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Form 21: (See Rule 47 (A) and (D) ) Sale Certificate

1) A Form 21 sale certificate was issued by MG Motors dealership certifying that a TVS Jupiter scooter was delivered to Charan Kumar V on June 12, 2019. 2) The scooter's details are provided, including the chassis number, engine number, date of manufacture, seating capacity, color, gross vehicle weight, and model location. 3) MG Motors signed the form to certify the delivery of the scooter to Charan Kumar V.

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Selvakumar Kumar
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0% found this document useful (0 votes)
3K views1 page

Form 21: (See Rule 47 (A) and (D) ) Sale Certificate

1) A Form 21 sale certificate was issued by MG Motors dealership certifying that a TVS Jupiter scooter was delivered to Charan Kumar V on June 12, 2019. 2) The scooter's details are provided, including the chassis number, engine number, date of manufacture, seating capacity, color, gross vehicle weight, and model location. 3) MG Motors signed the form to certify the delivery of the scooter to Charan Kumar V.

Uploaded by

Selvakumar Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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6/17/2019 https://vahan.parivahan.gov.in/vahan/vahan/ui/dealer/form_form21Report.

xhtml
FORM 21
[ See Rule 47(a) and (d) ]
Sale Certificate
(To be issued by Manufacturer/Dealer or officer of Defence Department (In case of Military auctioned vehicle)
for presentation along with the application for registration of a motor vehicle)
Certified that TVS JUPITER (BS IV) has been delivered by us to CHARAN KUMAR V on 12-Jun-2019.
Name of the buyer : CHARAN KUMAR V
Son/wife/daughter of : VENKATA SESHAIAH
Address(Permanent) : NO 13/5 SWAMY PILLAI STREET, TRIPLICANE CHENNAI, CHENNAI, Chennai, Tamil Nadu-
600005
Address(Temporary) : NO 13/5 SWAMY PILLAI STREET, TRIPLICANE CHENNAI, CHENNAI, Chennai, Tamil Nadu-
600005
The vehicle is held under agreement of Hire Purhcase/Lease/Hypothecation with:
The details of the vehicle are given below:
1. Class of vehicle : M-Cycle/Scooter
2. Maker's Name : TVS MOTOR COMPANY LTD
3. Chassis No : MD626EG44K1D19200
4. Engine no/motor no : EG4DK1613821
in the case of Battery operated Vehicles
5. Horse power(B.H.P.)/Cubic Capacity : 7.88/109.70
6. Fuel used : PETROL
7. No of Cylinders :1
8. Month and Year of Manufacture : Apr-2019
9. Seating cap(inc driver) :2
10. Unladen weight (in kgs) : 108
11. Colour or colours of the body : TITANIUM GREY.
12. Gross vehicle weight (in kgs) : 238
13. Type of body : 2 WHEELER
14. AC Fitted : NO
15. Dealer : MG MOTORS
16. Model Manufactured Location : Manufactured in India

Signature of Manufacturer/Dealer

https://vahan.parivahan.gov.in/vahan/vahan/ui/dealer/form_form21Report.xhtml 1/1

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