(Office Copy. Please Attach With The Application) : Page 1/1
(Office Copy. Please Attach With The Application) : Page 1/1
* Any modification or misuse of this receipt is an offence which shall attract legal action and punishment
* If any additional fee / balance fee is required it shall be paid at the office.
GOVERNMENT OF KERALA
MOTOR VEHICLES DEPARTMENT
Form TR5(c) (See Rule 90(a) of KTC) Table ID: 19
Transaction No: A/14714/2020
Date :31/03/2020
Payment Date : 31/03/2020
Office : SRTO, TRIPUNITHURA
GRN : KL016629144201920E
Name of Remitter : Venu Nair D
Address : Sree sankara
: G 6 Rajadhani
: Statue Junction Tripunithura
Service type : Registration Transport
Reg.No : KL 39 J 1851
Purpose : FormG-Tax Exemption
Fee : 400
Total Amount : 400.00
Amount in words : Four Hundred Rupees Only
Bank Reference No: CKM6433462 Bank : SBI
* You are instructed to submit the Online application with required documents at the counter of RT office/Sub RT Office within 3 days, belated applications shall not be entertained.
* Department is not responsible for the delay in service due to short remittance of fee,tax,service charge,cess,inaccurancy in application and documents submitted.
* This is a computer generated document and does not require any signature
* Any modification or misuse of this receipt is an offence which shall attract legal action and punishment
* If any additional fee / balance fee is required it shall be paid at the office.
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