‘122103, 1:10PM 12n gov.inimparivanan-apliprint-pagechallan_no=TL|BmHISamOgXSZKCZW5s%2Fthw6L qdQppkkbSwhCsw. ‘Transport Department Assam ee fe, 199 «a ea Hr a of Ge nngonet oat andr oor Veh Act, 1B8 ang Rules made thereunder NO ‘are 41TH Ofc Name KAMRUP(RURAL) NO NO (https slechallan.parvahan othTRSeMorpBichitsh ih (BERG ARONARTAROTRARSRARY vebvle/ima/maGITAge ‘are feateChallan Date 21-07-2028 16:02:30 fae Si Venice Class: Motor Gar(LMV) AISA TEAIChalian no: "KS67907290721160250 /AIS7 FSAVehicle no ASO1BV0063 “Afra o/Chassis no: IER HETBo0k no - ‘GH e ATM! Engine no! SMB Motor No [agar ara Owners Name: LPL [ate ee Form no Mlator Contact No: smeega4 [area wT TAT Owner's Address VLU" SPS UU MT PREBT Mate p TZ ere =H Driver's name DURKLT fa 1a Fathers name usrwres a \STy Age Fare ere OL no. een Vaisty [BEATERY Place of incident [sfemfia eT Document Impounded No Document Impounded ‘STR SETH Offences Charged with 1: 194.B(1) Driver or passenger without seat belt ( 194 B(1) )[Fine - 1000] 2: 196 DRIVING WITHOUT INSURENCE ( 196 )[Fine -2000] ‘a soar ores FAP aA aT (oie a ATA a 3000/- Penalty specified against above offences charged (in numerals and words): 3000! Rupees: Three Thousand Rupeos only ‘feu Romarks oe eee er reach ifr fae . “The temporary authorization of impounded document shal be vai il (date) catler. For Online Payment htips:echallan parivahan.gov.injindexlaccused-challan a nen eet ben ow. gE, BT or tll the valty of the original document, whichever is FRIAR / Signature weet after oT TH & UATHIName and signature of Officer krishna Kanta Patglt (2825_ecE109@rie.in) e areca fram, i988 a eet 213(5)(8) & oats ae (Bond under sec 213(5)(e) of Motor Vehicles Act, 1988) Barer Ra Sah fs a orate sree orm & wea a Te a fey Peat air ce cafe aA 3 ae eA OR eT APNE fee 3000 TA wr Se eA {solemnly afirm that | shall be present at......(place) on the specified date... and time, responsible to pay Rs 3000 in favour of Government of State wa... ery saa and, in case of failure to do so, shall be hntps:ifechallan.parivahan.gow:nimparivahan-apilprint-page cnallan_no=TLSmHIs4amOgXSZKCZW5s%2Ftfw6L q2QpplkKoSWhC4Wi430 12‘122103, 1:10PM an gov.inimparivanan-apifprint-pagechallan_no=TL|BmHISamOgXSZKCZW5s%2Fthw6L qdQppkkbSwhCsw. okay are et ra ee BTR "Name and signature of Violator (DriveriOwner) DLPK’ htps:ifechallan.parivahan.gow:nimparivahan-apilprint-page7cnallan_no=TLmHIs4amOgXSZKCZW5s%2Ftfw6L q8QppkKoSWhC4Wi43D DLP RUT! opyight © 2018 Natona Infrmates Cane Ric migatete 22.