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‘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 1s 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(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... a8 Date: signature or impression of the dealer Signature’ or thumb impression of the owner. Ped 46 Owner: 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

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