Form 25
Form 25
TN607D2412000536
To
THE REGISTERING AUTHORITY,
THIRUTTANI UO
TAMIL NADU
I ARUNKUMAR K having mobile number 9500343483 hereby apply for the renewal of the certificate of registration which is attached, the particulars of which are as
follows:
(a) Registered number : TN43G0014
(b) Date of issue : 28-May-1990
(c) Date of expiry : 11-Nov-2024
(d) Registering authority by which the certificate was issued/last renewed : THIRUTTANI UO
My present address is 335,CHITTOOR ROAD,AMIRTHAPURAM , THIRUTTANI,Thiruvallur,Tamil Nadu-631209 If this address is not entered in the certificate of registration, I
do/do not wish that it should be so entered. 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 authority.
Note :- The motor vehicle above described is not subject to an agreement of hire purchase, lease or hypothecation.
The vehicle is:
(i) Subject to hire purchase agreement/lease agreement with ...................
(ii) Subject to hypothecation in favour of ...................
Signature or Thumb impression of registered owner
Specimen signature or thumb impression of registered owner:
1.
2.
3.
CERTIFICATE
Inspected the vehicle-verified the chassis number and engine number. Certificate 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 ve hicle complies with the requirement of the Motor vehicle Act, 1988 and rules made
thereunder.
Signature of the Inspecting Authority.
Name .................
Designation .................