17. Chassis number (Suffix pencil print) Published on National Portal of India (india.gov.in) Transport Department Application for Registration of Motor Vehicles [See Rule 47] FORM 20 (To be made in duplicate if the vehicle is held under an agreement of Hire Purchase/Lease/ Hypothecation and duplicate copy with the endorsement of Registering Authority to be returned to the Financier simultaneous on Registration of motor vehicle) To THE RESISTERING AUTHORITY. Full name of person to be registered as registered 1. owner Son / /Wife / Daughter of Age of the person to be registered as registered owner 2. 3. 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 5. Name and address of the Dealer or Manufacturer from whom the vehicle was purchased 6. If ex-army vehicles or imported vehicle, enclose proof. If approvalof design by the StateTransport Authority and note the proceedings number and date of approval. Class of vehicle 7. (If motor cycle, whether with without gear) a new vehicle (a) 8. The motor vehicle is (b) Ex-army vehicle (c) imported vehicle 9. Type of body 10. Type of vehicle Maker's name 11. 12. Month and year of manufacture Number of cylinders 13. 14. Horse power 15. Cubic capacity 16. Maker's classification or if not know wheel-base Government of Orissa 18. Seating capacity (including driver) 19. Fuel used in the engine 20. Unladed weight 21. Particulars of previous registration and registered number (if any) Colour or colours body, wings and front end 22. 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. 23. Number, description and size of types, (a) Front axle Rear axle (b) (c) Any other axle (d) Tandem axle Gross Vehicle weight 24. (a) as certified by the manufacturer Kgms (b) to be registered Kgms Maximum axle weight 25. Kgms (a) Front axle Kgms (b) Rear axle Kgms (c) Any other axle Kgms (d) Tandem axle Kgms 26. (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 axles for an articulated vehicles of three or more axles, or, to the extent applicable for trailer, where a second semi-trailer or additional semi-trailer are to be registered with an articulated motor vehicle. 27. Type of body Unladen weight 28. 29. Number, description and size of tyres on each axle Published on National Portal of India (india.gov.in) 30. Maximum axle weight in respect of each axle The Vehicle is covered by a valid certificate Insurance certificate or Cover note of insurance 31. under Chapter XI of the Act No Date (Name of Company) of valid from to 32. The vehicle is exempted from Insurance The relevant order is enclosed 33. I have paid the prescribed fee of rupees Date Signature or thumb impression of the person to be registered as registered owner. Note : The Motor Vehicle above described is : Subject to Hire-Purchase agreement/Lease agreement with (i) (ii) Subject to hypothecation in favour of (iii) Not held under Hire-Purchase agreement, or lease agreement, or subject Hypothecation CERTIFICATE INSPECTION OF MOTOR VEHICLE Certified that the particulars contained in the application are the true and that the vehicle complies with the requirements of the Motor Vehicle Act, 1988 and the Rules made there under. Signature of the INSPECTING AUTHORITY Name Designation (For OFFICE ENDORSEMENT ) Office of the Ref. No. Dated The vehicle 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 of hire purchase lease/hypothecation. TO Registering Authority Name and address of the financer By registered post or deliver under proper acknowledgment. Published on National Portal of India (india.gov.in)
