Page 548 - The Central Motor Vehicles Rules, 1989

520 THE CENTRAL MOTOR VEHICLE RULES, 1989 FORM 22E

1.2 Registration Number
1.3 Chassis number (Optional)

1.4 Engine number/Motor number (in case of battery operated
vehicles) (Optional)
2. Alteration/ Retrofitment Details
2.1 Nature of Alteration/ Retrofitment (Body Structure/ Fuel
Source/Chassis replacement/Engine replacement)
2.2 Brief Details of alteration/retrofitment work carried out
Compliance of Alteration/Retrofitment with the Applicable
Rules
3.1 Compliance Details of Alteration/ retrofitment
(a) Number and address details (Name, address and Contact
Details) of the Company who has carried out
Alteration/retrofitment
(b) Compliance details in the formats (Form no. 22F) provided
under rule 112A of CMVR 1989 as applicable.
(Applicable in case carried out by the OE manufacturer or his dealer
or Authorised Workshop as allowed under Rue 112 of the
CMVR 1989)
4. Reference number of permission for alteration/retro-fitment

This is to certify that the adaptation mentioned above is correct.
Place: ..............................
Date: ............................ (Signature of the Owner)
Name: ............................................
Mobile number ............................
PART II
(To be filled by Registering Authority)
The Motor Vehicle, bearing Registration Number ..............................., duly Altered/
retrofitted, has been verified and cleared for endorsement entry into Registration
Certificate.
Place: .............................
Date: ............................. (Signature of the authorized person)
Designation: ..........................................
Name: .....................................................
FORM 22E
[(Refer rule 47B (2)] FORM 22E
REQUEST FOR ENDORSEMENT OF ADAPTATION
PART I
(To be Issued by the Motor Vehicle Owner)
I hereby request the Registering Authority to endorse the adaptation carried out
in my vehicle in the Certificate of Registration of my Motor Vehicle as per the details
mentioned below: