FORM – 22 A

[See rules 47(g) ,115(2) 115(6) 115(7) 115(a) 124, 126(A) and 127

INITIAL CERTIFICATE OF COMPLIANCE WITH POLLUTION, STANDARDS, SAFTY

STANDARDS OF COMPONENTS AND ROAD WORTHINESS
(For vehicles where body is fabricated separately)

Part – 1
(To be issued by the manufacturer)
Certified that
………………………………………………………………………………………………………………………...
(Brand name of vehicle)
bearing chassis number …………………….. and (engine number or motor number in the case of battery
operated vehicles) ……….. complies with the provisions of the motor vehicles acts, 1998 and rules made
there under.

Signature of manufacturer

Form – 22A Part – 1 shall be issued with the signature of manufacturer duly printed in the form it
self by a affixing a facsimile signature in ink under the hand and seal of the manufacturer

Part – 2
(To be issued by the body builder)
Certified that
………………………………………………………………………………………………………………………...
(Brand name of vehicle)
bearing chassis number …………………….. and (engine number or motor number in the case of battery
operated vehicles) ……….. complies with the provisions of the motor vehicles acts, 1998 and rules made
there under.

Signature of manufacturer

*Form – 22A part-2 shall be issued with the signature the body builder duly printer in from itself
by a affixing a facsimile signature in ink under the hand and seal of the body builder.