Form 21

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FORM 21 [ See Rule 47(a) and (4) } Sale Certificate (To be issued by Manufacturer or Dealer or registered E:rickshaw or E-cart Association (in case of E-rckshaw or E-cart) or officer of Detonce Department (in cass of Miltary auctioned vehicle) {or presentation along withthe application for registration of a motor vehicle) Partin case of application fo registration of fly built motor vehicle made by owner Contied that TVS APACHE RTR 160 (brand name of the vehice) has been delivered by us to KAVITA DEVI on 02-Jun-2024 Part I-In case of application for registration of fully built motor vehicle made by dealer Coriied that TVS APACHE RTR 160 (brand name ofthe vehicle) has been agreed tobe sold by us to KAVITA DEVI on 02-Jun-2024 and the ‘oct wil be delivered by us to 02Jun-2024 onty ater he eqsration mark assign bythe registering authority uncer Seton 410) a ‘splayed onthe motor vehice 8s per proviso to sub-section (6) of Section 41 Part tn case of purchase of chassis (Corie that MD6345E80R2E 13710 (chassis) has been temporary delivered by us on 02-Jun-2024 to KAVITA DEVI. Part V- Applicable in case of Part Part and Part Il Name of the buyer KAVITA DEW Mobile Number 7r308558946 ‘Soniwtefdaughior of RAVINDARA KUMAR ‘Adress(Permanen!) AITPUR, POST-IITPUR, CHAURADANO, CHAURADANO, Purba Champaran 8 ‘Acséress(Temporary) JITPUR.POST-JITPUR, CHAURADANO, CHAURADANO, Pura Champaran, Siar ‘The vehicles held under agreement of Hire Purhcase/Lease/Mypothecaton wit ‘Hypotnecaton, LAT FINANCE LIMITED, MOTIHAR!, MOTIHAR!, MOTIMARI, Purba Champaran, Sihar-845401 The details ofthe vehicle are given below: 1 Glass of vehicle M-Cyee/ Scooter 2. Maker's Name TVS MOTOR COMPANY LTD 3. Chassis No MOS34BEB0R2E137:0 4, Engine nimotor 9 ‘AEBERD13605 In the case of Bator operated Vehicies 5. Horse power(B.H.P.yCubie Capacty 15.81/159.70 6. Fue uses PETROL 7. Number of Cylinders ‘ ‘8. Month and Year of Manufacture May-2024 9. Seating capinearver) 2 410, Uniagen weight (in kgs) +7 11. Colour oF colours ofthe body BLACK 12, Gross vercie weight (kgs) 27 15. Type of boxy ‘SOLO WITH PALLION 18.AC Fited NO 15. Dealer MWS OM SAI MOTORS 16, Model Manufactured Location Manufactured in inca Stoneture ofthe manufacturer or dealer or Offcw of Defence Department or registered E-ickshaw or E-cart Association

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