Annexure Advance Form

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ANNEXURE

Government of Tamil Nadu


Home Prohibition & Excise (Transport.VI) Department, Secretariat, Chennai­600 009.
MOTOR VEHICLE NUMBER REGISTRATION ALLOTMENT FORM

1. Name of the vehicle owner


:

(In case of firm name of the firm should be specified)

2. Sex (M­Male, F­Female) 3. Category (I­Individual, O­Organization/Firm)

4. Name of the Father/Husband:

5. Postal address:
House No:
Street:
Locality:
City:
Pin Code:

6. a) Type of vehicle purchased: (01.Two Wheeler, 02.Three Wheeler, 03.L.M.V. 04 H.M.V.)

b) Engine Number

c) Chassis Number

7. Ownership type: (P­Private, G­Government)

8. RTO Code: [Refer Instruction (d)]

9. Fancy Number (OR) Advance Number requested in the order of preference and the series

(a) Series ­­­­­­­ (b) Series ­­­­­­­­ No.


No.
(c) Series ­­­­­­­ (d) Series ­­­­­­­­ No.
No.

Place:
Date: (Signature of the Vehicle Owner)
­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­
For Office Use Only
Allotted Series Number

Department Date
Current Number
D D M M Y Y Y Y
Signature of the Officer
(Seal/Designation)

(P.T.O. for Important Instructions)


­2­

(G.O.Ms.No.651, Home, Prohibitions & Excise (Transport­VI) dated 02.05.2007)

(a) The application for allotment of Advance/Fancy number should be made in the prescribed format.

(b) The application should be signed by the respective Vehicle Owner.

(c) Allotment shall be subject to the availability of the numbers sought for and at the discretion of the
Government. Allotment cannot be claimed as a matter of right.

(d) The advance/Fancy number will be allotted only within the jurisdiction of the concerned Regional
Transport Officer in which the vehicle owner resides or the place of business if it is a vehicle
belonging to institution/firm.

(e) The application for allotment of advance/fancy number to Government should be made only after
purchase of vehicle.

(f) The application must be accompanied by the Xerox copy of the invoice for the purchase of
vehicle.

(g) No extension of time limit shall be entertained.

S.MALATHI
SECRETARY TO GOVERNMENT

// TRUE COPY //

Personal Assistant to STA

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