Page 607 - The Central Motor Vehicles Rules, 1989

FORM 63 THE CENTRAL MOTOR VEHICLES RULES, 1989 579

FORM 63
[Refer rule 175(3)] FORM 63
APPLICATION FORM FOR GRANT OF PRELIMINARY REGISTRATION
CERTIFICATE FOR AUTOMATED TESTING STATION
1. FOR OFFICE USE

Application No.
Application Date
Fee
2. GENERAL INFORMATION
a. Name

b. Address
c. Telephone
d. Email ID
e. CIN/Shop
Act
Registration
number/
Udyam
Aadhaar
number
f. PAN
g. GST number
h. Status Any Company Firm Trust Society Proprietor Govt. JV PPP other
(please tick) (Specify)

3. Proposed number of lanes 2-Wheeler/ Light Motor Vehicle Medium and Heavy Motor
3-Wheeler Vehicle

1
[4. Land details Proposed Location—
Details of Ownership/Lease (Documentary proof to be
enclosed, if available)]
Authorised Signatory .......................................
Date (Owner and/or Operator)

1 Substituted vide GSR 797(E), dt. 31-10-2022, w.e.f. 1-11-2022.