GOVERNMENT OF KERALA

MOTOR VEHICLES DEPARTMENT Table ID: 19

Form TR5(c) (See Rule 90(a) of KTC) Transaction No: A/94200/2020
Date : 17/10/2020
Office : SRTO, ADOOR Payment Date : 07/10/2020
Name of Remitter : SINDHU P PILLAI GRN : KL009586328202021E
Address : KALEECKALAZHIKATH
: ELLAMPALLIL
: PAYANALOOR.P.O. NOORANAD
Service type : Registration Transport
Reg.No : KL-05-AB-2276
Purpose : FormG-Tax Exemption
Fee : 400
Total Amount : 400.00
Amount in words : Four Hundred Rupees Only
Bank Reference No: T20281114155EB712 Bank : UPI
* This is a computer generated document and does not require any signature

* Any modification or misuse of this receipt is an offence which shall attract legal action and punishment

* If any additional fee / balance fee is required it shall be paid at the office.

(Office Copy. Please attach with the application)

......................................................................................................................................................................................................

GOVERNMENT OF KERALA
MOTOR VEHICLES DEPARTMENT
Form TR5(c) (See Rule 90(a) of KTC) Table ID: 19
Transaction No: A/94200/2020
Date :17/10/2020
Payment Date : 07/10/2020
Office : SRTO, ADOOR
GRN : KL009586328202021E
Name of Remitter : SINDHU P PILLAI
Address : KALEECKALAZHIKATH
: ELLAMPALLIL
: PAYANALOOR.P.O. NOORANAD
Service type : Registration Transport
Reg.No : KL-05-AB-2276
Purpose : FormG-Tax Exemption
Fee : 400
Total Amount : 400.00
Amount in words : Four Hundred Rupees Only
Bank Reference No: T20281114155EB712 Bank : UPI
* You are instructed to submit the Online application with required documents at the counter of RT office/Sub RT Office within 3 days, belated applications shall not be entertained.

* Department is not responsible for the delay in service due to short remittance of fee,tax,service charge,cess,inaccurancy in application and documents submitted.

* This is a computer generated document and does not require any signature

* Any modification or misuse of this receipt is an offence which shall attract legal action and punishment

* If any additional fee / balance fee is required it shall be paid at the office.

(Acknowledgement and applicant’s copy) IT Services NIC Kerala

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