FORM. V. Rep. A [See rule 89(1)] Goa Motor Vehicles Rules, 1991 Form for application for replacement of Motor Vehicles covered by any permit Name of applicant (in full) ............................... Address ....................................... Number of permit .................................... Valid upto ........................................ Registration mark .................................... I desire to replace the present motor vehicle number .................. by another motor vehicle number bearing registration mark ............ the details of which are given below:- Present Proposed Motor replacer Vehicle motor vehicle (i) Make (ii) Year of manufacture (iii) Type (iv) Fuel (v) Seating capacity/R.L.W. (vi) Validity of Certificate of Fitness (vii) Other details considered necessary such as Tax and insurance. The reasons for replacement are: - The replacer vehicle will be ready for operation on or before.......... Signature of applicant Dated: ....... 200.... If the replacer vehicle is not in possession of the applicant, he shall state details except registration mark of the vehicle he proposes to purchase. Note: please pay the cost of this form at the concerned RTO Price: Rs. 10. 00 Printed from www.goatransport.com
