3000


2039
Plastic Card Fee 200 0 200

Renewal of Registration 5000 0 5000

Service/User Charge 250 0 250

Vehicle Inspection Fee 800 0 800

Total 9250

GRAND TOTAL (in Rs): 9250/- (NINE THOUSAND TWO HUNDRED AND FIFTY ONLY)

Note:Application for this service is applied via ONLINEFEE .In case of any data discrepancy, please contact respective State/RTO
department.

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