GOVERNMENT OF KARNATAKA TRANSPORT DEPARTMENT

e-Payment Receipt (Fees)

Challan Number: ES/667334

Payment Date and Time: 2021-09-07 22:58:05.309
Sow-id: 3028200221
Licence Number: KA25 /0016274/2021|LL
Applicant ‘s Name: AHAMADBASHA NADAF
Date of Birth: 17-02-2000
RTO’s Office: RTO,DHARWAD
e-Payment Reference Number: KA2021U29453029
Name of the Bank: State Bank of India
Bank Reference Number: 2803983083822

Amount: 951.00 Nine Hundred and Fifty One Rupees only

Transaction Name Class of Vehicle Fee Additional Total
ISSUE NEW DL. LIGHT MOTOR VEHICLE,Motor Cycle with Gear(Non 200.00 0.00 200.00
Transport)
DRIVING TEST LIGHT MOTOR VEHICLE,Motor Cycle with Gear(Non 600.00 0.00 600.00
Transport)
FORM-7 FEE 151.00 0.00 151.00

Note: 1) Visit the concerned Office with required forms and documents along with this receipt.
2) Difference of Smart Card DL fee of Rs. 49/- to be paid to the Smart Card vendor (Only for DL).
3) Any tampering or misuse of this receipt is an offence punishable as per law.
4) This is a computer generated document and does not require any signature.