standard procedure of motor vehicle works information to citizen

7/27/2019 Standard procedure of Motor Vehicle Works Information to citizen

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Standard procedure ofMotor Vehicle W orksInformation to citizen


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NEW REGISTRATION OF VEHICLES(Sec 41 & Rule-47)

Forms and document to be submitted by the applicant:a) In the case of Non Transport Vehicles

i. F-21 (Issued by Dealer)ii. F-22 (Issued by Original Equipment Manufacturer (OEM)).iii. TCR/C.R. Temp. (Issued by Dealer/RA)it,. F-20 (Page-2)v. Address proof Attested photocopy of Electoral Roll (EPIC), Life Insurance Policy,

Passport, Pay slip of Central/State Govt.Permanent and Local address with declaration in the form of affidavit in case theapplicant's permanent address is not within this region.

vi. Insurance Certificate.b) In the Case of Transport vehicles

i. F-21ii. F-22iii. TCR/C.R. Temp.iv. F-20rv Address Proofvi. Insurance Certificate.Vii Form CIA (Page-.4)

REGISTRATION FEES FOR DIFFERENT TYPE OF VEHICLEM/C LMV(Pvt.) 3 Wheeler LMV

(Comm)11411V/MINIBUS IIMV

Regn.Fees 60 20 0 30 0 30 0 400 60 0C/F Fees - - 20 0 30 0 400 50 0Dealer Tax 20 0 800 30 0 80 0 200 0 30 00ShowroomI n s p e c t i o n

50 100 200 200 300 400

H.P 100 100 100 100 100 100Total 410 1200 1100 1700 3200 4600

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Temporary Registration Fees for the Vehicle Registration against trade certificate

M/ C LMV(Pvt.) 3 Wheeler LMV(Comm.) MMVIMINIBUS HMTemp. 100 200 200 200 400 500Rego. FeesDealer Tax2008003008002000300Showoom50100200200300400InspectionHP 100100100100100100Toa 450120080013002800400Permanent Registration Fees for the vehicle Registration against C.R.Tem.

M/ C LMV(Pvt.) 3 wheeler LMV(Comm.) MMV/MINIBUS HMRego. Fees 60 200 300 300 400 600C/F fees - - 200 300 400 500HY 100 100 100 100 100 100Total 160 300 600 700 900 120

T a x t o b e r e a l i z e d a c c o r d i n g t o v e h i c l e c l a s s .

Time Required: 7 days

V

0

0

V

0

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FORM 20APPLICATION FOR REGISTRATION OF A MOTOR VEHICLE

[RULE-47](To be made in duplicate if the vehicle is held under an agreement of hire-purchase/lease /hy-pothecation and duplicate copy with the endorsement of the registering authority to be returnedto the financier simultaneously on registration of vehicle.)ToThe Registering authority1. Full name of person to be registered as

Registered owner son/wife/daughter of ....................................................2. Age of the person to be registered as registered owner ...............................................3. Permanent address of the person to be ....................................................

Registered as registered owner (evidence ....................................................to be produced)

4. Temporary address of the person to be ....................................................registered as registered owner. -

4.a) The annual income and PAN/GIR member of ....................................................the owner.

5. Name and address of the dealer or manufacturer ....................................................from w hom the vehicle was purchased (sale ....................................................certificate and certificate of roadworthiness ...................................................issued by the manufacturer to be en closed)

6. If ex-army vehicle or imported vehicle, ....................................................enclose proof. If locally manufactured Trailer/ ....................................................Semitrailer, enclose the approval of design bythe State Transport Authority and note theproceeding number and date of approval.7. Cass of Vehicle ....................................................(If motor cycle, whether with or without gear)

8. The Motor Vehicle is ....................................................a) anewvehicle, ....................................................b) ex-army vehicle, ....................................................c) imported vehicle,


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9. Type of body10. Type of vehicle11. Maker's name12. Month and year of manufacture13. Number of cylinders14. Horsepower15. Cubic capacity16. Maker's classification or if not known,

wheel base.17. Chassis no. (Affix pencil print)18. Engine no.19. Seating capacity (Excluding driver)20. Fuel used in the engine21. Unladen weight22. Particulars of previous registration and

registered number (if any)23. Colour or colours of body wings and front end

I hereby declare that the motor vehicle has not been registered in any state in India.

Signature of .........................................ADDITIONAL PARTICULARS TO BE COMPLETED ONLY IN THE CASE

OF TRANSPORT VEHICLES OTHER THAN MOTOR CAB.24. Number, description and size and ply ......................................................

rating of tyres , as declared by the man ufacturer.a) Front axle .................................................................................................................b) Rear axle ..................................................................................................................c) Any other axle ..........................................................................................................d) Tandem axle ..............................................................................................................

25. Gross vehicle weight ....................................................................................................a) as certificate by manufacturer Kgs ......................................................


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26. Maximum axle weight .......................................................a) Front axle ............................................. Kgs.b) Rear axle ............................................. Kgs.c) Any other axle .............................................. Kgs.d) Tandem axle ............................................. Kgs.

27. a) Overall length ...................................................b) Overall width ....................................................c) Overall height ....................................................d) Overhang ...................................................

The above particulars are to be filled in for a rigid frame motor vehicle of two or moreaxles for an articulated vehicle of three or more axles or, to the extent applicable, for trailer,where a second semi-trailer or additional semi-trailer are to be registered with an articulatedmotor vehicle. The following particulars are to be furnished for each such semi-trailer.

28. Type of body29. Unladen weight ...................................................30. Number, description and size of tyres on each axle ......................................................31: Maximum axle weight in respect of each axle ....................................................32. The vehicle is covered by a valid certificate of .......:............

insurance under Chapter XI of the Act. Insura nce C ertificate or cover note no.. date ....................... of......................(Name of Company)Va lid fro m ..................................... to

33. The vehicle is exempted from insurance.The relevant order is enclosed.

34. I have paid the prescribed fee ofRs..........

Date .................................. Signature or thumb impression of the personto be registered as registered owner.

Note : The Motor vehicle above described is-


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i) Subject to hire -purchase agreement /lease agreement withii) Subject to hypothecationiii) Not held under * hire purchase agreement, or lease agreement or subject to hypotheca-tion.* Strike out whatever is inapplicable.

If the vehicle is subject to any such agreement the signature of the Financier with whomsuch agreement has been entered into is to be obtained.

Signature of the financier with whom an Signature or thumb impressionagreement of hire-purchase, lease or of the registered owner.hypothecation has been entered into.

CERTIFICATION OF INSPECTION OF MOTOR VEHICLE.Certified that the particulars contained in the application are true and that the vehicle

complies with the requirements of the Motor Vehicles Act, 1988, and the Rules made thereun-der.

Date ..................................RefNo .............................Name ................................................

Signature of the Inspecting Authority

Designation ...................................................Office Endorsement

Office of the .............................................................The above said motor vehicle has been assigned the Registration number ................................and registered in the nam e of the applicant and the v ehicle is subject to an agreem ent of * hire-purchase/Lease/hypothecation with the financier referred above.Date ............................ Signature of the Registering AuthorityToT h e F i n a n c i e r(To be sent by registered post with acknowledgment due)Specimen signature or thumb impression of the person to be registered as Registered owner andfinancier are to be obtained in original application for affixing and attestation by the registeringauthority with o ffice seal in Forms 23 and 24 in such a mann er that the part of impression of sealor a stamp and attestation shall fall upon each signature.Specimen Signature offinancier Specimenignature of registered owner1 ................................................. 1 .............................................................2 ................................................ 2..............................................................

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FORMCFAApplication for certificate of fitness

[See rule 57(1) of the W est Bengal Motor Vehicles Rules, 1989]

To The R egistering AuthorityI hereby apply for the issue of a Certificate of Fitness as required by

section 56 of the Motor Vehicle Act, 1988.Registration mark of vehicle ..............................................................Name of owner ..............................................................Address of owner ..................:...........................................Place where the vehicle is ..............................................................o r d i n a r i l y k e p t

Name of manufacturer of vehicleManufacturer's model, or, if notknown, base -

Type of vehicleEngine numberChassis number

Particulars of any previousCertificate of Fitness grantedin respect of the vehicle :

Authority by which granted


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FORM-29NOT ICE OF TR A NS FER OF OW NER SHIP OF A M OTOR V EHICLE.

[RULE 55(1)](To be ma de in duplicate and the du plicate copy w ith the endorsem ent of the registering authorityto be returned to the transferee immediately on making entries of transfer of ownership incertificate or registration an d form 24)The Registering Authority(In whose jurisdiction the transferee resides)

I/We ...........................................................................................resident of............................................................................have on the ........................................... day of the year.................................................. sold and delivered my/our vehicle number.............................. make.........................................chassis number .......................... engine number ....................................... tosri/Smt.................................................................................................................................. (Nam e) Son/wife/daughter of........................................................................................................................................................ residing at ............................................................ (house No./Street village/ own, disc. and state) under an agreementofhire / purchase /lease/hypothecation with the Registration Certificate and insurance certificatehave been handed over to him/her/ them.

To the best of my /our knowledge and belief, the vehicle is not superdari and free fromall encumbrances and information furnished is true. I/We undertake to hold myself/ourselvesresponsible for any inaccuracy or suppression of information.Signature of the financier.(to give his consent)Date ........................ Signature or thumb impression

of the registered owner (transferor)Date ........................ :...I/We ............................................................................................. (Transferee)Copy to the registering authority ........................................................... in whose jurisdiction thetransferor resides.Note: To be sent to the registering authority by registered post acknowledgment .......................OFFICE ENDORSEMENTRef. No ............................ office of the.................................... The ownership of the vehicle hasbeen transferred to the name of ..................................................... with the note of the above saidagreement with effect from ....................................................(date).Date ........................................

Signature of the registering authority with office seal.* Intimation should be made a within 15 days, failing w hich punishment be impo sed.^Strike out whichever is inapplicable.


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FORM 30APPLICATION FOR INTIMATION AND TRANSFER OF

OWNERSHIP OF MOTOR VEHICLE[Rule 55(2)and(3)]

( To be made in duplicate if the vehicle is held under an agreement of hire-purchase/lease/hypothecation. The duplicate copy with the endorsement of the registering authority to bereturned to the financier simultaneously on making the entry of the transfer of ownership inthe Certificate of Registration and registration record in Form 24.)

To

The Registering Authority

PART 1 FOR THE USE OF THE TRANSFEROR

Name of the transferor ......................................................................................................son/wife /daughter of .......................................................................................................Full address ...................................................................................................................

I/We hereby, declare that I/We have on this ..........................................................................................day of the year...................................................... sold my/our motor vehicle. bearing registration mark ............................................................. to Sh/Smt.............................................................................................................................................................. son/wife daughter of ......................................................................................................... residing at............................................................................................................................................................................ (full address) and handed over the Certificate of Registration and the Certificate of Insurance to him /her/ them.

I /We hereby declare that to the best of my /our knowledge the Certificate ofRegistration of the vehicle has not been suspended* or cancelled. * I enclose the "Noobjection Certificate" issued by the Registering Authority. ** If the "No objectionCertificate" from the registering authority is not enclosed, the transferor should file alongwith his application a declaration as required under sub-section (1) ofsection 50.

Date .............................. Signature or thumb impression of the transferor.* Details of suspen sion or canc ellation. **Strike out whichever is inapplicable.

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PART II FOR THE USE OF THE TRANSFEREE

Name of the transferee ........................................................................................................son/wife/daughter ........................................................................................................ of..................................................Age ............................ Fu ll a dd res s ..................................................................................................................... (Proof a address to be enclosed).I /We, hereby declare that I /W e have on this .................... day of................... month. ................of the year ............................................................... purchased the motor vehicle bearingregistration num ber from ................... (name ) of ....................... (full address ) and request thatnecessary entries regarding the transfer of ownership of the vehicle in my/ ou r nam e m ay b erecorded in the Certificate of Registration / Certificate of Fitness of the vehicle , which is en-closed.

The Certificate of Insurance is also enclosed. To the, best of my knowledge and belief I /we have not suppressed any facts and information furnished is true. The vehicle is not superdariand free from all encumbrances I / We undertake to hold myself/ourselves responsible for anyinaccuracy of the information.

Date ................................................ Signature or thum b impression of the transferee

CONSENT OF THE FINANCIER IN THE CA SE MOTOR VEHICLE SUBJECT TOAN AGR EEMENT O F HIRE- PURCHASE/ LEASE/ HYPOTI IECATION I/ We

bearing a p arty to an agreem ent of hire- purchase/ lease/ hypo thecation in respect of m otorvehicle specified above , give consent to the transfer of ow nership of the said m otor vehicle inthe nam e of the transferee named above , with whom I/ we have entered into an agreem ent ofhire- purchase/ lease/ hypothecation . (Full name and address of the f inancier)

............................................................................. Signature of the financier.Date ............................................................ Date ...........................

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OFFICER ENDORSEMENT

Ref. No .............................................. office of the ..............................................................The transfer of ownership of vehicle under continuation of an endorsem ent of hire- purchase/hypothecation agreement has been recorded with effect from ................................... in theRegistration Certificate of the and in th e registration recorded of this office in Form 24.Date ......................................Signature of the Registering Authority

ToThe Transferor ...............................................The Financier ................................................

(To be sent to both the parties by registered post with acknowledgement due)

Specimen signature or thumb impression of the registered owner and the financier are to beobtained in the orginal application for affixing and attestation by the registering authority withthe office seal in Forms 23 and 24, in such manner that the parts of impression of seal- or stampand attestation shall fall upon each signature.

Specimen Signature offinancierSpecimen Signature of registered owner1 ............................................................ L2 ............................................................ 2.

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TEMPORARY REGISTRATION OF VEHICLES(S ec 43)

Forms and documents to be submitted by the applicant:i. F-21 ii. F-22 iii. TCR IV. F-20 v. InsuranceCertificate

Time Required: 1 day.

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FORM CR TEMPTemporary certificate of registration [See rule 60 of the

West Bengal Motor Vehicles Rules, 1989]

Temporaryregistration mark : ....................Name, nam e of father and address of owner.

Description of vehicle1. Class of vehicle: ..............................................2. Maker's name: ..................................................3. Typeof body :...................................................4. Seating capacity ...............................................5. Colour: ............................................................

............... Year of manufacture: ...........................7. Engine No ........ :...............................................8. Chassis No .......................................................

Under the provisions of section 43 of the Motor Vehicles Act, 1988, the vehicle described above has been temporarily registered by me and the registration is valid until the.......................................... day of................................ 20....

Signature of registering Authority.

Da te ........................................ 20 .

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RENEWAL OF REGISTRATION OF VEHICLES(Rule 52)

Form s and docum ents to be subm it ted by t he app licant:i. R.C. book.ii. Tax Token.Hi. Insurance Certificateiv. P. U.C.C.v. F-25 (Page 17)

. Registration Fees is the Renewal of registration

Time Required: 2 days.

Note : If "Defect Notice " is issued to the applicant by MVI(T), the applicant has to under-take repair as per D.N. and produce the vehiclefor re-inspection . In such cases timetaken will depend on repair of the vehicle and subsequent inspection.

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FORM-25APPLICATION FOR RENEWAL OF CERTIFICATE OF REGISTRATION OF A

MOTOR VEHICLE OTHER THANA TRANSPORT VEHICLE.[RULE 52(1)]

T oThe Regional Transport OfficerI, hereby apply for the renewal of thecertificate of registration which is attached, the particulars of which are as followsa) Registered no. ................................................................b) . Date of issue ................................................................c) Date of expiry ................................................................d) Registering authority by which the ................................................................

certificate was issued/last renewed.My present address is ........................................................................it this address is not

entered in the certificate of registration, I do/do not wish that it should-be so entered . The re-newal of the certificate has not been refused by any registering authority.

I hereby declare that the certificate of registration has not been cancelled or suspendedby any registering autho rity.1. Cass of vehicle ..................................................... .............2. The motor vehicle was registered as .................................................................

a) a newvehicle .................................................................b) ex army vehicle .................................................................c) imported vehicle .................................................................

3. Type of body .................................................................4. Maker's name .................................................................5. Month and year of manufacture .................................................................6. Number of cylinders .................................................................7. Cubic capacity/horse power .................................................................8. Maker's classification .................................................................9. Chassis No. (Affix pencil print)


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10. Engine No.11. Seating capacity (including driver)12. Unladen weight13. Fuel used

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 riot subject to an agreement of hire purchase, leaseor hypothecation.The vehicle is:* i) Subject to hire-purchase agreement /lease agreement with*ii) Subject to hypothecation in favour ofStrike out wh ichever is inapplicable.

Signature or thumb impressionof the registered owner.

Specimen signature or thumb impression of the registered owner.:-1.2.3.

CERTIFICATEInspected the vehicle- verified the chassis number and engine number.Certified that the particulars contained in the application and the corresponding particu-

lars declared in the certificate or registration of the vehicle are true and that the vehicle com-plies with the requirements of the Motor Vehicles Act. 1988. and rules made thereunder.

Signature of the inspecting authorityName .........................................................Designation ................................................

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RENEWAL OF CERTIFICATE OF FITNESS OF VEHICLES(Sec 56 & R ule 52)

1. Forms and docum ents to be submitted by the applicant:i. R.C. Book -ii. Tax Token-i i i. Insurance C ertificateiv.P.U.C.Cv. Form CFRAvi. Permit

.Time Required : 2 daysNote : In case Defect Notice is issued this time will vary.Fitness Fees:Truck HMV).......Rs.500Bus (HMV).........Rs. 500Mini Bus (MMV)...Rs.400Mini Truck(MMV)_rs.400Mini Truck(LMV)...Rs300L/Taxi .....................Rs. 300Van(LMV) .................Rs. 300Auto Rikshaw............Rs.200

Amount Payable for delay in production of vehicle for inspection for renewal of certificate ofFitness beyond the date of its expiry:

15 da y s One months Two months More than 2 monthsTruck(HMV) Rs.200 Rs.500 Rs.1000 Rs.1500B u s Rs.200 Rs.500 Rs.1000 Rs.1500Min iBu s Rs.200 Rs.500 Rs.1000 Rs.1500Mini Truck Rs.150 Rs.450 Rs.750 Rs.1000Taxi Rs. 100 Rs . 2 00 Rs.500 Rs.750Van(LMV) Rs100 Rs.200 Rs.500 Rs.750Autorickshaw Rs.75 R s .100 R s .300 Rs.500Trailer Rs . 75 Rs.100 Rs . 30 0 Rs.500

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FORM-38CERTIFICATE OF FITNESS,

(Ap plicable in the case of transpor t v ehicles only)[RULE 62(1)]

Vehicle no ......................................... is certified as complying with the p rovisions of the mo torVehicles Act. 1988. and the rules made there under . The certificate will expire on .......................

Date,

Signature & designation of inspecting authorityor holder of the letter of authority or

the authorised testing station.

The certificate of fitness is hereby renewed:From .............................. to...................................... 20From .............................. to...................................... 20From .............................. to...................................... 20

Signature of inspecting authority or the holder of theletter of authority of the authorized testing station.

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ISSUE OF DUPLICATE R. C. BOOK(Sec 41(14), Rule 53)

Forms and documents to be submitted by the applicant:i. F-26 (Page- 22)ii. General Diary Entry-iii. Affidavit: Stating the cause of loss/theft and declaring that the vehicle is

not under hire purchase agreement and no civil /criminal /MVcase is pending against the vehicle,

iv . N.O.Cfromfnancier, ifany,(v) Tax Token(vi) Permit incase of Transport Vehicle

Ori. F-26ii. Soiled /torn /Mutilated R. C. Bookiii. N. O . C from financier , if any.

Fees: Half of the registration Fees


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FORM 26APPLICATION FOR ISSUE DUPLICATE CERTIFICATE

OF REGISTRATION[RULE 531

(T o be m ade in duplicate if the vehicle is held under an agreement of hire- purchase / hypotheca-tion and in triplicate the original regional registering authority is different, the duplicate copyand the triplicate copy with the ensdorsement of the registering authority to be returned to thefinancier and registering authority simultaneously on issue of duplicate certificate)ToThe Registering Authority ........................................................................................ .The certificate of registration of my / our motor vehicle, the registration mark of which is......................... :................................. has be en'lost'destroyed/com pletely w ritten-off/torn/mutilated in the following circumstances ......................................................................*I / We hereby declare that to the best of my / our know ledge the registration of the v ehicle hasnot been suspended or cancelled under the provisions of the Act or Rules made there under andthe circumstance explained above are true.I / We do hereby apply for the issue of a duplicate certificate of registration.The * written- off / soiled / torn / multilated certificate of registration is enclosed.The vehicle is not held under any agreement of hire- purchase / lease / hypothecation. Thevehicle is also a not superdari and free from all encumbrances.I/We hereby declare that I / We on ............................................................ (date) have failed acomplaint (copy enclosed) with the police about the loss of certificate of registration immedi-ately after the loss has been noticed.

Date: .................................................... Signature / thumb impression ofapplicant* Strike out w hichev er is inapplicable.

The vehicle is held under *hire-purcha,e/lease/hypothecation agreement with ........................................................ and the "No objection certificate" has been * granted/refused by the financie rhereunder : Where "No objection certificate" is refused, applicant shall make a declaration asrequired under sub-section (8) of section 51.

Signature or thumb impression of the ownerName ........................................................................Full address ................................................................

Da te ..............................Note:-1) Full particulars of the circumstances shall be furnished in the case of loss or destruc-tion of the registration certificate.^Strike out whichever is inapplicable.


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CONSENT OF THE FINANCIER FOR GRANT OF "NOOBJECTION CERTIFICATE" UNDER SECTION51 (6)

I /We being a party to an agreement of hire-purchase /lease/hypothecation in respect ofmotor vehicle specified above.1) Have "No objection" in issue of the duplicate certificate of registration of the said ve

hide.2) Have "Objection" in issue of the duplicate registration certificate of the said vehicle, for

the reasons given hereunder.Date ..............................

Signature of the financier.OFFICE ENDORSEMENT

Ref. number ............................. office of the ......................................A duplicate certificate of registration as requested above is issued with the note of agree

ment of hire-purchase/lease/hypothecation on .....................................................................and isnoted in the original registration records in Form 24.Date ........................... Signature of the registering authority.

ToThe Financier ........................................................The Registering Authority .......................................(To be sent to both the above parties by registered post acknowledgement due) Specimensignature or thumb impression of the registered owner and financier are to be obtained inoriginal application for affixing and attestation by the registering authority with the officeseal in Forms 23 and 24 in such a manner that the part of impression of seal or a stamp andattestation shall fall upon each signature)

Specimen Signature offinancier Specimen Signature of registered owner1 ................................................. 1............................................................

2 .............................................. 2..........................................................

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CHANGE OFADDRESS OF VEHICLES(Sec 49'& Rule-59)

Forms and documents to be submitted by the applicant:i. R.C.bookii. Tax Token.iii. Insuran ce Certificateiv. P. U.C.C.v. F-20

vi. F-33 (Page-25)vii. F 28 (Issued by the previous RA)

OR

viii. As per notification No 1354-WT/6M-1/2005 dated 08/03/2005 NOC and Tax clear-ance certificate , from previous RA are to be submitted..

Note : For Defence /Govt./Coporate Employees C/A maybe allowed prior toconfirmation off. 0. C. subject to production of copy ofservice I/ card.

* fn caseofC .A Fees & Tax should always be assessed by MVI(NT).

CA Fees: Rs.20

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FORM-33INTIMATION OF CHANGE OF ADDRESS RECORDED IN THE CERTIFICATE

OF REGISTRATION AND OFFICE RECORDS.[RULE 5911

(To be made in triplicate if the vehicle is held under agreement of hire-purchase/lease/ hy-pothecation, the duplicate copy and the triplicate copies with the endorsement of the regis-tering authority to be returned to the financier and the registering authority (from whosejurisdiction the vehicle is removed) simultaneously, on making the entry of change of ad-dress in the certificate of registration and Form 24). ToThe Registering Authority

I/We ................................................................................................... son/wife/daughter of..........................................................................(full address) registered o wner o f motor vehicle no ................................. have ceased to reside, do not have the place of business atthe address recorded in the certificate of registration with effect from............................................................................................... The present address is given below (evidence tobe enclosed) ....................................................................................................................* The vehicle is not held under any agreement of hire-purchase /lease/hypothecation.* The vehicle is held under an agreement of hire-purchaseAease/hypothecation with ....................(Name and full address of the financier.)The certificate of registration is enclosed. I/We request that the change of address may be re-corded in the certificate of registration and Form 24.

Date ............................................... . Signature or thumb impression of theregistered owner of the vehicle.

^Strike out whichever is inapplicable.

CONSENT OF THE FINANCIER IN THE CASE OF MOTOR VEHICLEHELD UNDER AN AGREEMENT.I/We being a party to an agreement of hire-purchase/lease/hypothecation in respect of the

above said vehicle, hereby.I. Give consent for effecting the above change of address with the note of an agreement in

my/ our favour in Forms 23 and 24 by the registering authority.2. Refuse to give consent for effecting the above change of address by the registering author

ity, due to the reasons furnished hereunder.

Date .......................... Signature of the financier.99


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OFFICE ENDORSEMENTRef number .............................Office of the .................................

The above change of address has been entered with the note of agreement of hire-purchase/lease/ hypothe cation in favo ur of the financier in the ce rtificate of registration and in Form 24.

Date ............................... Signature of the registering authority

ToThe Financier .................................................The Registering Authority ..............................................(To be sent to both the parties by registered post acknowledgement due)

Specimen signatures or thumb impressions of the registered owner and financier are to beobtained for affixing and attestation by the registering authority with official seal in Forms 23and24. In such m anner that po st of impression of the seal or a stamp a nd attestation shall fall upon,each signature:

Specimen signatures of financier Specimen Signature of registered owner

1 . 1 .2 . 2 .

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FORM 28APPLICATION FOR AND GRANT OF NO OBJECTION CERTIFICATE

[Rule 54,58(1), (3) and (4)]( To be made in quadruplicate if the vehicle is held under an agreement of hire purchase/lease/hypothecation, in duplicate copy, the triplicate copy and the quadruplicate copy withthe endorsement of the registering authority to be returned to the registered owner of thevehicle, the registering authority in whose jurisdiction the vehicle is to be removed and thefinancier simultaneously on grant /refusal of a "No objection certificate ')

PART 1 APPLICATION.

T oThe Registering Authority

I/We intend to transfer the vehicle to the jurisdiction of the registering authority.We intend to sell the vehicle to Shri/Smt . /Kumar i .................................................................................................................................w ho resid es in th e j ur isd ict ion of the registering authority ..................................................................................................................:.................................Me, therefore, request

for the issue of a "No objection Certificate"for my/gur vehicle the particulars of whichare furnished below:-1. Name and address ..............................................................

2. Sonwife/daughter of3. Registration number of the vehicle4. Class of vehicle5. Registering authority which originally

registered the vehicle.6. Engine number7. Chassis number (affix also pencil print)8. Period of stay in the State

1 01


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9. Period up to which motor vehicle tax ..................................................................has been paid.

10. Whether any demand for taxis pending, if so . ............................................................give details.

11. Whether the vehicle is involved in any theft .............................................................cases, if so give details.

12. Whether any action under section 53, 54 or 55 .............................................................of the "Motor Vehicles Act, 1988 is pending ............................................................before any registering authority or other ...........................................................prescribed authority, if so, give details. ...........................................................

13. Whether the vehicle is involved in any case of .............................................................transport ofprohibitedgoods, ifso, give details ................................................................14. Whether the vehicle is held under an agreement ............................................................

of hire purchase/lease/hypothecation, ifso give ...........................................................full name and address of thefinancier.

We solemnly declare that the above statement is true.

Date ......... :..................... Signature or thumb impression ofregistered owner.

PA RT -11 CONSENT OF THE FINA NCIER IN THE CA SE OFM OT OR V E HIC L E S U B JE CT T O A N A G R E EM E N T

I /We being a party to an agreement of the hire-purchase /lease/hypothecation in respect ofthe above said vehicle hereby :1. Give consent to issue the "No objection Certificate "for the said vehicle only for the

purpose referred above.2. Refuse to give consent for issue of "No objection Certificate "for the said vehicle

due to the reasonsfurnished hereunder.

Date .......................... Sgnatureof the financier.102


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PA RT -111 OFFICE END ORS EMEN T.Grant /refusal of "No objection Certificate " under section 48(3) of

M otor V ehicles Act, 1988.

1. No objection Certificate in respect of the vehicle, the detailed particulars whereof arerecorded over above is hereby granted under section 48(3) of the A ct, (valid for use atthe registering authority, on whom it is issued.)

2. No Objection Certificate in respect of the motor vehicle, the detailed particulars whereofrecorded over above is hereby refused under section 48(3) of the Motor Vehicle Act,1988, for the reasons recorded as under ...........................................................................

Date .......................... Signature wthseal ofRegistering Authority.

Address ....................................................

*Strike out whichever is applicable.

103


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TRANSFER OF OWNERSHIP OF VEHICLES(Sec 50& Rule-55)

Forms and d ocum ents to be submi t ted b y t he appl icant :i. R. C. book.ii. Tax Token.iii. Insurance Certificateiv. P. U. C C.v. F-20vi. F-29 & 30vii. Address proofviii. Affidavitix. In the case.of legal heirs- Successation Certificate

andDeath certificate and legal heirs certificate by panchayet /Councillor/Chariman Municipality and countersigned by B.D.O. /S.D.O. further, affidavit to besubmitted for determination of L/hairs. (Judicial Magistrate 1st class)F-31(Page-33)

Time required 2/35 days.Note:

1. In case the seller is not available, DA to send a letter (Page. 34) to the seller under signatureof ZA and cover 30 days awaiting reply. (If no reply is available 2nd reminder to the issued)

2. For sate verification order No. 2598-WT/3M-95/89 dated 2nd March 1990 may be followedbyRA

3. Legal heirship m ay be determ ined by R A follow ing order N o. 4903 W T d ated 2nd M ay 1992.

104


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Fees For Transfer of Ow nership Of vehicle:

I .Tw o w heeler(W ithin 5 Y ears) Rs.6002. T w o wheeler(B eyond 5 Y ears) Rs. 3003. Motor Car/Omnibus (Ni) (Within 5 Years) Rs.20004. Motor Car/Om nibus (N 7) (Beyond 5 Y ears) Rs. 15005. V ehicle other than SL No. 1 &2 (Ni) (W ithin 5 Y ears) R s..2400+ HalfR egn. fees6 V ehicle other than S L N o. 1 &2 (N 7) (Beyond 5 Y ears) R s. 1900+ HalfRegn . fees7. Auto-Rickshaw (7) Within 5 years R s. 7508. Auto-Rickshaw (7) Beyond 5 years Rs. 4509. LMV (7) W ithin 5 Y ears Rs.205010. LM V (T) Beyond 5 Y ears Rs.1550

1I.MM v (T) W ithin 5 Y ears R s. 250012. M M v (7) Beyond 5 Y ears Rs.200013. HMV (T) W ithin 5 Y ears Rs.400014. HMV (T) Beyond 5 Y ears Rs.3000

105


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FORM-31APPLICATION FOR TRANSFER OF OWNERSHIP IN THE NAME OF THE

PERSON SUCCEEDING TO THE POSSESSION OF VEHICLE.[RULE 56(2)]

(To be made in duplicate if the vehicle is held under an agreement of hire-purchase/lease/hypothecation and the duplicate copy with an endorsement of the registering authority to bereturned to the financier simultaneously on making the entry of transfer of ownership in thecertificate of registration and office record in Form 24).

ToThe Registering Authority,

1. Vehicle registration no.Make and modelChassis no.Engine No.Type of vehicle

2. Name of the deceased registered owner3. Name and age of the person succeeding

to the possession of the vehicle son/wife/daughter of Full postal address (proof

.....................................................................

.....................................................................

.....................................................................

......................................................................

of address to be enclosed)4. Relationship with the deceased registered ......................................................................

owner.5. Proof of his succession

Certificate of registration is enclosed herewith. Kindly transfer the ownership of thevehicle in my name.

Date ..................... Signaturef the applicant.106


33/51

CONSENT OF THE FINA NCIER IN THE CA SEOF MOT OR V EHICLEHELD UNDERA NYOF THE AGR EEMENTS .

I/We being a party to an agreement of hire-purchase /lease/hypothecation in respect of themotor vehicle specified above, consent to the transfer of ownership of the said motor

vehicle in the name of the applicant named above, with whom I/We have entered into anagreement of hire-purchase/lease/hypothecation.

Signature of the Financier

(Full name and address of the financier)Date ................... :......................

OFFICE ENDORSEMENTRejNumber ............................. Oficef the ...............................

The transfer of ownership of the motor vehicle under continuation of an endorse-ment of hire-purchase/lease/hypothecation agreement has been recorded with effect from.......................................... in the certificate of registration of the vehicle and the registrationrecord ofthis office in Form 24.Date ............................ Signature of the registering authority.ToThe Financier(To be sent by registered post acknowledgement due)Specimen signature or thumb impression of the registered owner and financier are to beobtained in original application for affixing and attestation by the registering authoritywith office seal in Forms 23 and 24 , in such a manner that the part of impression of sealor stamp and attestation shall fall upon each signature.

Specimen Signature offinancier Specimen Signature of registered ownerI ................................................. I............................................................

2 .............................................. 2..........................................................


34/51

ALTERATION IN VEHICLES(Sec 52 & 1W BM V R ule-71)

Forms and documents to be submitted by the applicant:J. R. C. book, ii. Tax Token . Iii.. Insurance Certificateiv. P. U.C.C. v. B. T I. (Page 36) staling the type of

alteration desired.e.g. Stage carriage to contract carriage and vice versa Bus to Truck and vice versa,

Truck to Tanker and vice versa, Non.Transport to Transport and vice versa,change of. Engine or Chassis , Change/fixation ofRLW change in size of tyres,correction of any entry in R. C . Book, change of front show of vehicles, changeof type of fluid carried in a Tanker, Live stock carrier etc.

Alternation Fees: Rs. 50Time R equired : 5 days.


35/51

FORMB.T.I.

[See rule 71 of the W est Bengal Motor Vehicles Rules, 1989]Notice in regard to an alternation in a Motor Vehicle

ToThe Registering Authority

I/We .......................................................................................... the owner of motorvehicle No ...................................................... residing at ............................................. . . . . .. . . . .. . . . .. . . . . .. . . . .. . . . .. . . . . .. . . . .. . . . .. . . . . .. . . . .. he reby giv e you the n otice that I desire to m ake the follow ingalteration(s) to the said motor vehicle :

1 .

2.

3 .

4.

5 .

6 .

7.

8 .

2. Necessary approval may be accorded to the aforesaid alterations.

Date 20* Proposed to be sent to the MVI(T) for opinion.* If provisional is acceptable their RA be approved.

Signature of the owner.


36/51

HIRE PURCHASE A GREEMENT OF VEHICLES(Rule 60)

Forms and documents to be submitted by the applicant:i. R. C. book.ii. Tax Token/Permit.Hi. Insurance Certificateiv. P. U.CC.v. F-34(Page 38)

HPE Fees: Rs. 100

Time Required: I day.

110


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FORM-34APPLICATION FOR MAKING AN ENTRY OF ANAGREEMENT OF HIRE PUR-

CHASE /LEASE/HYPOTHECATION SUBSEQUENT TO REGISTRATION[RULE 601

(To be made in duplicate and in triplicate where the original registering authority is differ-ent the duplicate copy and the triplicate copy with the endorsement of the registering au-thority to be returned to the financier and registering authority simultaneously on makingthe entry in the certificate or registration and Form 24). To The Registering Authority

The motor vehicle bearing registration number ..................................................................... isthe subject of an agreement of hire-purchase /lease/ hypothecation between...................................................... the registered owner/person to be registered as owner *and..:................ ............ ........................... .............. (fill the name and full address of the financie r.)We request that an entry of the agreement be made in the certificate of registration and therelevant records in your office.The certificate of registration together with the fee is enclosed.

Date .............................. Signature or thumb impression of registered ownerDate ................................ Signature of the financier.

OFFICE ENDORSEMENTRef. Number ............................................................................. office of the........................The en try of the agreem ent of hire-purchase / lease/hypothecation as requested above is recordedin this office registration record in Form 24 and certificate of registration on (date).

Date ............................. Signature of the registering authority.ToThe Financier TheRegistering Authority(To be sent to both the above parties by registered post acknowledgem ent due) Specim ensignature or thumb impressions of the registered owner an d financier are to be obtained foraffixing and attestation by the registering authority with official seal in Form s 23 and 24 insuch m anner that p art of impression of the seal or a stam p and attestation shall fall upon eachsignature:Specimen signature of financier Specimen signature of registered owner

1 ............................................... 1..2 ............................................. 2.


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HIRE PURCHASE TERMINATION OF VEHICLES(Rule 61)

Forms and documents to be submitted by the applicant:i . R. C. book.ii. Tax Token.Hi. Insurance Certificateiv. P.U.CC.v. F-35 (Page.40)

HPT Fees: Rs. 100

Time Required : 2 days

1 1 2


39/51

FORM-35NOTICE OF TERMINATION OF AGREEMENT OF HIRE-PURCHASE/LEASE/

H Y PO T H E C A T IO N .[RULE 6](1)]

(To be made in duplicate and in triplicate where the original registering authority is differ-ent the duplicate copy and the triplicate copy with the endorsement of the registering au-thority to be returned to the financier and registering authority simultaneously on makingthe termination entry in the certificate of the registration and Form 24). ToThe RegisteringAuthority

We hereby declare that the agreement of hire-purchase /lease/hypothecation entered into be-tween us has been terminated. We, therefore, request that the note endorsed in respect of thesaid agreement between us be cancelled.

The certificate of registration together with the fee is enclosed.

Date ........................... Signature or thumb impression of the registered owner.

Date .......................... Signature of the financier with official seal and ad dress.* Strike out whichever is inap plicable.

OFFICE ENDORSEMENTRef. Number ........................ Office of the.....................................The cancellation of the entry of an agreement as requested above is recorded in this of-

fice registration record in Form 24. and registration certificate on (date).

Date ........................ Signature of registeringauthority.ToThe Financier .....................................The Registering Authority ....................................(To be sent to both the above parties by registered post acknow ledgement du e)Specim en signature of th e financier are to be obtained in original application for affixing andattestation by the registering authority with his office seal in Form s 23 and 24 in such a m annerthat the part of im pression of seal or stamp a nd a ttestation shall fall upon each signatures.Specim en signatures of Financier1 .............................................................2 ...............................................................


40/51

ISSUE OF FRESH R. C. OF REPOSSESSED VEHICLES BY FINANCER(Sec 51)

Forms and documents to be submitted by the applicant:

i. Court order/Arbitration order(Last letter to the borrower)

ii. F-36 (Page-42)W F3 7 (Page-43)iv. F-35v. F-34

vi.F -29 & 30 (Subsequent sale, if any) Double TO .fees is required to be realizedvii F-20viii. Letter head of financier stating chassis No. Engine No. and requesting for issue of

fresh R.C.ix Letter head offinancier confirming sale,x. Affidavit of the financier.xi. Address proof.Time Required : 35 days.

Note:1. Forsale verification order No. 2598-WT/3M-95/89 dated 2nd March 1990 may be

followed by RA

2. Since issue offresh R.C, is effected in Form 36[Rule 6] (2)] hence, procedure forC.A. and N. 0. C. is waived and F-3 7is forwarded to previous R. 0. in place, but feesare realized.

3. No taxis paid by the financier (PL refer order No. 4868(26) - WT/3M-54/94 dated 6thJune 1994).

114


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FORM-36A PPLICA TION FOR ISS UE OF FRES H CERTIFICA TE OF REGIST RA TION IN

THE NAME OF FINANCIER ................................................[RULE 6(2)]

ToThe Registering Authority

I/ W e .............................. :............................................................................... :........(financier) have taken possession of motor vehicle no ......................................... make .......................................... model.............................. owing to the default of the registered owner ....................................................................................................... (Name and full address) under the provisions ofthe agreement of hue-purchase/lease/hypothecation. :

* 1) The certificate of registration of the said vehicle is surrendered herewith.* 2) The registered own er has refu sed to deliver the certificate of registration to me /us.* 3) The registered owner is absconding.

I /We request you to cancel the certificate and issue a fresh certificate of registration inmy/ our name.

I /We enclose a fee of Rs .............................................

Date .................... Signature of the financier.Specimen s ignature of the financier:I ...........................................................2 ...........................................................

Copy to the original registering authorityAStrike out whichever is inapplicable.


42/51

FORM-37NOTICE TO REGISTERED OWNER OF MOTOR VEHICLE TO SURRENDERCERTIFICATE OF REGISTRATION FOR CANCELLATION AND ISSUE OFFRESH REGISTRATION CERTIFICATE IN THE NAME OF FINANCIER.

[RULE 61(3)](To be m ade in dup licate and du plicate copy to be sent to the f inanciersimultaneou sly on issue of notice)

Office of the Registering Authority.Ref. No. .Dated....

Sri/Smt./Kum ........................................................................................................ (Regd.owner) is /are hereby informed the ...............................................................(fmancier) has /havereported that he/they have taken possession of the motor vehicle bearing registration numbercovered by an agreement of hire purchase /lease/hypothecation, owing to your default under theprovisions of the said agreement and that-* 1) You have refused to deliver the certificate of registration to him/her/them.* 2) You have absconded.

He/She/They have requested to cancel the certificate of registration and issue a freshcertificate of registration in his/her/their name.

You are, therefore, directed to surrender the certificate of registration of the said motorvehicle which has beer, retained by you in spite of your having lost the possession and therebythe ownership of the motor vehicle under section 2(30) and to send your representation in thisregard, if any, to this office within seven days from the date of receipt of this notice by you,failing which a fresh certificate of registration will be issued in the name of the financier, can-celling the certificate of registration held by you, in accordance with section 51(5).

Date

* Strike out whichever is inapplicable.

To

Signature of the registering authority.

The Financier ......................................

(To be sent by registered post acknowledgement due)116


43/51

ISSUE OF PARTICULAR OF VEHICLES(W BM VR ule -70)

The applicant has to apply for particular of the vehicle stating reason :

i.e. Involved in MA . Case, Settlement of insurance claim, to produce before court oflaw, intimation to the financier before H.P.A, after HP.A, after H.P. T, Proposed buyerbefore m aking pur chase etc.

1. There shall be docketing of case /files submitted by the applicant and same DA shallfunction as reference clerk through whom the file shall move between DA, MVI, RA, Computer section.

2. DA to prepare note and assess fee and put up to RA for order.

3. RA to sign and send it to send to Computer Section.

4. Computersection to realise fee (no fee is realised on state Govt . requisition), printout part iculars and send the same to DA .

5. DA to make entry in the vehicle Register and put up to RA for signature.

6 RA to sign and send back to DA

7. DA to issue the part icular slip and retain the file for safe custody.

Fees: Rs200

Time Required: 4 hrs.

117


44/51

ISSUE OF NO OBJECTION CERTIFICATE OF VEHICLES(Sec 48 & Rule-58)

Forms and documents to be submitted by the applicant:i. R.C.book.ii. Tax Token /PermitHi. Insurance Certificateiv. P. U.C.C.v. F-28 (in quadruplicate)

Time Required : 2 days.

NOC Fees-Rs.50


45/51

LOCAL MARK ASSIGNMENT OF VEHICLE(Sec 47, R ule 54 & 78)1. Forms and docum ents to be subm itted by the app licant:

i. R.C. Book -ii. Tax Token-iii. Insurance Certificateiv. P.U.C.Cv. F-27 (Page-51 ) pr Form FT (Page-52)vi. Affidavit: Declaring no com mu nication received from p revious RA and the d ocuments

produced during C . A have been genuineTime Required : 2 days

119


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FORM 27APPLICATION FOR ASSIGNMENT OF NE W REGISTRATION MARK

T O A M O T OR V E HIC L E[RULE 541

(To be made in triplicate if the vechicle is held under an agreement of hire- purchase /lease /hection the duplicate copyand the triplicate tripicle copy with the endorsement of theregistering authority authority to be returned to the finanacier and original registering authoritysimultaneously, on the assignment of a new registration mark).

ToThe Registering AuthorityI/We .............................. Son/Wife/daughter* of.............................................. ................ being the registered owner of motor vehicle no bearing chassis no..................................... engine n o .......................... type of v ehicle ....................................... registered in the State of ................................... hear by declare that I / We have, sincethe .................................... day of ......................... kept the said motor vehicle in this state andhereby apply for the assignment of a new registration mark to the said motor vehicle.

I / We hereby declare that the registration is valid up to ..............................................and it has not been or cancelled under the provision of the Act.

I /We enclose the certificate of registration and the certificate of fitness(*) of thismotor vehicle.

I/We enclose a "No objection certificate" from the registering authority.It the "No objection certificate" from the registering authority is not enclosed the

applicant should file along with this application a declaration as required under the first provisoto sub-section (1) of section 47. * The vehicle is not subject to an agreement of *hire-purchase/lease/hypothecation.*The vehicle is subject to an agreement of *Iure-purchase/lease/hypothecation with ........................................................................................ and the NOC has been'granted/refused by the financier

thereunder.


47/51

If "No objection certificate" has been refused by the financier the applicant should fillalong with this application a declaration as required under sub-section(S) of section 51.

Date ..................................... Signature or thum b impression of the applicant.* Str ike out w hichever is inap plicable.

CONS ENT OF THE FINA NCIER FOR GR A NT OF "NOOB JECTION CERT IFICAT E UNDER SECTION 51(6)

1/We, being a party to an agreement of hire-purchase/lease/hypothecation in respect ofmotor vehicle specified above1) have "No objection ' in assigning the new registration m ark to th e said vehicle.2) have "Objection" in assigning the new registration mark to the said vehicle for the

reasons given hereunder ........................................................................................

Date .............................. Signature of the financier.

OFFICE END ORS EM ENT

Ref. Number ..........................Office of the ................................

The vehicle no ......................................................on removal to this State has beenassigned a new registration mark ............................................................................. (here enterthe registration mark).

Date .................................. Signature of the registering authority.

ToThe Financier .............................................The Registering Authority ..........................................

(To be sent to both the above parties by registered po st acknowledgement due)121


48/51

FORM F.T.[See rule 69(3) of the W est Bengal Motor Vehicles Rules, 1989]

Form for intimation when a motor vehicle registered outside theState has been brought to the State

T oThe Reg istering Authority

I/We .......................................................................................... wife/son/daughterof ............................................................................................. presently residing at...................................................................................................................................................registered owner ofMotor Vehicle No ...................................................... have brought the said vehicle to thisState of West Bengal on ......................................................................... by road/rail /car.My address recorded in the original certificate of registration is ....................................................................The vehicle is not held /held under any agreement of hire, lease orhypothecation. The above information is furnished as per rule 69(3) of the West Bengal Mo-tor Vehicles rules, 1989.1 shall be applying far assignment of new registration mark on removalof a motor vehicle to another State under rule 64 of the Central motor vehicles rules, 1989 indue course. I am endorsing a copy of this application to Taxing Officer in whose jurisdiction thevehicle is brought. (One copy of the said form is also be sent to the Taxing Officer having juris-diction).

Name of applicant.

Address- Sgnatureof regsteredowner of the vehicle.

For office use.The above fact has been noted in our register for foreign vehicles and intimated to the

Taxing Officer for claiming tax.


49/51

GRANT OF LEARNER'S LICENCE (TRANSPORT & NON TRANSPORT)(Sec 8, Rule 10 & 11)

Forms and documents to be submitted by the applicant:i. F-2 (page-54)u. F-3(page-56)iii. F-4 (page- 57)i v . Address Proof. [R ation card , Electoral Roll, L/C Policy, Passport, Pay Slip

(SG/ CG),v. Age Proof- School Certificate, Birth Certificate,

Parents consent (In case of the applicant below 18 yrs. of age, to drive M/Cywithout gear only)

vii. Fl & IA (In the case of Transport Vehicle only) (page- 59)viii. F-5 (page-60)ix. Six copies of passport size colour photograph (2.5 cms x 3.5 cms)

Tim e Required: I day.

Note :All transport category licenses are to be enclosed with F-5 forwarded by Motor Train-ing school only.

Learner License Fees-Rs.30


50/51

FORM 2APPLICA TION FOR GRANT OR RENE WAL OFLEARNER'SLI-

CENCE [RULE 1011Space for

Passport sizephotograph

T o

The Licencing Authority

I hereby apply for a license authorising me to drive as a learner , the following motor vehicle (s)Motorcycle without gearMotorcycle with gearInvalid carriageLight motor vehicleTransport vehicleMedium passenger motor vehicleOmittedOmittedRoad roller

Motor vehicle of the folio wing description: .....................................................................

PARTICULARS TO BE FURNISHED BY APPLICANT1. Full name ...................................................................................................2. Son/wife/daughter .....................................................................................3. Permanent address .....................................................................................(Proof to be enclosed)4. Temporary address ......................................................................................

Official address (if any)5. Date of birth (Proof of age to be enclosed) ...................................................6. Educational qualification .............................................................................7. Identification mark (s). 1 ...........................................................

2 .............................................................8. Optional / Blood group R h factor9. I hold an effective driving license to drive :

a) Motorcycle /light motor vehicle / medium ...............................................


51/51

passenger motor vehicle /medium goods vehiclewith effect from.

10. Particulars of any driving license previously held ..................................................................by applicant. Whether it was cancelled and, if so,for what reason.

11. Particulars of any learner's license previously held by ...........................................................applicant in respect of the description of vehicleto w hich the applicant has applied.

12. Have you been disqualified for holding or obtaining ...............................................................driving license or learner's license. If so,for what reasons.

13. 1 enclose 3 copies of my recent photograph ............................................................................(Passport size photograph)

14. I enclose medical fitness certificate dated ..............................................................................issued by (doctor)

15. I have submitted along with my earlier ...................................................................................application for learner's licence/l enclosethe written consent of parent /guardian(in the case of applicant being a minor)16. I enclose driving certificate dated ..................................................................... issued by................................................................................. (name and address of the driving school)

17. 1 have paid the fee of Rs ........................................................................................................18.1 am exempted from the medical test under rule 6 of Central Motor Vehicle Rules, 1989.19.1 am exempted from the preliminary test under rule 11(2) of the Central Motor Vehicle

Rules, 1989.

* Str ike out w hichever is inapp licable

Date ............................... Signature or thumb impression of applicant.

Specimen signature or thum b impression of app licant.

standard procedure of motor vehicle works information to citizen

Documents