Owner: SARAVANAN R Mobile: 9043794693 Chassis: MD9NKFD0EAB898001

FORM 20
APPLICATION FOR REGISTRATION OR TEMPORARY REGISTRSTION OF A MOTOR VEHICLE
To,
The REGISTERING AUTHORITY
VIRUDHUNAGAR RTO
............................
1. Full Name of the Person to be registered as :
SARAVANAN R
registered owner
Son/Wife/Daughter of : RAMESH
2. Age of the Person to be registered as :
registered owner
3. Permanent address (Electoral Roll / Life :
Insurance Policy / Passport / Pay Slip issued
by
any office of the Central Government/State 4/167, TRANSPORT NAGAR
Government or a local body/Any other PUTHUPALAYAM CHATRAPATTI,SATTUR,
document or documents as may be prescribed Virudhunagar
by the State Government/Affidavit sworn Tamil Nadu
before an Executive Magistrate or a First 626203
Class
Judicial Magistrate or a Notary Public to be
enclosed)
4. : 4/167, TRANSPORT NAGAR PUTHUPALAYAM
Temporary address/Official address, if any CHATRAPATTI,SATTUR, Virudhunagar Tamil
Nadu 626203
4A. Ownership Type : INDIVIDUAL
5. Duration of stay at the present address :
6. PAN Number (Optional) :
7. Place of birth :
8. If place of birth is outside India, when migrated :
to India
9A. Nominee Name :
9B. Relationship with the nominee :
10. Name and address of Dealer or :
Manufacturer from whom the vehicle was AARA MOTORS PVT LTD OLD NO.24, NEW
purchased (sale certificate and certificate of NO.27, IRUMBULIYUR TAMBARAM WEST,
road worthiness issued by the manufacturer to CHENGALPATTU
be enclosed)
11. If ex-army vehicle or imported vehicle, enclose :
proof. If locally manufactured Trailer/Semi-
Trailer, enclose the approval of design by the
State Transport Authority and note the
proceedings number and date of approval
12. Class of Vehicle (If motor cycle, whether with :
Three Wheeler (Personal)
or without gear)
13. The Motor vehicle is (a) a new vehicle (b) Ex- :
Army vehicle (c) Imported vehicle (d) in-use E- NEW
rickshaw or E-cart
14. Type of Body : DELIVERY VAN
15. Type of vehicle : 3WN
16. Makers Name : DSR EV MOBILITY PVT LTD
17. Month and year of Manufacturer : May-2023
18. Number of Cylinder : 0
19. Horse power : 8.17
20. Cubic Capacity : 0.00
21. Maker’s classification or if not known, wheel :
DSR E-LOAD KING 2012
base
22. Chassis No(Affix Pencil print) : MD9NKFD0EAB898001
23. Engine Number or Motor Number in case of :
DSREMD72VG10220014
Battery Operated Vehicles
24. Seating Cap(Including Driver) : 1

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Owner: SARAVANAN R Mobile No: 9043794693 Chassis: MD9NKFD0EAB898001
25. Fuel used in the engine : ELECTRIC(BOV)
26. Unladen weight(kgs) : 552
27. Particulars of Previous Registration and :
Registered Number(if any)
28. Colour or colours of body wings and front end : GREEN
29. Model Manufactured Location : Manufactured in India
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
30. Number Description size and ply rating of tyres, as declared by the manufacturer
a) Front axle :
b) Rear axle :
c) Any Other axle :
d) Tandem axle :
31. Gross vehicle
a )As certified by :
manufacturer
b) To be registered :
32. Maximum axle weight in (Kg.)
a) Front axle :
b) Rear axle :
c) Any Other axle :
d) Tandem axle :
33. 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
vehicle of three or more axles, or to the extend applicable for trailer, where a second semi-trailer or additional
semi-trailer are to be registered with an articulated motor vehicle

The following particulars are to be furnished for each semi-trailer

34. Type of body :
35. Unladen weight :
36. Number, description and size of tyres on each axle
a) Front axle :
b) Rear axle :
c) Any Other axle :
d) Tandem axle :
37. Maximum axle weight in (Kg.)
a) Front axle :
b) Rear axle :
c) Any Other axle :
d) Tandem axle :
38. AC Fitted : NO
39. Gross Vehicle Weight(kgs) : 1100
40. : BAJAJ ALLIANZ. Covernote No.-OG-25-1501-
The vehicle is covered by a valid certificate of
1803-00002554, Valid From 01-Jan-2025 To 31-
Insurance under Chapter XI of the Act
Dec-2025
41. The vehicle is exempted from Insurance. :
The relevant order is enclosed. :
42. I have paid the prescribed fee of :
rupees.............................

Signature or thumb impression of the dealer

Date: ....... ....... .......

Signature or thumb impression of the owner.

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Owner: SARAVANAN R Mobile No: 9043794693 Chassis: MD9NKFD0EAB898001
Note: The Motor Vehicle above described is :
i. Subject to Hire-Purchase agreement/Lease agreement with
ii. Subject to Hypothecation in favour of
iii. Not held under Hire-Purchase agreement or Lease agreement or subject to Hypothecation

Hypothecation Details:
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 into is to be obtained.

..................... .....................
Signature of the financier with whom an Agreement of Hire-purchase, Signature or thumb impression of
Lease or Hypothecation has been entered into the registered owner
CERTIFICATE OF INSPECTION OF MOTOR VEHICLE WHOSE BODY HAS BEEN FABRICATED
SEPARATELY TO THE PURCHASED CHASSIS
Certified that the particulars contained in the application are true and that the vehicle complies with the requirement of the Motor Vehicle Act, 1988
and the Rules made there under.

Signature of the INSPECTING AUTHORITY

Name: ....... ....... ....... .......
Date: ....... ....... ....... Designation:....... ....... ....... .......
Ref.No ....... ....... .......
(FOR OFFICE ENDORSEMENT)

Office of the ...... ....... ....... ....... .......

The above said motor vehicle has been assigned the Registration number TEMPREG . and registered in the name of the applicant and the vehicle
is subject to an agreement of Hire-purchase/ Lease/ Hypothecation with the Financier referred above.

Date: ....... ....... ....... Signature of the Registering Authority

To,
The Financier ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... .......
....... ....... ....... .......

(TO BE SENT BY REGISTERED POST ACKNOWLEDGMENT DUE)

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 Authority with office seal in Forms 23 and 24 in such a manner that the part of impression
of seal or a stamp and attestation shall fall upon each signature.

Specimen signature of the Financier Specimen signature of the Registered Owner

(1)……………………………………………………… (1)………………………………………………………
(2)……………………………………………………… (2)………………………………………………………

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