GOVERNMENT OF KERALA

MOTOR VEHICLES DEPARTMENT Table ID: 7

Form TR5(c) (See Rule 90(a) of KTC) Transaction No: B/90614/2019
Date : 04/05/2019
Office : RTO, ERNAKULAM Payment Date : 04/05/2019
Name of Remitter : RAJESH GRN : KL001367761201920E
Address : VADAKHAT TRRA 46 A
: CUSTOMS COLONY
: POONITHURA KOCHI 38 WEF 22/11/2014
Vehicle No : KL-07-BH-3601
Purpose : Grant or renewal of FC
Fee : 600
Service Charge : 60.00
Total Amount : 660.00
Amount in words : Six Hundred and Sixty Rupees Only
Bank Reference No: CKJ3302000 Bank : SBI
* This is a computer generated document and does not require any signature

* Any modification or misuse of this receipt is an offence which shall attract legal action and punishment

(Office Copy. Please attach with the application)

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

GOVERNMENT OF KERALA
MOTOR VEHICLES DEPARTMENT
Form TR5(c) (See Rule 90(a) of KTC) Table ID: 7
Transaction No: B/90614/2019
Date :04/05/2019
Payment Date : 04/05/2019
Office : RTO, ERNAKULAM
GRN : KL001367761201920E
Name of Remitter : RAJESH
Address : VADAKHAT TRRA 46 A
: CUSTOMS COLONY
: POONITHURA KOCHI 38 WEF 22/11/2014
Vehicle No : KL-07-BH-3601
Purpose : Grant or renewal of FC
Fee : 600
Service Charge : 60.00
Total Amount : 660.00
Amount in words : Six Hundred and Sixty Rupees Only
Bank Reference No: CKJ3302000 Bank : SBI
* You are instructed to submit the Online application with required documents at the counter of RT office/Sub RT Office within 3 days, belated applications shall not be entertained.

* Department is not responsible for the delay in service due to short remittance of fee,tax,service charge,cess,inaccurancy in application and documents submitted.

* This is a computer generated document and does not require any signature

* Any modification or misuse of this receipt is an offence which shall attract legal action and punishment

(Acknowledgement and applicant’s copy) IT Services NIC Kerala

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