Page 602 - The Central Motor Vehicles Rules, 1989

574 THE CENTRAL MOTOR VEHICLE RULES, 1989 FORM 59

FORM 57
[Refer Rules 140(v) and 161(1)] FORM 57
CERTIFICATE FOR FOREIGN INSURANCE
Certificate No. ........................ Policy No. .................................(Optional)
1. Name and address of approved foreign insurer ......................................
2. Name and address of guarantor ......................................
3. Registration mark and number of the motor vehicle ......................................
4. Name and address of visitor ......................................
5. Date of commencement of the policy ......................................
6. Date of expiry of the policy ......................................
7. Persons or classes of persons entitled to drive in India ......................................
8. Any limitations as to use of motor vehicle in India ......................................
9. Particulars of any other vehicle(s) which the foreign
visitor is entitled to drive in India and any limitations as
to use of such vehicle in India.
I/We hereby certify that this certificate of foreign insurance has been issued in
accordance with the provisions of Chapter XI of the Motor Vehicles Act, 1988, and the
Central Motor Vehicles Rules, 1989.
Signature of the
approved Foreign Insurer
FORM 58
[Refer Rule 161(2)] FORM 58
ENDORSEMENT ON CERTIFICATE OF FOREIGN INSURANCE
Certified that I have today examined this certificate of foreign insurance and that
I am satisfied that this certificate complies with the requirements of Chapter XI of the
Motor Vehicles Act, 1988, and the Central Motor Vehicles Rules, 1989.
The period of validity of this endorsement will expire on...................unless
cancelled before the expiry of the period of its validity in accordance with the provisions
of the Motor Vehicles Act and Rules made thereunder.
.........................................................................................
Date ...................... Signature and designation of competent authority
The period of validity of this endorsement is hereby renewed—
Up to
Up to
Up to
Unless cancelled in the meanwhile.
(Signature and designation of competent authority)
1
[FORM 59
[Refer rule 115(2)] FORM 59
Pollution Under Control Certificate
Authorised by:
Government of XXXX

1 Inserted vide GSR 410(E), dt. 14-6-2021, w.e.f. 15-6-2021.