यातायात पुलिस कर्नाटक

Traffic Police Karnataka

(मोटर यान अधिनियम, 1988 व इसके अधीन बने नियमों को भंग करने की सूचना (Infringement report under Motor Vehicles Act, 1988
and Rules made thereunder)

ಕಚೇರಿ / ಸ್ಥಳ / Office Name : Shimoga

(https://itmschallan.parivahan.gov.in/pushPhoto_2/KA/RLVD/SPD20231231093855-
(https://echallan.parivahan.gov.in/www/img/no_image.png)
(https://itmschallan.parivahan.gov.in/pushPhoto_2/KA/RLVD/SPD
109.1.jpg) 109.2.jpg)

ಚಲನ್ ದಿನಾಂಕ/Challan Date : 31-12-2023 09:21:32

ವಾಹನ ವರ್ಗ/ Vehicle Class: M- ಮಾಲೀಕರ ಹೆಸರು/Challan no: KA4181535240101023531
Cycle/Scooter(2WN)
ನೋಂದಣಿ ಸಂಖ್ಯೆ./Vehicle no KA15EF4195 ಚಾಸಿಸ್ ಸಂಖ್ಯೆ/Chassis no: MD626AK45N1C*****
ಪುಸ್ತಕ ಸಂಖ್ಯೆ/Book no ......... Engine no / Motor No: BK4CN15*****
ಮಾಲೀಕರ ಹೆಸರು / Owner's Name: V*R*N*P*A*A*N*
ಫಾರ್ಮ್ ಸಂಖ್ಯೆ /Form no: .........
: *******759
Owner's Address V*N*B* *A*A*,*O*P*F*R*S* *F*I*E* *A*A*,*S*i*o*a*5*7*0*

Driver's name ........

ತಂದೆಯ ಹೆಸರು/ Father's name ........
Age ........
DL no. ........ Validity .........
ಉಲ್ಲಂಘನೆಯ ಸ್ಥಳ/ Place of incident Sandesh motors circle from Ashoka circle Lane A

Document Impounded:
No Document Impounded
Offences Charged with:-
1: Jumping Traffic Signal/ Red Light Violation ( Section 3 and 4 r/w Section 180 of the MV Act )[Fine - 1000]
:- 1000/-
Penalty specified against above offences charged (in numerals and words): 1000/-
Rupees: One Thousand 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
East PSI
(trafficeastshi@gmail.com)
PSI

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

................. ......................... ..................... 1000
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 1000 in
favour of Government of State.

Name and signature of Violator (Driver/Owner)

V*R*N*P*A*A*N*/.........

Copyright © 2018 National Informatics Centre