Page 539 - The Central Motor Vehicles Rules, 1989

FORM 22 THE CENTRAL MOTOR VEHICLES RULES, 1989 511

10. Unladen weight ................................
11. Maximum axle weight and number and description of
tyres (in case of transport vehicle) ................................
(a) Front axle ...............................
(b) Rear axle ...............................
(c) Any other axle ...............................
(d) Tandem axle ...............................
12. Colour or colours of the body ...............................
13. Gross vehicle weight ...............................
14. Type of body ...............................
* Strike out whichever is inapplicable.
1
[Signature of the manufacturer or dealer
or officer of Defence Department or
registered E-rickshaw or E-cart Association]
2
[FORM 22
[Refer rule 47(1)(g)] FORM 22
ROAD-WORTHINESS CERTIFICATE
For
Compliance to Emission and Noise Standards
(To be issued by the Manufacturer or Importer or Registered Association in case of
E-rickshaw or E-cart, along with the vehicle)
It is certified that the following vehicle complies with the provisions of the Motor
Vehicles Act, 1988, and the rules made thereunder:
1. Model/Commercial Name of the vehicle : ....................................................................
2. Chassis number : ................................................................................................................
(Example: - Vehicle Identification Number (VIN) or ATIN or PIN/Trailer
Identification Number etc)
3. Engine number (Motor number, in case of Battery-Operated Vehicles): ..................
4. Applicable Emission norms : ............................................................................................
(Example :-Bharat Stage-IV/VI /TREM-III /Equivalent, as permitted under the
Act, Select NA for Battery Operated Vehicle)
5. Emission, Sound Level for Horn and Pass by noise values of the above vehicle
model, obtained during Type Approval Testing as per Central Motor Vehicle
Rules, 1989 are given below:
(i) Type Approval certificate No. : ..................................................
(ii) Type of Fuel : .................................................................................
(Example : Petrol/Diesel/CNG/LPG/Dual/Biofuel/Hybrid etc.)
(iii) Emission values for vehicles:

1 Substituted for “Signature of the manufacturer/dealer or officer of Defence Department” vide GSR 27(E),
dt. 13-1-2015, w.e.f. 13-1-2015.
2 Substituted vide GSR 628(E), dt. 12-10-2020, w.e.f. 12-10-2020.