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Wednesday, 01 September 2010 05:30

Download Form of Application for Registration of a Motor Vehicle

Download forms for state: Goa
Form Details
StateGoa
DepartmentDepartment of transport
TitleForm of Application for Registration of a Motor Vehicle
LanguageEnglish
Document Size82.6 KB
Text of the PDF document(for quick reference)
FORM 20 (See Rule 47) Form of Application for Registration of a Motor Vehicle To, The Registering Authority, 1. Full name of person to be registered as registered Owner Son/wife/daughter of 2. Age of the person to be registered as registered owner. (proof of age to be attached) Permanent address of the person to be Registered as registered owner (Evidence to be produced) 4. Temporary address of the person to be Registered as registered owner 4A. The annual income and PAN/GIR number of the owner 5. Name and address of the dealer or Manufacturer from whom the vehilcle was purchased (Sale certificate and certificate of road worthiness issued be the manufacturer to be enclosed) 6. If ex­army vehicle, or imported vehicle, enclose proof if locally manufactured Trailer/ Semi­trailer enclose the approval of design by the State Transport Authority and note the preceding number and date of approval 7. Class of vehicle (if motor cycle whether with or without gear) 8. The motor vehicle is ­­­ (a) a new vehicle : (b) Ex­army vehicle : (c) Imported vehicle : 9. Type of body 10. Type of vehicle 11. Maker's name 12. Month and year of manufacture 13. Number of Cylinders ­2­ 14. Horse power ______________________________ 15. Cubic capacity ______________________________ 16. Maker's classification or if not known, wheel­base ______________________________ 17. Chassis number : ______________________________ (Affix pencil print) 18. Engine number : ______________________________ 19. Seating capacity (Including driver) ______________________________ 20. Fuel used in the engine ______________________________ 21. Unladen weight ______________________________ 22. Particulars of previous registration and registered number (if any) ______________________________ 23. Colour or colours of body wings and front end ______________________________ I hereby declare that the vehicle 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. 24. Number, description and size of tyres (a) Front axie __________________________________________ (b) Rear axie __________________________________________ © Any other axie __________________________________________ (d) Tandem axie __________________________________________ 25. Gross vehicle weight (a) as certified by the manufacturer _____________________________________kgms. (b) to be registered _____________________________________kgms. 26. Maximum axle weight (a) Front axle _____________________________________kgms. (b) Rear axle _____________________________________kgms. (c) Any other axle _____________________________________kgms. (d) Tandem axle _____________________________________kgms. 27. (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 axues for an articulated vehicles of three or more axies; or to the extent applicable, for trailler, where a second semi­trailer or additional semi­trailer are to be registered with and articulated motor vehicle. The following particulars are to be furnished for each such semi trailer. 28. Type of body _________________________________________ 29. Unladen weight _________________________________________ ­3­ 30. Number, description and size of tyres one each axie __________________________________________ 31. Maximum axie weight in Respect of each axie __________________________________________ 32. The vehicle is covered by Insurance Certificate or a valid certificate of cover note insurance under Chapter No._______________________dt.______________ XI of the Act. Of________________________Name of Company) 33. The vehicle is exempted Valid from to from insurance. The relevant order is enclosed. 34. I have paid the prescribed fee of rupees__________________________________ Date___________ Signature of the person to be registered as Registered Owner Note: The motor vehicle above described is: (i) Subject to hire­purchase agreement/lease agreement With__________________________________________________________ (ii) Subject to hypothecation in favour of________________________________ (iii) Not held under hire purchased agreement, or leaas agreement or subject to Hypothecation. Strike out whatever is inapplicable. If the vehicle is subject to any such agreement the signature of the person with whom such agreement has been entered into is to be obtained. Signature of the Owner Signature of the person with whom an agreement of hire­purchase, lease or hypothecation has been entered into. Specimen signature of the person to Be registered as registered owner: 1) 2) 3) ­4­CERTIFICATE Inspected the vehicle Certified that the particulars contained in the application are true and that the vehicle complies with requirements of the Motor Vehicles Act, 1988 and the Rules made thereunder. Signature of the Inspecting Authority Name_______________________________ Designation__________________________ (For office endorsement) Ref. Number________________________Office of the __________________________ Dated_______________ The_____________________bearing chassis number______________and engine number _________________has been assigned the registration number________and registered in the name of__________________________________________and the vehicle is subject to an agreement to hire­purchase/lease/hypothecation______________________________ Registering Authority To (Name and address of the financier) By registered post or delivered under Proper acknowledgement.
Last Updated on Friday, 17 December 2010 05:30
 

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