‘Owner: RAM PYARE To, Mobile: 9794676632 FORM 20 ‘The REGISTERING AUTHORITY MIRZAPUR RTO 1. Full Name of the Person to be registered as registered owner SoniWife/Daughter of Age of the Person to be registered as registered owner Permanent address (Electoral Roll /Life Insurance Policy / Passport | Pay Slip issued by any office of the Central Government/State Government or a focal body/Any other document or documents as may be prescribed. by the State Government/Affidavit swom before an Executive Magistrate or a First Class Judicial Magistrate or a Notery Public ta be: enclosed) ‘Temporary address/Official address, if any ‘Ownership Type Duration of stay at the present address PAN Number (Optional) Place of birth place of birth is outside India, when migrated to India Nominee Name Relationship with the nominee Name and address of Dealer or Manufacturer from wnom the vehicle was: purchased (sale certificate and certificate of road worthiness issued by the manufacturer to be enclosed) Wecammy vehicle or imported vehicle, enclose proof, IF locally manufactured Trailor/Serni- Trailer, enclose the approval of design by the State Transport Authority and note the proceedings number and date of approval Class of Vehicle (|f motor cycle, whether with or without gear) ‘The Motor vehicle is (a) a new vehicle (b) ExArmy : vehicle (c) Imported vehicle (d) In-use E-rickshaw or E-cart Type of Body “Type of vehicle Makers Name Month and year of Manufacturer Number of Cylinder Horse power Cubic Capacity Maker's classification or if not known, wheel base Chassis No{Affix Pencil print) Engine Number or Motor Number in case of Battery Operated Vehicles ‘Seating Cap(including Driver) (Chassis: MCHJSAJU22E002308 APPLICATION FOR REGISTRATION OR TEMPORARY REGISTRSTION OF A MOTOR VEHICLE RAM PYARE PRABHU NATH BIND NAROIYA NEAR SHIV MANDIR: MIRZAPUR, Mirzapur Uttar Pradesh, 231313 NAROIYA NEAR SHIV MANDIR: MIRZAPUR, Mirzapur Uttar Pradesh 231313 INDIVIDUAL VINDHYA ENTERPRISES, GANGAPUR NAROYA BAZAR, JIGANA e-Rickshaw(P) NEW BULIT UP 3wT J. S. AUTO (P) LTD May-2022 0 1.98 0.00 JSA E RICKSHAW 2030 MCHJSAJU22E002398 JS1M22030363 5 }