FORM SR-17 [See Rule 41(2)] Form of application for Temporary Registration of Motor Vehicle To, The Registering / Prescribed Authority ............................................................ 1. Full name of person to be registered owner Son/Wife/Daughter of 2. Permanent address of the applicant (evidence to be produced) 3. Place where vehicle shall be permanently registered 4. Name and address of the dealer or manufacturer from whom the vehicle was purchased (sale certificate and certificate of road worthiness issued by the manufacturer to be enclosed) 5. Class of Vehicle (If Motor Cycle, whether with or without gear) 6. The Motor Vehicle is: (a) A new vehicle (b) Ex-army vehicle (c) Imported vehicle 7. Type of vehicle 8. Type of body 9. Maker's name 10. Month and year of manufacturer 11. Horse power 12. Cubic capacity 13. Maker's classification or if not known, wheel base 14. Chassis number (Affix Pencil Print) 15. Engine number 16. Seating capacity (including Driver) 17. Fuel used in the engine 18. Unladen weight 19. Gross vehicle weight (a) as certified by the manufacturer (b) to be registered 20. Colour / colours of body, if any 21. Purpose of temporary registration 22. I have paid the prescribed fee of Rupees (Fee shall be as prescribed in Rule 81 of Central Rules in respect of registration of vehicle applied for) I hereby declare that the vehicle has not been registered in any State in India. Signature of the owner.
