‘Owner: RANIYAARIS Mobilo: 8547065608 “Chassis:
MYHAAACA2PBC79759
FORM 20
APPLICATION FOR REGISTRATION OR TEMPORARY REGISTRSTION OF A MOTOR VEHICLE
To,
The REGISTERING AUTHORITY
KOILANDY SRTO
4. Full Name of the Person to be :
rogistered as registered owner RANIARRIS
‘Son/Wite/Daughter of : ARIS
2. Age of the Person to be registeredas +
registered owner
3. Permanent address (Electoral Roll / Life
Insurance Policy / Passport / Pay Slip
issued by
any office of the Central
Government/State
Government or 2 local body/Any other KAMMANA
document or documents as may be PURAKKAD, THIKKODY, Kozhikode
prescribed Kerala
by the State Covernment/Afidavit sworn 673522
before an Executive Magistrate or a First
Class
> Judicial Magistrate or a Notary Public to
be
enciosed)
4. Temporary address/Official addross, if : KAMMANA PURAKKAD,THIKKODY, .
any Kozhikode Kerala 673622
4A. Ownership Type INDIVIDUAL
5, Duration of stay at the present address
6. PAN Number (Optional)
7. Place of birth
8 IF place of birth is outside India, when
migrated to India
9A, Nominee Name
98. _ Relationship with the nominee
10. Name and address of Dealer or
Manufacturer from whom the vehicle was .
purchased (sole certificate and certificate (CRUX MOBILITY PRIVATE LIMITED CARINO
of SQUARE, CHRISTIAN COLLEGE CROSS
road worthiness issued by the ROAD, WEST NADAKKAVE
manufacturer to
be enclosed)
44. tfexarmy vehicle or imported vehiclo,
enclose
proof. If locally manufactured
TraileriSemi-
Trailer, enclose the approval of design by
the
State Transport Authority and note the
proceedings number and date of
approval s
42. Class of Vehide (If motor cycle, whether: a. cycleyScooter
with or without gear)
13. The Motor vehicle is (a) a new vehicle (b):
Ex-Army vehiole (c) Imported vehicle (A) NEW
innuse Evrickshaw or E-cart 1sType 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(inciuding Driver)
SOLO
2WN.
ATHER ENERGY PVT LTD
Mar-2023
0
8.58
0.00
ATHER 450X 1296
MYHAAACA2PBC79759
ABBPX084858,
2
28‘Owner: RANIYA ARIS Mobile No: 8547065608 Chassis
MYHAAACA2PBC79759
25. Fuel used in the engine + ELECTRIC(BOV)
26. _Uniaden weight(kgs) 113
27. Particulars of Previous Registration and
Registered Number(if any)
28.. Galeurerenlous of body wings and front: gggMic BLACK
29. Model Manufactured Location : Manufactured in India
| hereby deciare that the Motor vehicle has not been registored in any state in India. Additional
particulars to be completed only in the case of transport vehicles other than motor
30. _ Number Description size and ply rating of tyres, as deciared by the manufacturer
a) Front axle
b) Rear axle
o) Any Other axle
¢) Tandem avle
31. Gross venice
a )As certified by
manufacturer
b) To be registered
32, Maximum axle woight in (Ka.)
a) Front axle :
b) Rear axle 5
c)Any Other axle =
4d) Tandem axle :
33. a) Overall length
) Overall width:
c) Overall height:
d) Over hang:
“The above particulars are to be filed in for a rigid frame motor vehicle of two ar more axles for an
Aiticalated vehicle of three or more axles, or to the extend applicable for trailer, where @ second semi-
{failer or additional semi-trailer are to be registered with an articulated motor vehicle
The following particulars are to be furnished for each semi-trailer
34. Type of body
35, Untaden weight :
36 Number, description and size of tyres on each axle
2) Front axle ‘
b) Rear axle
) Any Other axle
¢) Tandem axle :
37. Maximum axle'weight in (Kg:)
a) Front axle :
b) Rear axle
c) Any Other axle
4) Tandem axle
38. AC Fitted r : NO
39. Gross Vehicle Weight(kgs) 243
TL. Sriewekdiets comtayadsnrcianena’ — £0 0ST GENERAL MSURANOE TD,
of Insurance under Chapter XI of the Act SR a
‘Apr-2023 To 07-Apr-2028
41, The vehicle is exempted from Insurance.
The relevant order is enclosed.
42, | have paid the prescribed fee of
rupees...
a8Date:
signature or impression of the dealer
Signature’ or thumb impression of the owner.
Ped
46Owner: RANIYAARIS Mobile No: 8547065608 Chassis:
MYHAAACA2PBCTS9759
Nole: The Motor Vehicle above deserbod
i. Subject to Hire-Purchase agreameni.ease aoreoment wih IDFC FIRST BANK LitAiF
3. Subject to Hypothecation in favour of sine 4
A Gross Roa
i, Notbeld under Hire-Purctiase agreement er Lease agreement or subject to Hypctheratio
131 Behind PVS Ap
Hypothecalion Detalls: (1) Hypothecation Type HT, Financi’s Nemo sJOFC FIRST BANKITD —Caioul-07 9001
Stk stout ages to vhs i et le ry qtr rte ft Franc: won in
y
‘agreemont has been entaved inio isto be a
Signature of the financier with whom an fH!) signature or thumb impression of
purchase, Lease or Hypothecation has been entered into the registered owner
CERTIFICATE OF INSPECTION OF MOTOR VEHICLE WHOSE BODY HAS BEEN FABRICATED
‘SEPARATELY TO THE PURCHASED CHASSIS
Tenia’ that the paricaiars coniained in the application are true and thatthe vehicle complies with the roaui
‘Act, 1988 and the Rules made there under.
sank ofthe Nolee Vehicle
Signature of the INSPECTING AUTHORITY
Name:
Designatio
Date:
Ref.No
(FOR OFFICE ENDORSEMENT)
Office of the ....
‘The sbove said motor vehicle has been assigned the Registration number NEW . and registered in the name of ths applicant end the
veticieis subject to an agreement of Hire-purchase/ Lease/ Hypothecation withthe Financier referred above,
ADEG-FIRST BANK LIMITED Signature of the Registering Authority
To, ‘st Floas, 6/622-D YMCA Cross Road
The Findhiier 2°... ‘s.
A PVE An
(TO BE SENT BY REGISTERED POST ACKNOWLEDGMENT DUE)
‘Spacimen signature or thumbimpression of the person to be registered as Registered Owner and Finencier ave fo be obtained in
criginal apotcation for axing and attestation by the Registering Autrorly with office seal in Forms 23 and 24 in such a manner that the
part of impression of seal ora stamp and attestation shall fall upon each signature,
‘Specimen signature of the Financier Specimen signature of the Registered Owner
(fs n essaseneesese
AST Natictmiteae
"e
For IDFC FIRST Bangs imited
“ \
Authorised Signatory
w8