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Proof of fitment of FASTag

Fitment Challan Number: 607417-ITS000000015223443-1


Date: 21-05-2019 Time: 16:42:00

FASTag Details
‡ TID:
‡ *TAG ID: 34161FA8203289720F939D00
‡ Barcode Number: 607417 - 007 - 0826600
‡ Issuer Bank Name: ICICI Bank Ltd

Vehicle Details
‡ Vehicle Registration Number:
‡ Chassis No: MAT629526KKD33724
‡ Engine No: REVTRN05DPYK40482

For ICICI Bank Limited

Authorized Signatory

OR

Signature of Customer

*Fields marked (*) are mandatory information to be provided in the Challan.


*Vehicle owner shall be responsible for affixing FASTag applied through Online Channels.

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