Traffic Police West Bengal

(Infringement report under Motor Vehicles Act, 1988 and Rules made thereunder)

O ffice Name : Howrah

Challan Date : 13-10-2022 18:56:49

Vehicle Class: Goods Carrier Challan no: WB118215221013185649
Vehicle no WB19J9050 Chassis no: .........
Book no ......... Engine no / Motor No: 81G848*****
Owner's Name: K*H*R*A*I*L*S*A*
Form no: .........
: *******625
Owner's Address L*S*A*P*R*,*B*H*R*,*B*H*R* *O*N*G*R* *o*t* *w*n*y*F*u* *a*g*n*s*7*3*7*

Driver's name K*H*R*A*I*L*S*A*

Father's name C*A*M*D*L*S*A*
Age ........
DL no. ........ Validity .........
Place of incident JOYPURBILL NH-6 KOLKATA BOUND SERVICE ROAD, LILUAH, HOWRAH, WB

Circle Name Dasnagar PS

Circle Address Dasnagar

Document Impounded: Witness name:

No Document Impounded 1: ASI S GUPTA
Offences Charged with:-
1: 122/177MVA No Parking # ( 122/177 )[Fine - 500]
:- 500/-
Penalty specified against above offences charged (in numerals and words): 500/-
Rupees: Five Hundred Rupees only
/ Remarks: ........
.........................
The temporary authorization of impounded document shall be valid till (date)...................... or till the validity of the original document,
whichever is earlier.
For Online Payment
https://echallan.parivahan.gov.in/index/accused-challan / Signature : ..................................
Name and signature of Officer
Tulu Dhul
(3dasna784_ps@ wbtrafficpolice.com)
Sub Inspector

(Bond under sec 213(5)(e) of Motor Vehicles Act,1988)

................. ......................... ..................... 500
I solemnly affirm that I shall be present at.............(place) on the specified date.............. and time........and, in case of failure to do so,
shall be responsible to pay Rs 500 in favour of Government of State.

Name and signature of Violator (Driver/Owner)

K*H*R*A*I*L*S*A*/K*H*R*A*I*L*S*A*

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