Page 615 - The Central Motor Vehicles Rules, 1989

FORM 69 THE CENTRAL MOTOR VEHICLES RULES, 1989 587
1
[FORM 69
[Refer rule 181(7)] FORM 69
FORM FOR VEHICLE TEST REPORT
Name, logo & details of the ATS Operator
QR Code <GPS coordinated date and time>
<Picture of the Registration Plate of the Vehicle>

General Details of Automated Testing Station
Registration Location Operating Test No. Date of Test Time Test
No. Agency (DD-MM-YY) of Test Status
RTO District State Name (Initial
Test/1st
Re-Test/
2nd
[1]
Re-test )
(1) (2) (3) (4) (5) (6) (7) (8) (9)

Due Date of Fitness test/Re-test
Details of Vehicle
Registration Vehicle Make Model Engine Chassis Fuel Emission Speed GVW Year of
No. Class Number Number Type Norms Governor (kg) Mfg.
number
(if any)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

1. Automated Equipment Calibration Details

Sl. No. Name of Equipment ID No. Calibration Date of Last
Frequency Calibration
(1) (2) (3) (4) (5)
1 Roller Brake Tester
2 Equipment for Axle Weight Measurement
3 Suspension Tester
4 Side Slip Tester
5 Joint Play Tester NA NA
6 Electronic Steering Gear Play Detector
7 Headlight Tester (Semi-automatic/fully automatic)

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