Page 793 - The Central Motor Vehicles Rules, 1989

THE RENT A MOTOR CYCLE SCHEME, 1997 765

FORM 5
[Refer Paragraph 8(vi)]
(WITH PAGES SERIALLY NUMBERED IN TRIPLICATE)
1. Name of complainant ..........................................................................................
2. Full Address ...........................................................................................................
3. The name and address of the holder of the licence for rent a motor cycle
...................................................................................................................................
...................................................................................................................................
4. Licence number, and authority which issued the licence .................................
5. The date and time of hiring the vehicles and date and time when the vehicle
was returned .........................................
6. Vehicle number ....................................
Complaint in brief .............................................................................................................

Date:
Place: Signature

1. The licensing authority by registered post......... (duplicate copy)
2. The complaint ................................ (triplicate copy)