Page 596 - The Central Motor Vehicles Rules, 1989

568 THE CENTRAL MOTOR VEHICLE RULES, 1989 FORM 50B

Investigating Officer
Name (text box)

Organisation (text box)
Designation (text box)
Department (text box)
Signature Provision for digital signature
Stamp/Seal

FORM 50B
[Refer rule 127A(5)] FORM 50B
Form to be submitted by Testing Agency to the Investigation Officer
(INVESTIGATION REPORT FROM TESTING AGENCY)
Date:
1.0 Report No.
2.0 Investigation Reference
3.0 Name of the Investigation Officer handling the complaint for
Central Government
4.0 Name and Address of the Vehicle Manufacturer/Importer/
Retrofitter
5.0 Nature and Details of Defect Reported

6.0 Methodology of Investigation carried out by the Testing
Agency (Testing/Verification/Audit)
7.0 Site where Investigation was carried out
8.0 Test Report(s)/Details referred (If applicable)
9.0 Sample (Vehicle/System/Component)

9.1 Vehicle Make
9.2 Vehicle Model/Variant certified for CMVR
9.3 VIN/Chassis No.
9.4 Engine No./Motor ID No.
9.5 System/Component/Software Make

9.6 System/Component Model
9.7 System/Component/Software ID No.
10.0 Details of Production Batch and Production Volume from
where the sample was drawn
11.0 Specific approach adopted for investigation, if any.