FTA HSRP So

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Advance Receipt

Customer Copy (Duplicate)


FTA HSRP Solutions Pvt. Ltd.
Plot No.B-31, G.I.D.C. Electronic Estate, Sector-25, Gandhinagar-382024
Advance Receipt No. : GJ-01-15-16-50-272251
Date :01-Sep-2015

Owner Name

: MUKESHBHAI

Chassis Number

: ME4JC651HFT076838

Contact Number

: 9429765404

Fitment Location

: RTO

HSRP vehicle no

: __________

Vehicle Type

: MCYCLE

Vehicle Class

: PVT

Type of Request

: NEW(FULL

Total Amount

AHMEDABAD

MOTOR CYCLE

HSRP SET)

120

Rs.(Amount in words) : ONE HUNDRED AND TWENTYonly Cash/Cheque-DD/Online


(Contract rate inclusive of taxes,to be billed on fixing of HSRP)

In case of Ch/DD :
Ch/dd No.

: 001989

Date :

: 2015-08-28

Subject to realisation of cheque


For,FTA HSRP SOLUTIONS PVT.LTD.

Authorised signator
Non Tranferable
Fitment will be done after four days subject to correctness of your
documents
Subject to Gandhinagar jurisdiction

Please visit our website www.hsrpgujarat.com to check your HSRP status and to take Online
Appointment for Fitment.
For any Queries Contact us on :-

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