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Form b1

This document contains a form for providing particulars of a vehicle. The form requests information such as the owner's name and address, vehicle make and type, engine and chassis numbers, seating capacity, weight, tax and insurance details. The owner must sign to affirm the information provided is true to the best of their knowledge.

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ashketchum
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1K views

Form b1

This document contains a form for providing particulars of a vehicle. The form requests information such as the owner's name and address, vehicle make and type, engine and chassis numbers, seating capacity, weight, tax and insurance details. The owner must sign to affirm the information provided is true to the best of their knowledge.

Uploaded by

ashketchum
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM - B-1

[See rule 5(2)]


PARTICULARS OF THE VEHICLE
1. Full name of the owner :
2. Complete Address of the owner :
3. Maker of the vehicle :
4. Type of vehicle :-
(a) Personalised vehicles
(b) Motor car with seating capacity more than 5
(c) Vehicles adapted and used for invalid
(d) Vehicles used solely for the transport of goods
(e) Vehicles used for conveyance of passengers
(f) Vehicles used solely for conveyance of passengers
(g) Other vehicles
5. Year of manufacture
6. Engine number
7. Chassis number
8. Seating capacity (in the case of vehicles which fall under items 4 (a) (b) and (c)
9. Unladen weight
10. Laden weight capacity (in the case of vehicles which fall under items 4 (d) and 4 (a)
11. Tax Liabilities
(a) Period for which Tax being paid
(b) Account of Tax (i) Motor Vehicle Tax
(ii) Additional Motor Vehicle Tax
(c) Penalty (if any)
(i) On Motor Vehicle Tax
(ii) On Addl. Motor Vehicle Tax
(d) Total of tax and penalty
12. Details of Challan/Bank Draft/Postal order
No. Date Amount
13. For Transport vehicles only
(a) Permit valid till (b) Certificate of fitness valid till
14. Whether expired Tax Token enclosed
15. If M.V.Tax/Additional M.V.tax not payable
(a) Reason (b) Number and date of notification
(c) Period for which M.V.Tax/Additional M.V.Tax not payable
16. Details of Insurance
(a) Insurer
(b) Insurance Certificate No.
(c) Date of validity from ………… to ……………
I hereby affirm that the above information is true to the best of my knowledge and belief.

Signature of the Owner


Date

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