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Customer Signature
Payment Receipt No : RCT-AP070002-2021-03668 Payment Receipt Date: 05/06/2021
For AAR AUTOCORP PRIVATE LIMITED
Authorized Signatory
Payment Receipt No : Payment Receipt Date:
RCT-AP070002-2021-03668 05/06/2021
Become member today and avail exciting offers on services
& discounts at partner brands
Note : Service Schedule for your BSVI model is available on next page.
Free Service Schedule Kms* Days*
1st Free Service 750-1000 15~30
* Kms or Days,
2nd Free Service 5500-6000 165~180 whichever comes
earlier
3rd Free service 11500-12000 350~365
(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 REGISTERING AUTHORITY
1. Full name of person to be registered as registered NAVEEEN PERAMALASETTY
owner Son/Wife/Daughter of
Mobile #
9441955866
5. Name and address of the Dealer or Manufacturer from AAR AUTOCORP PRIVATE LIMITED
whom the vehicle was purchased PLOT NO.42, SRIHARI NAGAR, MINI BYE-PASS,
NELLORE, ANDHRA PRADESHNELLOREAP524003
Contact # 9849138802
6. If ex-army vehicles or imported vehicle, enclose proof.
If approval of design by the State Transport Authority and
7. Class of vehicle
(If motor cycle, whether with or without gear)
8 The Motor vehicle is
(a) a new vehicle NEW VEHICLE
(b) Ex-army vehicle NA
(c) imported vehicle NA
I hereby declare that the Motor 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.
25. Number, description and size of tyres
(a) Front axle
(b) Rear axle
(c) Any other axle
(d) Tandem axle
33. The Vehicle is covered by a valid certificate Insurance certificate or Cover note of insurance under Chapter XI of the
Act................ .No............... Date................of............... (Name of Company) valid from ................to..............
Strike out whatever is inapplicable, if the vehicle is subject to any such agreement the signature of the
Financier with whom such agreement has been entered in to is to be obtained
Signature of the financier with whom an
Agreement of Hire-Purchase, Lease or Signature or thumb impression
Hypothecation has been entered into of the registered owner
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.
Specimen signature or thumb-impression of the person to be registered as Registered Owner and Financier are to be
obtained in original application for affixing and attestation by the Registering stamp and attestation shall fall upon each
signature.
Specimen signature of the Financier Specimen signature of the Registered Owner
(1) (1)
(2) (2)
(3) (3)
Form 22
[See rules 47 (1)(g)]
ROAD-WORTHINESS CERTIFICATE
For
It is certified that the following vehicle complies with the provisions of the Motor Vehicles Act, 1988, and the rules made
thereunder:
1. Model / Commercial Name of the vehicle : ACTIVA 6G
TABLE
Positive Ignition Engine or Compression Ignition Engine Vehicles
Pollutant Units Value
Sr. No.
(as applicable) (as applicable) (upto 3 decimal places)
(1) (2) (3) (4)
1. Carbon Monoxide (CO) mg/ km or mg/kWh or g/kWh 110.470
2. Hydrocarbon, (THC/HC) mg/ km or mg/kWh or g/kWh 36.786
3. Non-Methane Hydrocarbon (NMHC) mg/ km or mg/kWh or g/kWh 33.197
4. Oxides of Nitrogen (NOx) mg/ km or mg/kWh or g/kWh 14.330
Certified that Honda ACTIVA 6G (ACTIVA 6G DLX-BSVI) BS VI has been delivered on 05/06/2021 by us to
Permanent Address :
2. 1-41/A BHATLAKANUPURU NELLORE NELLORE AP 524402
3 Chassis No ME4JF914LLG267057
7. No. of Cylinders 1
Authorised Signatory
STRIKE OUT WHICHEVER IS NOT APPLICABLE.
Registered PLOT NO.42, SRIHARI NAGAR, MINI BYE-PASS,NELLORE, ANDHRA
Office: PRADESHNELLOREAP524003