Page 608 - The Central Motor Vehicles Rules, 1989

580 THE CENTRAL MOTOR VEHICLE RULES, 1989 FORM 64

FORM 64
[Refer rule 175(7)] FORM 64
APPLICATION FORM FOR GRANT OR RENEWAL OF REGISTRATION
CERTIFICATE FOR AUTOMATED TESTING STATION
Application for Please tick
Issue of a new Registration Certificate
Renewal of Registration Certificate

1. FOR OFFICE USE
Preliminary Registration Certificate No.
Application No.
Application Date
Fee

Security Deposit
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 Company Firm Trust Society Proprietor Govt. JV PPP Any
(please tick) other
(Specify)
3. Number of lanes 2-Wheeler/ Light Motor Vehicle Medium and Heavy Motor
3-Wheeler Vehicle

4. Land details 1. Location—
Details of Ownership/Lease (Enclose documentary proof)
5. Number of Employees