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wing-,c and front ena

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fi.i

i ~ d d i tpariiculais
i ~ ~ ~ c~i ai!i.r:.:atil~fjc;r a&jitirjne! trailer
(

semi-trailers :egis!eieG

Acidjticnal partir:ulars in the case of ali transport vehicles

3:

~!iicaai; aj.i::u!aied vehicie )

othe; than motor cabs. )

14. G:OSYv~hicleweight
(a) as certified by
the manufacturer .............................Kgs.

Y'jjul;

--.-- Number, descriptioi'! 2nd

r--

size of tyres

18. Number, descriptior! and size of types-

~-

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

(b) Rear axle ........

<-

&'a ,$ !.r;!'-id. 'l

(c) Any other axle ................................LA.

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BONIBLY~IVf L.G;
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HEgisterc3d No. ..... ...........................

,3. \mh :.
.......................

......

-f@

h ! :- ...
70
vehic\(?. . . . . . . . . . . . . . . . . . . . kAhn(ial s!.eof 1 axx .....

Taxation class ............... OUd-rite oi Tax\l&j[,:

- __- .. _- ,-- -___-Amoup( a d
Date. stamp
A~o,,
o aid am1 the

83h$Eb?7' f,+GTofi ' - ? i [ C E ST&x &bT. 5 ?tz-%.

.&<ZT,1353

Ue~isteredNo.
01

NC. of :.efund 1

i :sued
r

r _ . . .- iorwhic5 efuntj

1
1

.......-.....

,&%?LO-:

~efiicls.....................

rair ~ ; i-;EX ................

......

'axation class .............. Qufi rate G! Tax

,

I___-__.__

pt?i+[-

~3..i%.AU.?.ol3
on.;

Amount

a .the

,,Wnlm
,& for :
;
,

and
signatUr2
of
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o r e : issu&

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end
s:g%3!um

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the m f i o n
authcriV

i
12. Maker's classificatioi

13. wheel-bas;

i;e!2istered

..........T.
.......................................

14. Seating,capq,cjty (including driver)

15. Unladen. .weight ......

.l%.k!?,
?,

16. Colour or colours of bndy, win5s and front end

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

.GMn,.. !Kgs.
(b) Rear axle .................... G
WQ...
(K~s.,
(c) ' A ~ other
Y
axle ............ 1.3.0.0?.(Kgs.)
(a) F

1
1
6

s.1
.m...W
.....................
.

axle weight

~ axle
I ..................

1w.p..........................................

(4 Tandem axle ..................................

(Kys.j

( Additional particulars k the case of ali transpar! vehicles

other than rnofor cabs. )
!

( Additi-1

i7. Gross vehicle weight

loo0

20. T v e of body ..............................

Z.L!.~.Q............ Kgs.

(a) Front axle .\.OQ!.~~C.W.;.Q.?.

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

. . . . .

,.y9.

<

jc) 'A? other &k 100355.....-.(.

23- w m m e d axle weight ( in respec:

*1 ......-..............................

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

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Number, descnptror! dnd

SQe of tYres on (eart a l e ......................

c.:

18. Number, description ard size of types-

(b) Hear axk ...1.r).

.R!~s.$~?.?.>?I<

B
.............

(b) as registered ......

..........

Prtic~1a-ssf shati~..ej r -. 2d;;: zqal I, ailer

semi-trailers registered with >TI aflicuiatcd vep,cle

)

.,

. . . . .

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

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-i hts c e r t t f ~ c ~IS
~ rhereby
rendwed

This certificate is valid

............................. 20

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

F,oK\lg:9[?o\-~.to
..

to

From

@. 600+\TJ~)m-T c u~~0 0 6 0
OL ........
03 !
xo\p
Date : ....!
.......

Signature of
Date : .......................

RegisteringAuthority

--

This certificate is hereby renewed

/14p 8

ic a hire-p:~rchase agreement

ij

From .......................

~ c ; ~ $ %.......
. . .i~ . . a

,WFc

............-...-.

fl'kd2

!o lease agreet'Iln91 WlIn

) A. . .

<C ................................. .................

Signatcrp of
Date :

iii, bub,r-.: lo a

8.
l o o t ...................
CIA%-- 0 6 0

From .............................. to

,
..

. .. . ..'. . . . . . . . . . . . . . . . . . . . . . . . . . .

attested
tY
..
the Registering Authority
with his seai.

i. . . . . . . . .

. .. . .. . ... . . . . .. . . .. . .
'Date . ....................................
I.

FORM -.23 -.

. .-

cefiificate of Ftegist&i&j
)li

......;..

. . Signature of. . . . .: ..
RegisteringAuthority

, .

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

.::--

..

~etailedDescription

-I8

kh6v..................................

1. Class of L12hicle .........

~ ~ - f O L+-P
u
'

Brief description of vehicle .........................................................

je.g.' FiatlAmbassaciorlMaruti car. Tata Goods Vehicle,
Ashck LeylandGoods Veh;cle:-ler,
Motor Cycle with/without
gezr, Mom Cycle with sidecar etc.]
Pilrchased from the.Deal& .=?
.....mf3+3.?5...
&-I
.......P . ' . h d...........
Name & ~ d d r e sa.oda.kd~~
s

a new venicle

"

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........A
....V2.W......................

2,

-.
Imported vehicle ...:............................................

(b) Ex-army vehicle .................................................

(c)

...

Name uf Fiegistered wneL......

. .; .,;..,..:.. .....,.... ,
5.3
.
. I
SonIWifelDa~~ghter
oi ............................................................
Fullka:i ess .................................................. ..........:........ .

The motor vehicle is :-

Registered No. ...........................................................

e ,

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

( s e e , ~ ~ 1 $ 4 b ) f ' )::
.
L

.............................. 20

ity

of the Faancier
( to be n!iixed ) and

Registerifig Authority

This certificate is hereby renewed

*~a-Em--

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

(dl Migration frorn cjther States ...........f3..............

2.

: ..

3. Oaa!eiri n a G . X % $ : ? ~ : e f ~ .
.

. : ~ ~......am.Q.*.%
~ . ? ?.......

Maker's
- - name
-

. .

.,fi.;b.?d

- .

(Fermanent)

Full Address ................................................

5. Month & Yesr

o: manufacture ......Q~.\.u.~.O
......................

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

(Temporary)

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

. ,'
~uflber:,?f.cylinders .....?.~.i....
c.063........

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

7. chassis

tMZ ~~~X.U..S..F.OSM
!
Z

8. Engine nq-@i&

:..~;>.l

...

. . Date
.....

Specirnerl Signature of lhe

Registered Gwner lo he affixed
and ~l;tesledby negisteting .
Authority uitb his seal.

. . . .

. . . . .

.$.S. . . .

9. ~ F u e l ~ v s c d ? n - tengine
hi
......_:~)I~s.c.\.,.
10.

..... ,.,........- ................................

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11.

(3.!i.?.)
.........S%3.:..5..~_
........
Cubic capacity ........................... Ys.5-3
..."
power

.,:

.?:.s

f
..

HDFC ERGO General Insurance Company Limited

Certificate of lnsurance cum Policy Schedule

Policy No. 2315 2004 6984 5500 000

C h a r t e r e d L o g i s t i c s Ltd
CHARETERED tIOUSE, S A R K H E J S A N A N D CtiOKDI.
SARKliEJ, AtIMEDARAD
AI-IMEDABAO GUJARAT 382210
E Mail
9879209006
Phone

Insured Name
Correspondence
Address
Mobile

P e r i o d of l n s u r a n c e

From Date B T i m e

T o Dale B Time

Model - V a r i a n t

E n g i n e No

Chassis N o

MULTl AXLE TRUCK - LPT 31 18

TC

51 823

05892

Make
MOTORS CI.D

30103/2013 13:55 h r s

RTO
Registration
Address

Insured's D e c l a r e d
V a l u e (IDV)

Vehicle
(7)
Chassis
1.439.637

viEf:

(?)

AMI7ELI
CIlA17ETERED I I O U S E , SA17KIlEJ SANAND CIIOKDI
SARKI IEJ. A I IMEDARAD
A I I M E D A B A D GUJA17AT 382210
R e g i s t r a t i o n N o . GJ-14-W-1129

2910312014 M i d n i g h t
Trailer
C h a s s i s No

Policy Issuance Date

License
Carrying

Body

Yr

Capacity

Type

2010

OPEN

Mfg

~ ~ ~ . t (rI )i cEa
l e clt r i c a l A c c . ( 7 )

T r a i l e r (7)

30103/2013

GVW

PrivatelPublic
Carrier

31000

PUBLIC

CNG'LPG
Kit
(7)

Total I D V ( 7 )

210.363

,.uJU.VUU

Appointee

N o m i n e e (Owner Driver)
H y p o t h e c a t e d ( 1 M T - 7 ) with:TATA MOTORS FINANCE LTD

..

.,

Bas~cOwn Damage '

31929

BasicTh~rdParty L~abil~ty
.

Total Basic Premium

31929

LL to Paid Driver glor Conductor glor Cleaner (IMT-28)

LL to Persons Employed in Connection with the Operation (IMT-39)

Less: Others
Less: No Claim Bonus 50%
Total Less

15125
8102
23527

12478

Sub Total Addition

Net Liability Premium(b)

Toial Package Premium (a+b)

21080

Service Tax (Including Education Cess 8 Higher Educal~onCess, wherever applicable)

8402

Nel Own Damage Premium (a)

Geographical Area

Total Premium

India

Compulsory Deductible (IMT-21)

Dated : 2510312013

~ a v m e nDetails:
t
Checlue No 843937

drawn on

f 1500

Hdfc Bank Ltd

Previous Policy No. 10849777

Valid from 3010312012 to 2910312013 o f BHARTI AXA GENERA! INSURANCE COMPANY No Claim Bonus 45%
Pollcy Holder declare that no clam has been made In the prevlous year poky. If declarat~onlound mconect, benefits under the present pollcy In respect of own damage section will stand forfeited
-

E n d t No

. . . .

Description

.
~.
. . . . . . . . .

Effective Date

.
~

E n d Date

Premium (In

~.

LIMITATIONS AS TO USE: The Policy covers use of the vehicle only under a permit within the meaning of the Idolor Vehlcle Act 1BEe or such a carriage fa!ling tinder Suo-Section i:) ol Seci;oa 6f of Lk?
hloior Vehicie's Aci 1988. The Poiicy does not cover use of the venicle for a) Organized racing b) Speed Testing. Persons or Class of Persons entitled to drive: Any persor ir,;!ciii;lg i;ie l!;si;:es
providedihai a person driving holds an effective driving license at the ilme of the accident and is not disqualified from ho!ding or obtain~ngsuch a iicense. Provided also in21 the perscn ncl.jinc an e?ec!iit.
learner's ilceme ma:; also drive the vehicle when no1 used for Ihe lransporl of goods at the time of Ihe accidenl and that such a perzcr aaiisfie; the rsoi:lremenls oi Rule 3 cf rie Cenval biot;rVeGk:ei
Ruies. 1989. Limits of Liability 1. Under Seclion 11-1 ji) of Ihe policv - Oeaih of or bodily injury - Such srnouni as is necessary lo meet tine requiremenls c.: ihe f~lcto:Veliats Act. l%t 2 SUrijer
t..A Terms. Condiiions and Exclusions: As Lei $2 li.d.an t4.2i::r
Section I I - i!~i;ol Ihe colic).-Damage to Third Party ?raperty - f 75OOCO 3. P. A. Cover under Section Ill iar O'vdne: - Driver (CSl;
Tai~ff.A ;ersol:alcopy of the same i s available free of cosl on reqdest 8 ine ssme is also available at otir website. A persoaal rcpy c: the same :s svstlable i:cs 31 ccst on reques' & !Iy*same 5 ;:st:;
avaiiable at our v~Ssi!e

.-

lnsured is carrying on or engaged i n the business or occupation of and no other for the purposes of this insurance

I 1 We l:er~b~
ce;;lfy lhal the ~ o i i qio v:iich Iha eeri~ficalerelates as ceil ss ihe certificate c< !nsurance are issued II? 2cx:cilnce with ti:e r;rovisior of chapier X XI or ti;. ;i.?,c! '?SF; ' T'ii s!amy &dl;.
of f 3.50 pa~d5 y Demand Drafl, vide ReceipliChsllar: na 5270 dated 14:05!2012 as prescribed in GovernmenlNolificalio~iH e v ~ v : ~;ifid
e Fnres! Ce04rin;eni Fin L i ~ i d r 2(!i
~ !~4';!1:?C:CG
i
C?!;:it;ll-l. ja.i!:
3Ii1212?54* Service Tax Regis!rai!on No.: Ad6CHIJi38ESiOG~ IMPORTANT NOTICE: The Insured 1s ~ i oii6am;iilied
i
it Ibe .?41!:.r: :s !~r-edcr criwn ciher.ulsr, Ihari in acr~.i0ii-.r;:iit.\hi$ S:nec!.;'r
Any oeyoienl mati? sy Ihp Company b y reasor of w~der[elms epnearlilg In ihe Ce~liicatein o ~ j lo
a coinply vittt: Iha :';iotnr VP!I;:F
i'.~;,
!(Pi
15
;rrc,~??ran! !r21nIiie !'~?.j:bj. CC: It* :535? it~~:t-(I
'AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY'. Oisclaimer: The P?llc.y shall bevotd from incaoiion if Il?rfirernlui.
inn-disJosure o' nlsierlsi :a<!. lhe Compsrv reserves Ihe righf I- t:.ar!:e h:: 7o~:cyfrcim II?CL-plio!?
In lhe e'!ecl of an acc:d?n!. :be !rs~:c-r_ snocl2 info:n company
P o l i c y I s s u i n g Office: M u m b a i

Agent IVame :MAIHESH PAVAR

Agent Code :201271221038 Tel No. : 91-9099098933

1
;
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Corporate Off.: 6Lh Floor. Leeia Business Park, Andheri-Kurla Road, Andheri(E). Mumbai 400 059. Toll-Free No.1800-2-700-700Fax 91 22 66383699 care@hdfcergo.com www.hdfcergo.com
Registered Off.: Ranion House. H.T.Parekh Marg, 169, Backbay Reclamation, Mumbai 400 020. India.

,-f

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'64Q -:--.
-

hire-purchase agreement
\.
...........................................

L
!

Signature of

IjL

:.\ L 211'bi
3

-Registsrng Authoriiy

This certificate is hereby renewed

From ............................... to ............................

.i . 2 ~

,
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ill!

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subject to a hypothecation iii ir!',./~:.i; of

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.................................J.:.~
.....................

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This certificaieis fjc:&~y

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Registeiiny Ai~ti.:<);il.q
i.el?i?bl1s!!

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

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

Transferredto ..........................................................................................

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

..

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Signatore of Registering Authority

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

.........

.........

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

)
.

'

.Signatu:e oi Registering kuthorify

Grntrai Prztss?I;an&i&:qrrj:.
., Govkrtll-ficnl:
.

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

................-