Table ID: 4

Government Of Kerala
Motor Vehicles Department KL2023W14510214
Transaction
Form TR5(c) (See Rule 90(a) of Pay Date: 22-04-2023
Office Name SRTO,PUNALUR
Applicant Name ASHA PRABHA
Application No 1sdvdv

Transaction Name Class of Vehicles Fee Amount Addn Fee Total

CHANGE DL ADDR. 200.00 0.00 200.00
FORM-7 FEE 200.00 0.00 200.00
SER/USR CHARGE 60.00 0.00 60.00
POSTAL CHARGES 45.00 0.00 45.00

TOTAL Amount : 505.00

TOTAL Amount (In Words) Five Hundred and Five Rupees only

Bank Reference No 88s23

Bank / Gateway Fs

* 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

(Office Copy. Please attach with the application)

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

22-04-2023
Government Of Kerala Table ID: 4
Motor Vehicles Department Transaction KL202sd4510214
Form TR5(c) (See Rule 90(a) of Pay Date:

Office Name SRTO,PUNALUR

Applicant Name ASHA PRABHA

Application No 1435f3

Class of Vehicles Fee Amount

Transaction Name Addn Fee Total
CHANGE DL ADDR. 200.00 0.00 200.00
FORM-7 FEE 200.00 0.00 200.00
SER/USR CHARGE 60.00 0.00 60.00
POSTAL CHARGES 45.00 0.00 45.00

TOTAL Amount : 505.00

TOTAL Amount (In Words) Five Hundred and Five Rupees only

Bank Reference No 88s3

Bank / Gateway FPN

* 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
(Acknowledgement and applicant’s copy)

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