GOVERNMENT OF KERALA

MOTOR VEHICLES DEPARTMENT Table ID: 19

Form TR5(c) (See Rule 90(a) of KTC) Transaction No: A/13530/2020
Date : 30/03/2020
Office : SRTO, TRIPUNITHURA Payment Date : 30/03/2020
Name of Remitter : ARUNDAS K D GRN : KL016621287201920E
Address : KILITHURUTHIL HOUSE
: NADAMA
: TRIPUNITHURA ERNAKULAM
Service type : Registration Transport
Reg.No : KL 39 P 4190
Purpose : FormG-Tax Exemption
Fee : 200
Total Amount : 200.00
Amount in words : Two Hundred Rupees Only
Bank Reference No: CKM6392884 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

* If any additional fee / balance fee is required it shall be paid at the office.

(Office Copy. Please attach with the application)

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

GOVERNMENT OF KERALA
MOTOR VEHICLES DEPARTMENT
Form TR5(c) (See Rule 90(a) of KTC) Table ID: 19
Transaction No: A/13530/2020
Date :30/03/2020
Payment Date : 30/03/2020
Office : SRTO, TRIPUNITHURA
GRN : KL016621287201920E
Name of Remitter : ARUNDAS K D
Address : KILITHURUTHIL HOUSE
: NADAMA
: TRIPUNITHURA ERNAKULAM
Service type : Registration Transport
Reg.No : KL 39 P 4190
Purpose : FormG-Tax Exemption
Fee : 200
Total Amount : 200.00
Amount in words : Two Hundred Rupees Only
Bank Reference No: CKM6392884 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

* If any additional fee / balance fee is required it shall be paid at the office.

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

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