Page 551 - The Central Motor Vehicles Rules, 1989

FORM 22G THE CENTRAL MOTOR VEHICLES RULES, 1989 523

FORM 22G
[(Refer rules 47B (3), 112A (2), 126)] FORM 22G
COMPLIANCE REPORT FOR ADAPTATION OF MOTOR VEHICLE
(To be submitted by the company/workshop who has carried out adaptation work on motor vehicle retrofitment
either electronically on the Portal to the motor vehicle owner and owner shall submit this report to registering
authority for the endorsement in registration certificate)
Sr. No. Item Details
(1) (2) (3)
1. Motor Vehicle Details
1.1 Motor Vehicle Make & Model
1.2 Registration Number
1.3 Chassis number (Optional)
1.4 Engine number/Motor number (in case of battery operated
vehicles) (Optional)
1.5 Name, address and mobile number of the motor vehicle owner
2. Details of the alteration to convert motor vehicle in to adapted
vehicle.
2.1 Nature of Alteration for converting it into adapted vehicle (Body
Structure, vehicle control)
2.2 Brief details of the alteration carried to convert motor vehicle into
adapted vehicle.
2.3 Applicable rules from the CMV rules followed for carrying out
adaptation work
2.4 Standard as specified in applicable rules followed for carrying out
alteration/retrofitment
2.5 Compliance report regrading alteration work carried out to To be
convert motor vehicle into adapted vehicle in the form type attached
approval issued by the authorized testing agency or self-
certification report, as the case may be.
3. Name, address and contact details of the firm who has carried out
the subject adaptation work
This is to certify that the subject alteration/retrofitment work has been carried in
such a manner that specific provision of the rules related to adaptation work of motor
vehicle are followed and it is ensured that motor vehicle so altered to make it as adapted
vehicle comply with the requirements of Central Motor Vehicles Rules, 1989.
Place: ..............................
Date: ............................... (Authorised Signatory of the firm which carried out
alteration work to convert motor vehicle into adapted vehicle)
Name of the person: ......................................................]
1
[xxx]

1 Form 23 omitted vide GSR 174(E), dt. 1-3-2019, w.e.f. 1-10-2019.