TELANGANA TRANSPORT DEPARTMENT

Dear EDDHUBARGAVARAMUDU,
Thank you for availing online services of the Telangana Transport Department. We are proud to offer youonline
services for your comfort and convenience. Congratulations on the purchase of your vehicle.
Your vehicle has been temporarily registered with TR No TSO2BJTR2413 valid until 10/02/2024
You must get your vehicle registered at the RTO office RTA MULUGU -TS037 ,Any delay will entail a latefee
which will be collected at the time of Registration.

Please check that you have received the following documents from the dealer:
1. Form 20 (Wil be given in duplicate if the vehicle is covered by finance)
2. Form 21(signed by the dealer)
3. Form 22 (given by the vehicle manufacturer duly facsimiled)
4. Life Tax receipt
S. Temporary Registration Certificate
6. Invoice from the Dealer
7. Insurance copy ( wherever applicable)

PERMANENT REGISTRATION :
Permanent registration can be done only at the respective RTO office. Please remember
at the RTO office having juridiction on either your place of residence or you can register your vehicle
will be entertained. business. No requests for data transfer

The registration process is very simple. You will have to bring your
7 documents with an original copy of address proof vehicle personally along with the above
(phone bill, electricity bill, passport, voters id card,
ration card, bank statement, LIC) and PAN card in case of light
You or your authorized signatory (In case of company) will haveMotor Vehicle and get it inspected by the MVI.
to personally sign in the computer of the
Transport Department.
The RC book will be dispatched to you by speed post.

Fees and Service Charges paid to the Transport Department :

Payment made

1. Registration Fee Rs. 600.00

2. Smart Card Fee Rs. 0.00
3. Service Charge Rs. 400.00
4. Postal Charge Rs. 35.00

Total Rs 1035
You may be liable to differential life tax depending on the
number of vehicles registered in your name.
Important :
Kindly be advised that there is no need to approach the dealer or any
assist you in registration, it is very simple; just experience the warmthunauthorized agent
of the services to
by the
Transport Department. For knowing more details visit us on
Please bring your vehicle with valid documents. www.transport.telangana.gov.in
Look forward to see you sOon for permanent registration of your
vehicle.
Telangana Transport Department
 ORIGINAL
TELANGANATRANSPORT DEPARTMENT
FORM C.R. Tem
Temporary Certificate of Registration
(Rules 86 and 87 of the Telangana Motor Vehicle Rules, 1989)
Temporary Registration Mark : TS02BJTR2413
Name of the Owner
: EDDHU BARGAVARAMUDU
Display Name on RC Card :EDDHU BARGAVARAMUDU
Date Of Birth : 02-07-2000
Father/Husband/ Rep. by Name :MOGILI
Nationality :Indian
Address : #4-157/E, LAXMIDEVIPET
VENKATAPUR,
VENKATAPUR(M) , MULUGU(DT), MULUGU
Description of Vehicle : Tractor for Agricultural Purpose
Class of Vehicle
: TRCN
Maker's Name
:JOHN DEERE INDIA PVT LIMITED
Type of Body
: Open
Seating Capacity :1
Colour
: GREEN
Engine No : PY3029T325781
Chassis No : 1VY5210EAPB020160
Maker's Class : JOHN DEERE 5210 4VWD GEAR PRO BSIIIA
Fuel Used : DIESEL
Vehicle to be Registered at :RTA MULUGU - TS037
506005

Under the provisions of the Section 43 of the Motor

Vehicles Act, 1988 the
vehicle described above has been registered by me and the registration is
TS02BJTR2413
Valid From : 12-01-2024
Tax Paid Rs. ValidUpto : 10-02-2024
:0
TR Fees Rs.
:300.00
HPA Fees Rs.
: 1500.00
Transaction No
:49NETR023367176 Date : 12-01-2024
This Vehicle is UNDER HYPOTHICATION WITH SHRIRAM
FINANCE LIMITED
NKAT
SA EHTERPRIS
MULUGU
MULUGU
Date : 12-01-2024

Signàú6e and DsiGtation

of the Resterina Rthority
Please collect the following documents from the dealer free of charge:
1) Welcome letter from the Transport Deportment,
Temporary registration certificate, Tax receipt,
Form 20 (in duplicate if covered by hypothecation), Form 21, Form
22,Invoice, Insurance Papers
Note: Please ensure to get HSRP (Number Plate) affixed at your Dealer from whom the vehicle was
purchased after
Registration of your vehicle within 4 days from the date of Registration failing which fine would be levied.
 GOVERNMENT OF TELANGANA
TRANSPORT DEPARTMENT
TAX RECEIPT
Transaction Nunmber : 49NETRO23367176 Invoice Date : 12-01-2024
ULW : 2505.00 Class of vehicle : TRCN
GVW : 2505.00 Tax :0
Seating Capacity HPA Fee : 1500.00
Temp Regn No TS02BJTR2413 TR Fee :300.00
Chassis No
1VY5210EAPB020160 Penality : 0.00
Engine No : PY3029T325781
TR Service Charge : 100.0o
Tax Type
Application Fee :600
ToBe Registered At :RTA MULUGU - TS037 Smart Card Fee :0
Name Of Customer EDDHU BARGAVARAMUDU Postal Charge :35
Date
12-01-2024 Reg. Service Charge:400
Invoice Amount 1178783.00
Permit Fee
Collected Amt :2935.00
Permit Service Fee 0
Authorization Fee :0

PRS
AUTHORSED siGNAoRY
VEN AT\SAERTEgPXISES
Ohn Deere Trado

Dear EDDHU BARGAVARAMUDU

Please collect the following documents from

the dealer free of charge:
1) Welcome letter from the
|2) Temporary registration Transport Department.
3) Tax receipt. certificate.
4) Form 20 (in duplicate if covered
5) Form 21. by hypothecation).
6) Form 22.
7) Insurance Papers.

With Regards
Telangana Transport Dept.
 FORM - 20
(See Rule 47)
APPLICATION FOR REGISTRATION OF A MOTOR VEHICLE
(To be made in duplicate if the vechile is held under an aggrement of hire-purchase/lease/hypothecation and
duplicate copy with the cndorsement of the registring authority to be returncd to the financier simultancously on
registration of motor vehicle)

To
The Registering Authority,
RTA MULUGU - TS037
1 Full Name of person to be registred as EDDHU BARGAVARAMUDU
Registered owner
Son/Wife/Daughter of MOGILI
2 Age of person to be registered as Registered
OWner

3 Permanent Address (Proof to be enclosed) #4-157/E

(lectoral Roll/Life Insurance/ Policy/ Passport/ Pay slip
LAXMIDEVIPET
iSsued
C by e or ne Central Government/State
tor a local body/ Any other document or VENKATAPURMULUGU
documents as may be prescribed by the State Government)
VENKATAPUR (M)
MULUGU (DT)
TG
4. Termporary/Official Address (if any) #4-157/E
LAXMIDEVIPET
VENKATAPUR
MULUGU
VENKATAPUR (M)
|MULUGU
TG
(DT)
5 Duration of stay at the present address
6. The annual income and PAN/GIR number of
the owner
7 (a) Place of Birth
Village/Town/City:
Mandal/Zone:
District:
State:
(b) Date of Birth 02-07-2000
8 If place of birth outside India, when migrated
to India
9 Dedaration of citizenship status
(0) If deemed citizen or citizen by birth (Birth
certificate and school certificate in support of citizenship as
Indian to be endosed)
(ü) If citizenship is acquired by
Descent/Registration (In case ctizenship acquired by
descent, birth certificate, Larnd/Property document of
parent/in case of citizenship acquired by registration,
certificate to be endosed)
(iii) If citizenship by Naturalization (Certificate of
Naturalization and certificate of registration to be encdosed)
(iv) If Non-Indian Citizen (Valid
passport or other as
|travel documents and such other document or authority
may be presaribed by law to be endosed)
10. Name and address of the Dealer or
VENKAT SAI ENTERPRISES PRIVATE LIMI
Manufacturer from whom the vechile was H.NO.8-6-300
purchased(sale certificate and certificate of HYD. ROAD
road worthiness issued by the manufacturer to
be enclosed) KOTHIRAMPUR
KARIMNAGAR URBAN
KARIMNAGAR
KARIMNAGAR - 505001
|11. If ex-army vechile or imported
vechile,endose
proof.If locally manufactured Trailer/Semi
trailer,encdose the Approval of design by the
 State Transport Authority and Note the
proceedings number and date of approval
12. Class of vechile Tractor for Agricultural Purpose
if motor cycle,whether with or without gear)
13.The motor vehicle is
(a) a new vehicle
(b) ex-army vehicle
(c) imported vehicle
14. Type of body |Open
15. Type of vehicde Non Transport
16. Makers name JOHN DEERE INDIA PVT LIMITED

17. Month and year of manufacture 01-2024

|18. Number of cylinders 3

19. Horse power 48.95

20. Cubic capacity 2940.00

21. Maker's classification or if not known,wheel 2055

base
|22. Chassis No.(Affix pencil print) 1VY5210EAPB020160
|23. Engin Number or Motor Number in case of PY3029T325781
Battery Operated Vehicles
|24. |Seating capacity (including driver) 1
25. Fuel used in the engine DIESEL
26. Unladen weight 2505.00
27. Particulars of previous registration and
registered number(if any)
|28. Colour or colours of body wings and front end GREEN
I here by declare that the motor vechile has not been registered in any state in India
ADDITIONAL PARTICULARS TO BE COMPLETED ONLY IN THE CASE OF TRANSPORT VEHICLES OTHER THAN MOTOR CAB

29. Numtber,description,size and ply 9.50 X

rating of tyres, asdeclared by the a) Front Axle=
24
manufacturer 8/12
PR
b) Rear Axle=
16.9 X
c) Any Other
Axle=
28, 12
PR

d) Tandem Axle=
30. Gross vehicde weight (a) as certified by manufacturer 2505.00 Kgms
(b) To be registered 2505.00 Kgms
31. Maximum axle weight a) Front Axle= 1295.00

b) Rear Axle= 1510.00

c) Any Other 0.00

Axle=
d) Tandem Axle= 0.00

32. (a)Overall length

(b)Overall width
(c)Overall height
(d)Over hang

The above particulars are to be filled in for a rigid frame motor vehicle of two or more axle for an articulated vehicle of
three or more axles orto the extent applicable,for trailer,where a second semi-trailer or additional semi-trailer are to be
registered with an articulated motor vehice.The following particulars are to be furnished for each such semi-trailer
33. Type of body Open
 34. Unladen weight 2505.00
35. Number, description and size of tyres
on each axle
36. Maximum axle weight in respect of
each axle
37.The vechile is covered by a valid |Insurance Certificate or Cover Note
certificate of insurance under
No PO024300047/4107/100577
Chapter XI of the Act
Date 12-01-2024

(name of company)valid from 12-01-2024 to 11-01-2025

38. The vechile is exempted from
insurance. The relevant order is
endosed
39. |Ihave paid the prescribed fee of Rs.

Signature or thumb impression of

Date: the person to be registered as
registered owner
Note:-The motor vechile above described is
(() Subject to Hire-purchase agreement/lease agreement with
() Subject to hypothecation in favour of SHRIRAM FINANCE LIMITED.
(i) Not held under Hire-purchase agreement, or lease agreement or subject to hypothecation
sApuheteeris FÇpgieebleif thevechile is subject to any such agreement the signature of the Financier with whom such
agreement has been entered into i_ to be obtained.

Ginnature of thÃ
purchase,Lease or t·nciSet
an Agreement of Hire

SiAentered into
Hypothecation Has Signature or thumb impress of the registered owner
CERTIFICATE OF INSPECTION OF MOTOR VECHILE
Certified that the particulars contained in the application are true and that the vehicle complies with the requirements of
the Motor Vehicles Act 1988 and the Ruies made there under

Date: Signature of the Inspecting Authority

Ref No Name
TR No TS02BJTR2413 Designation
Chassis No 1VY5210EAPB020160 OFFICE ENDORSEMENT
Engine No PY3029T325781 Office of the

The above said motor vechile has been assigned the Registration number and registered in the name of the applicant and the
vechile is sutbjected3aripEneFHtANshaslLease/typothecation
LiMiteG with the financier referred above
Date:
H.No: 6-159 1st Floor, Signature of the Registering Authority
To Near Axis Bank, Bus Stand Road,
The Financer
Reddy Colony, Dist:Bhupalapaly.
Jayashaa
(to be sent by registered post aEtaejangana
Specimen signature or thumb-impression of the person to be registered as Registered Owner and Financier are to
FoSriresnveinene9aixing
be obtained in original and attestation by the Registering Authority with office seal in form 23 and 24 in
Aitpnikesi of seal a stamp and attestation shall fall upon each signature
Specimen signature of the financier Specimen signature of the Registered Owner
(1)
(1)
(2). SAised Signatory (2)
For: ShrimFinance Limi..

Authorised Signator
 VENKAT SAI ENTERPRISES PRIVATE LIMI
H.NO.8-6-300,HYD. ROAD, KOTHIRAMPUR,KARIMNAGAR URBAN,KARIMNAGAR
FORM - 21
(See Rule 47 (a) and (d))
SALECERTIFICATE
Certified that JOHN DEERE 5210 4WD GEAR PRO BSIIIA has been delivered on 12-01-2024 by us to
EDDHU BARGAVARAMUDU
1 Name of the buyer
2 Permanent Address Temporary Address
#4-157/E #4-157/E
LAXMIDEVIPET LAXMIDEVIPET
VENKATAPUR VENKATAPUR

MULUGU MULUGU

VENKATAPUR (M) VENKATAPUR (M)

MULUGU (DT) MULUGU (DT)
TG TG

The vehicle is held under agreement of Hire Purchase/Lease/Hypothecation with, SHRIRAM FINANCE
LIMITED

Details of the vehicle are given below:

1 Class of Vehicle Tractor for Agricultural Purpose
2 Maker's Name JOHN DEERE INDIA PVT LIMITED
3 Chassis No. 1VY5210EAPBO20160
4 Engine No. PY3029T325781

5 Horse Power / Cubic Capacity 48.95/2940.00

6 Fuel Used DIESEL

7 No. of Cylinders 3

8 Month & Year of manufacture 01-2024

9 Seating Capacity (including driver) 1

10 Unladen Weight 2505.00

11 Maximum axel weight &number &Description of tyres (In case of Transport vehicle)
9.50X
a) Front Axle= 24, b) Rear Axle=
8/12
PR
16.9 X
c) Any Other Axle= 28, 12 d) Tandem Axle=
PR

12 Colour of Body GREEN

13 Gross Vehicie Weight 2505.00

ATSA
ENTERA)
14 Type of Body Open
15 Blinkers / Indicators Fitted
MYLUGU *

Atorieedslatory
(VENKAT SAI ENTERPRISES PRIVATE LIMI)
 FORM - 20
(See Rule 4Z)
APPLICATION FOR REGISTRATION OF AMOTOR VEHICLE
(To be made in duplicate if the vechile is held under an aggrement of hire-purchase/lease/hypothecation and
duplicate copy with the endorscment of the registring authority to be returncd to the financicr simultaneously on
registration of motor vehicle)

To
The Registering Authority,
RTA MULUGU - TS037
1. Full Name of person to be registred as EDDHUBARGAVARAMUDU
Registered owner
Son/Wife/Daughter of MOGILI

Age of person to be registered as Registered

|Owner

3 Permanent Address (Proof to be enclosed) #4-157/E

(Electoral Roll/Life Insurance/ Policy/ Passport/ Pay slip LAXMIDEVIPET
iSsued by any office of the Central Government/State
Government or a local body/ Any other document or |VENKATAPURMULUGU
documents as may be prescribed by the State Government)
VENKATAPUR (M)
MULUGU (DT)
TG
4 Termporary/Official Address (if any) #4-157/E
LAXMIDEVIPET
VENKATAPUR
MULUGU
|VENKATAPUR (M)
MULUGU (DT)
TG
5 Duration of stay at the present address
6. The annual income and PAN/GIR number of
the owner
7 (a)Place of Birth Village/Town/City:
Mandal/Zone:
District:
State:
(b) Date of Birth 02-07-2000
8. If place of birth outside India, when migrated
to India
9. Declaration of citizenship status
)If deemed citizen or citizen by birth (Birth
certificate and school certificate in support of citizenship as
Indian to be endosed)

(Gi) If citizenship is acquired by

Descent/Registration (In case citizenship acquired by
descent, birth certificate, Land/Property document of
parent/in case of citizenship acquired by registration,
certificate to be encdosed)
(üi) If citizenship by Naturalization (certificate of
Naturalization and certificate of registration to be endosed)
(iv) If Non-Indian Citizen (Valid passport or other
travel doCuments and such other document or authority as
may be prescribed by law to be endosed)
10. Name and address of the Dealer or VENKAT SAI ENTERPRISES PRIVATE LIMI
Manufacturer from whom the vechile was H.NO.8-6-300
purchased(sale certificate and certificate of HYD. ROAD
road worthiness issued by the manufacturer to KOTHIRAMPUR
be enclosed) KARIMNAGAR URBAN
KARIMNAGAR
KARIMNAGAR - 505001
|11. |If ex-army vechile or imported vechile,enclose
proof.If locally manufactured Trailer/Semi
traile,encose the Approval of design by the
 State Transport Authority and Note the
proceedings number and date of approval
12. Class of vechile Tractor for Agricultural Purpose
(if motor cycde, whether with or without gear)
13. The motor vehicle is
(a) a new vehicle
(b) ex-army vehicle
(c) imported vehicle
14. Type of body Open
15. Type of vehicle Non Transport
JOHN DEERE INDIA PVT LIMITED
16. Makers name
17. Month and year of manufacture 01-2024

18. Number of cylinders 3

48.95
19. |Horse power
20.Cubic capacity 2940.00

21. Maker's classification or if not known, wheel 2055

base
1VY5210EAPBO20160
22. Chassis No.(Affix pencil print)
23. Engin Number or Motor Number in case of PY3029T325781
Battery Operated Vehicles
|24. Seating capacity (including driver)
|25. Fuel used in the engine DIESEL
|26. Unladen weight |2505.00
27. Particulars of previous registration and
registered number(if any)
28. Colour or colours of body wings and front end GREEN
here by dedare that the motor vechile has not been registered in any state in India
ADDITIONAL PARTICULARS TO BE COMPLETED ONLY IN THE CASE OF TRANSPORT VEHICLES OTHER THAN MOTOR CAB
29. Number,description,size and ply 9.50 X
rating of tyres, as declared by the 24,
manufacturer a) Front Axle=
8/12
PR
b) Rear Axle=
16.9 X
c) Any Other
Axle=
28, 12
PR
d) Tandem Axle=

30. Gross vehicle weight (a) as certified by manufacturer 2505.00 Kgms

(b) To be registered 2505.00 Kgms
31. Maximum axle weight a) Front Axle= 1295.00

b) Rear Axle= 1510.00

c) Any Other
0.00
Axle=
d) Tandem Axle= .00
32. (a)Overall length
|(b)Overall width
(c)Overall height
(d)Over hang

The above particulars are to be filled in for a rigid frame motor vehicle of two or more axle for an articulated vehicle of
|three or more axles o,to the extent applicable,for trailer,where a second semi-trailer or additional semi-trailer are to be
|registered with an articulated motor vehicle. The following particulars are to be furnished for each such semi-trailer
33. Type of body Open
 34. Unladen weight 2505.00
35. Number,description and size of tyres
on each axle
36. Maximum axle weight in respect of
each axle
|37. The vechile is covered by a valid Insurance Certificate or Cover Note
certificate of insurance under |NoPO024300047/4107/100577
Chapter XI of the Act
Date 12-01-2024
of
(name of company)valid from 12-01-2024 to 11-01-2025

38. The vechile is exempted from

insurance. The relevant order is
enclosed
39. |1 have paid the prescribed fee of Rs.

Signature or thumb impression of

Date: the person to be registered as
registered owner
Note:-The motor vechile above described is
() Subject to Hire-purchase agreement/lease agreement with
(ü) Subject to hypothecation in favour of SHRIRAM FINANCE LIMITED.
(in) Not held under Hije;purghase agreement,or lease agreement or subject to hypothecation whom such
For:9HIeEetsnepheboie, ithe vechile is subject to any such agreement the signature of the Financier with
been entered into is to be obtained.

Signatuf UierisadSignatany an Agreement of Hire Signature or thumb impress of the registered owner
purchase, Lease or Hypothecation has been entered into
CERTIFICATE OF INSPECTION OF MOTOR VECHILE
Certified that the particulars contained in the application are true and that the vehicle complies with the requirements of
the Motor Vehicles Act 1988 and the Rules made there under

Date: Signature of the Inspecting Authority

Ref No Name
TR No TS02BJTR2413 Designation
Chassis No 1VY5210EAPB020160 OFFICE ENDORSEMENT
Engine No PY3029T325781 Office of the

The above said motor vechile has been assigned the Registraion number and registered in the name of the applicant and the
vechile is subjectriramninanesrbilAfhypothecation with the financier referred above
Date: H.No:6-159 1st Floor, Signature of the Registering Authority
To Near Axis Bank, Bus Stand Road,
The Financer Reddy Colony, Dist:Bhupalapally
dayashankar-506..169..Telangana.
(to be sent by registered post acknowledgment due)
Specimen signature or thumb-impression of the person to be registered as Registered Owner and Financier are to
be obtained in original application for affixing and attestation by the Registering Authority with ofice seal in form 23 and 24 in
such a manner that the part of impression of seal or a stamp and attestation shall fall upon each signature
Fo&hricam FinArSmited Specimen signature of the Registered Owner
() Ca (1)
(2) (2)
Authorised Signatory
For: Shriram Finance Limite

Authoised Sígnatory
 OMAGMA HDI
Genoral insurance Compary Ltd.

DEVELoPMENT HOUSE, 24 Park Street, Kol -700016

In case of any query
UIN: 18DAN149RP0006vo2201213 -70a00
ontact us
266
3202

cOMMERCIAL VEHICLE PACKAGE MISCELLANEOUS GROUP OF VEHICLES POLICY

CERTIFICATE OF INSURANCE CUM SCHEDULE /TAX INVOICE
& 59/6, AMEERPET HYDERARAD TELANGANA PH: (1800) 2663202
Policy Servicing Office G-2. GROUND FLOOR, MANDHANA TOWERS, 7-1-59/2
PO024300047/4107/10052
Mr EDDHU BARGAVARAMUDU 1A-S1 Hrs of 2024
Policy No
insured
NOGILI ,H.NO 4-157/E
LAXMIDEVIPET
Period of Insurance
12OMe2s
of
AddresS S/O neoo0218
VENKATAPUR MULUGU Agent No.
Agent Contact No.: HO96663708
WARANGAL (URBAN) saiharvesters2008@amail.com
TELANGANA 506345 Email ID:
Mobile:7989683238 SHRIRAM FINANCE LTD.
798968323A Hypothecation with
Contact Number VENKATSAIINSURANCEOGMAILCOM
Email 1D: Unregistered
GsT Number PREMIUM COMPUTATION
INSURED MOTOR VEHICLE DETAILS AND Public/ Private SEATING
Year of Make/Model/Type of Body CC/HP/GVW Carrier CAPACITY
Registration Mark & No.& . . eemnt t Trolley Chassis Engine No. Chassis No.
No Manufacture
RTA LOCation MFWD/TRACTOR
PY3029T325781 1vY5210¬APB020160 JOHN DEERE 5210
5o/0
NEW 2024
WARANGAL 1DV (INSURED'S DECLARED VALUE)
Electrical/electronic Other accessories ? Total Value
Non Electrical Accessories Bi-Fuel kit(LPG/CNG)
IDV of Vehicde Traies R Accessories
1167112
0/0
1167112 UABILmY(B)
OWN DAMAGE(A)
7,267.00
4.541.58lBasic- TP
Year(s) 750.00
681.24 PA Owner Driver -sI Rs.1500000 Tenure 1
Basic - 0D
Loss/Camage to lamps/tyres/mud guards etc. - IMT-23 50.00
5,222.82Under WC act- Driver/cleaner/employees-IMT 28
Sub Total 8,067.00
5,223.00Sub Total
Total Own Damage Premium(A) 8,067.00
Total Liability Premiu m(B)
Premlum Computation
13.290.00
Total Package Premium(A+B)
cGST G 99% 1,196.10
1,196.10
SGST 9
15.682.00
TOTAL
Disclaimer:The Exclusions in thus policy are as specified In the pre inspection report ID:
aning of the Motor Vehices Act, 1988 or such a carriage falling under Sub-section 3 of Sectign 66 af the Motor
TMITATONS AS TO USE -The Policy covers use only under a permit within the meaning ort i d acinn h) Pace Making. o Relability Trials, d) Speed Testing. e) Use whilst draing
ar

vehide's Act 1988.

traier except Use only
the towing lor tthan
(other agricultural and torestry
for reward) of anY purpesicallv oropeled vehicle (only for Passenger Carrying Vehides
a trailer except the towing (other than for reward) of any one
The Poloy does not cover use ror ej b) Pace Making, ) Reliabiity Trials, d) Speed Testing, e) Use whilst drawing
disabled Mechanically propelled vehi yDenoer Carrying Vehicles).
Persons or dasses of personany person induding Insured:
entitled to drive or obtaining such
license at the time of the accident and is not disqualifed from holding
Jch a license
ovIded that the person driving holds an effective driving of ers at the time of the acodent
Non-transport Vehicdes Provided also that the person holding an effective oflearner's license may also drive the vehicle when not used for the transport
of The Central Motor Vehicles Rules, 1989.
and that such a person satisfies the requirements Rule 3
IMITS OF LIABILT Damage to Third Party Property Rs. Under
PA Owner - Driver as per
Under in respect of any one Under
under Compulsory in respect of each and every claim : Rs. Section accident -- As per Section 750000/- in respect of any one claim Section III: um computatin
Section under Sec I of motor pollcy : Rs. 5835.56/- Imposed Motor Vehicde Act 1-I (ü) lor series of claims arising out of one able
able
|II-I (0)
event.
21.(MT 23.JMI 2A
Subject to I.M.T Endorsement Nos. IMT 7.IMT
NOMINATION DETAILS Age of Nominee Relationship Percentage
Name of the Nominee Date of Birth of Nominee
4 Father 100
01/01/1977
MOGII the provisions of chapter X and chapter XI of M.V. Act. 1989.
as well as this Certificate of Insurance are issued in accordance with
t/We hereby certuty that the Policy to which this Certificate relates

Premium Amount in Word's (°): Fifteen Thousand Six Hundred Eighty-Two Only For Magma HDI General Insurance Co, Ltd.
ho case of Claims, please contact us at 1800 266 3202

Date of Issue 12/01/2024

Place Kolkata

Paid vide G.O No. dated

Consolidated Stamp Duty on the issue of General Insurance Policies
GST Number of MHDI- 36AAGCM1685C1 ZK
GST InvoIce iumber - POL3601240002233
AcCounting Code for Service - 997134, Motor vehide insurance services

Place of Supply:TELANGANA ( 36 )
Authorised Signatory
Whether Tax is payable on Reverse Charge No
UIN 1RDAN149RPoo00V02201213
ris s a Vald Tax invokce in terms of Sub-rule 2 of Rule 54 of CosKue 201 being Insurance Company, issuing of
l3020dated 21st March 2020 issued
-invoice and Qh Cade are hat ePpicae o b dedare that thGugh our aggregate turnover in any preceomy
anrla trom 2017-18 onwards is more than the sggregate turnover notified under sub-rule (4) of rule 48, we are not
an unvoIce in terms of the provIsIons of the said sub-rule,
IMPORTANT NOTICE

The Insured is not ndemnified if the vehicle is used or driven othennwise dance with this schedule. Any payment made by the Company by reason ot wider terms appearing in the
kertuficate un order to comply wth the Motor Vehide At, 1988 is recoverabl fron the Insured. See the clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY". For legal
nterpretation Engishverson wl be gout. Piease note that any msrepresentation, non disclosure or wthhold ing of material facts will lead to cancellation of policy ab intio mith forfeiture of premium
and non consideraton of daim, f any

As per the GST regulatons, the amount of GST wl not be refunded if the policy/ endorsement is cancelled after 31st October of the next financial year.
For Complete details of coverage, ter ms, conditions &exdusion please refer the standard policy word1ng attached with this schedule
LMPORTANT - 1) The Validity of this Certificate of Insurance cum Schedule is subject to realisation of the premium cheque.
2) No CaimBonus will onlybe allowed provided the Policy is renewed within 90 days of the expiry date of the previous policy.
b) This document is digitally signed, hence counter signalure / stamp is not required.
l4) For detailed terms &conditions please refer our website www.magmahdi.com
 Subject to HYDERABAD jurisdiction
VENKAT SAI ENTERPRISES PRIVATE LIMITED
(Authorised Dealers for JOHN DEERE INDIA PRIVATE LIMITED)
Branch:H.No: 6-58, Mangapeta Road, MULUGU, Dist JS Bhupalpally. TS
AdminOff: #8-6-300, Kothirampur, Karimnagar, RegdOff: Sy. No. 141/B, Kandlakoya, Medchal, Malkajgiri, TS
Telangana, 505001 501401

GST INVOICE
GSTIN:36AAECV5358D1Z9
Sold To CIN-U34103TG2013PTCO89369
Customer Name EDDU BARGAVARAMUDU
Address: Slo. W/o / D/o. :EDDU MOGILI Date: 12-01-2024
Vill:HNO. 4-157/E, LAXMIDEVIPETA
Invoice No MLG24TI 112
Mdl VENKATAPUR
Dist: MULUGU. Hypothecation With
State:Telangana, India SHRIRAM FINANCE LIMITED
Ph: CHOPPARI ARUN KUMAR-42338 MULUGU

GSTIN PVT.LTD.
MANUFACTURED BY JOHN DEERE INDIA
TRACTOR- MODEL 5210 IGST 12%
Assesatble CGST 6% SGST 6% Net Amount
Unit Rate Value Rs Rs
Particulars Rs

00 1167112.00
Vehicle 62523.86 62523.86
1167112.00 1042064.29
5210
Chasiss Number
1VY5210OEAPB020160

Engine Number
PY3029T325781

HSN Code: 87019200

Net Invoice Value 1167112.00

our Assesable Value Total 1042064.29
as a authorised dealer of John Deere India Pvt Ltd
This is to inform all over esteened customers that, not agent of JD for any purpose any
relationship and dealing with JD are on principal to principal basis .We are to us, spares pursuant to our
SGST Amount 62523.86
/ their bank
advance payment of purchase of tractor made / given by the customer for any vicarious liability to the
CGST Amount 62523.86
invoIce, are our own liability, and JD are in no way, implicity or explicity, responsible
of and implements there of by us." IGST Amount 00
cUstomer for the refund of advance q1ven or delay in delivery or non-delivery tractor
TCS AMOUNT 11671.00

RTO Registration, Accessories, Insurance are over And above Round off Amount 00

Total Invoice Value 1178783.00

Amount in words : Eleven Lakhs Seventy Eight Thousand Seven Hundred and Eighty Three
rupees only
For VENKAT SAI ENTERPRI^PSrVATEMTED

Customer Signature GREEN FIELDS -GOLDEN YIELDS Authaused Sigrut

 Form 22

(See rules 47 (1) (g)I

ROAD WORTHINESS CERTIFICATE
Standards
For Compliance to Emission and Noise
or Importer along with the vehicle)
(To be issued by the Manufacturer
and the rules made thereunder:
complies with the provisions of the Motor Vehicles Act, 1988,
vehicle
It is certified that the following
5210 4WD GEARPRO
Name of the vehicle
1. Model / Commercial
:1VY5210EAPB020160
2. Chassis number
PY3029T325781
3. Engine number
TREM IIIA
4. Applicable Emission norms Approval Testing as per Central
and Pass by ncise values of the above vehicle model, obtained during Type
5. Emission, Sound Level for Horn
Motor Vehicle Rules, 1989 are given below:
: CAVS/T-1327/1452/2019-20
No.
i. Type Approval certificate
ii. Type of Fuel : Diesel
Vehicles)
lgnition Engine or Compression lgnition Engine
ii. Emission values for vehicles: - Table (Positive

Units(as applicable) Value (up to 3 decimal places)

Sr. No Pollutant (as applicable)

(3) (4)
(1) 2)
0.97
1 Carbon Monoxide(CO) g/kWh
0.13
2 Hydrocarbon, (THC/HC) g/kWh
NOT APPLICABLE
3 Non-Methane Hydrocarbon(NMHC) g/kWh
g/kWh 6.72
4 Oxides of Nitrogen(NOx)
6.86
Sa HC + NOx g/kWh
5b THC + NOx ng/kWh
mg/kWh NOT APPLICABLE
6 Methane (CH4)
NOT APPLICABLE
7 Ammonia (NH3) PPM
Mass of Particulate Matter (PM) 0.23
8 g/kWh
Numbers/kWh NOT APPLICABLE
Number of particles (PN)

(iv) Noise level (as applicable):

a) Horn (for all vehicles other than agricultural tractors and construction equipment vehicles) as installed on the vehicle: 92-112 dB(A):
b) Pass by or Bystander's position<=88 dB(A);
Driver-perceived or Operator's ear level (as applicable for agricultural tractorganNEAtruction equipment vehicles) <=92
dB(A)
DEWAS)
wokKÉ
(Aûthonged Sigzátory)

John Deere India Private Limited

Dewas Works
2 JOHN DEERE Dewas Bhopal Highway, District Dewas
Survey no 501, Khatamba Village
455115 DEWAS
INDIA