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Form C. F. A.: Application For Certificate of Fitness

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Form C. F. A.

Application for certificate of fitness


(See Rule 116)

To
The Registering Authority,
The Motor Vehicles Inspector

..........................................
I hereby apply for the issue of a certificate of fitness as required by section 56 of the Motor Vehicles
Act 1988.

Registration mark of Vehicle :..................................................................................................

Name of owner :..................................................................................................

Address of owner :..................................................................................................

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

Place where the vehicle is ordinarily kept :..................................................................................................

Name of Manufacturer of Vehicle :..................................................................................................

Manufacturer’s model or if not known


wheel base :.................................................................................................

Type of Vehicle :.................................................................................................

Engine Number :................................................................................................

Chassis Number :................................................................................................

Particulars of previous certificate of fitness granted in respect of the vehicle

Authority by which granted :...............................................................................................

Date when certificate was lost or


destroyed or ceased to be valid :...............................................................................................

Reasons of cessation of validity :...............................................................................................

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

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