[ See Rule 52 (1) ]

Form of application for renewal of Certificate of Registration of a Motor Vehicle, other than a transport vehicle

The Licensing Authority,

hereby apply for the renewal of the certificate of registration which is attached, the particulars of which are as follows:
(a) Registered number
(b) Date of issue
(C) Date of expiry

Registering authority by which

the certificate was issued / last renewed

(e) My present address is

The renewal of the certificate has not been refused by any registering authority.

I hereby declare that the certificate of registration has not been cancelled or suspended by any registering authrotiy.

The particulars are as follows.
1. Class of vehicle
2. The Motor vehicle was registered as .
(a) A new vehicle (b) Ex-army vehicle (c) Imported vehicle
3. Type of body 5. Month & Year of manufacutrer
4. Maker's name 6. Number of Cylinders
7.a) Cubic capacity
cc. b). Horse Power
8. Maker's classification
9. Chassis Number:
(Affix pencil print)
10. Engine Number
11. Seating capacity (including driver)
12. Fuel used in the engine:
Petrol Diesel Any other fuel
13. Unladen weight Kgms

I enclose the certificate of insurance for perusal and return. I have paid the fee of Rs.

Date: Signature or thumb impression
of the applicant

Note: The motor vehicle above described is not subject to an agreement of hire purchase, lease or hypothecation.

The vehicle is:

  1. Subject to hire-purchase agreement/lease agreement with
  2. Subject to hypothecation in favour of

    . Signature or thumb impression
    of the owner


    Inspected the vehicle . Verified the chassis number and engine number. Certified that the particulars contained in the application and the corresponding particulars declared in the certificate of registration of the vehicle are true and that the vehicle complies with the requirement of the Motor Vehicle Act,1988 and rules made thereunder.

    Date:____________________ Signature of the Inspecting Authority

              Name: ___________________
    Designation: ____________________
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