Page 530 - The Central Motor Vehicles Rules, 1989

502 THE CENTRAL MOTOR VEHICLE RULES, 1989 FORM 17A

4. Date of expiry of certificate .............................
Sr. Class of Dealership authorisation No. of Trade registration Fee amount Receipt
No. Vehicle certificate number marks allotted paid number
(in case of dealer of motor
vehicles)
(1) (2) (3) (4) (5) (6)
0001 to *******
Station .............................................
Date .................................................
Registering Authority (Digitally signed) Valid throughout India
QR Code ]
1
[FORM 17A
[Refer Rule 35A(1)] FORM 17A
FORM OF APPLICATION FOR GRANT OF ADDITIONAL TRADE
REGISTRATION MARKS
To
Registering Authority
......................................................................
I/We hereby apply for grant of additional Trade registration marks:—
1. Applicant’s name ...........................................................................
2. Son/Wife/Daughter of ...........................................................................
3. Applicant’s full address ...........................................................................
4. Address of showroom (in case of dealers of motor vehicles):
Sl. Trade Validity of Class of Number of trade Additional Amount of Receipt
No. Certificate trade vehicle registration marks trade fee paid number
number certificate allotted registration
marks
required
(1) (2) (3) (4) (5) (6) (7) (8)
From Serial No.
0001 to serial
No. ......................
Signature of the applicant or digital/e-signature of applicant

1 Inserted vide GSR 703(E), dt. 14-9-2022, w.e.f. 1-11-2022.