Form Form21Report

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FORM 21

[ See Rule 47(a) and (d) ]


Sale Certificate
(To be issued by Manufacturer or Dealer or registered E-rickshaw or E-cart Association (in case of E-rickshaw or E-
cart) or officer of Defence Department (In case of Military auctioned vehicle)
for presentation along with the application for registration of a motor vehicle)
Part I- In case of application for registration of fully built motor vehicle made by owner
Certified that GB2820/66 H CO (brand name of the vehicle) has been delivered by us to UPKAR GOODS TRANSPORT CO
PVT LTD on 16-Jan-2023.
Part II- In case of application for registration of fully built motor vehicle made by dealer
Certified that GB2820/66 H CO (brand name of the vehicle) has been agreed to be sold by us to UPKAR GOODS
TRANSPORT CO PVT LTD on 16-Jan-2023 and the vehicle will be delivered by us to 16-Jan-2023 only after the registration
mark assigned by the registering authority under Section 41(6) is displayed on the motor vehicle as per proviso to sub-section
(6) of Section 41.
Part III- In case of purchase of chassis
Certified that MB1CWCHD9NPPU5941 (chassis) has been temporarily delivered by us on 16-Jan-2023 to UPKAR GOODS
TRANSPORT CO PVT LTD .
Part IV- Applicable in case of Part I, Part II and Part III
Name of the buyer : UPKAR GOODS TRANSPORT CO PVT LTD
Mobile Number : 9419195246
Son/wife/daughter of : NA
Address(Permanent) : R/O PLOT NO 110 TRANSPORT NAGAR, NARWAL, Jammu, Jammu and Kashmir-180006
Address(Temporary) : R/O PLOT NO 110 TRANSPORT NAGAR, NARWAL, Jammu, Jammu and Kashmir-180006
The vehicle is held under agreement of Hire Purhcase/Lease/Hypothecation with:
Hypothecation, HDFC BANK LTD, NARWAL, , , Jammu, Jammu and Kashmir-180001
The details of the vehicle are given below:
1. Class of vehicle : Goods Carrier
2. Maker's Name : ASHOK LEYLAND LTD
3. Chassis No : MB1CWCHD9NPPU5941
4. Engine no/motor no : NPPZ141956
in the case of Battery operated Vehicles
5. Horse power(B.H.P.)/Cubic Capacity : 196.98/5760.00
6. Fuel used : DIESEL
7. Number of Cylinders :6
8. Month and Year of Manufacture : Dec-2022
9. Seating cap(inc driver) :2
10. Unladen weight (in kgs) : 7290
Axle Details: Maximum axle weight and number and description of types (In case of Transport vehicle)
Description Weight(in kgs)
a) Front axle : 295/90R20; 7000
b) Rear axle : 295/90R20; 21000
c) Any Other axle : 0
d) Tandem axle : 0
11. Colour or colours of the body : NP BROWN
12. Gross vehicle weight (in kgs) : 28000
13. Type of body : NA
14. AC Fitted : NO
15. Dealer : TR ENTERPRISES
16. Model Manufactured Location : Manufactured in India

Signature of the manufacturer or dealer or Officer of Defence Department or registered E-rickshaw or E-cart Association

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