APPLICATION FOR REGISTRATION OF MOTOR …

1 1 7 245 V T b V U z c ( V U z ) 7 245 y t z ~ ( u ~ ) APPLICATION FOR REGISTRATION OF MOTOR VEHICLE (Not already registered in Sri Lanka) Section 7 and 245 ] b b b . b V ] .. u { y t u { | . u { { ~ z . u , } ~ { } t ~ y . Since the Computer accepts only English the form is in English. It should be filled in English. The Sinhala and Tamil translations are given. Size of the Number Plate Front X mm Rear X mm Number plate will be collected District Secretariat.}}}

2 1. Name with Initials 2. Full Name of Owner 3. Title 1. Mr. 2. Ms. 3. Other (Please specify) 4. ID Type 1. National ID 2. Passport 3. Postal ID 4. Driving Licence 5. Business Reg. No. 5. Identity Card No. 6. Address of Owner For Office Use Only APPLICATION Number APPLICATION Date D M Y Vehicle Category Vehicle No. Date for Tax D M Y Date of REGISTRATION D M Y Signature of the Staff Officer .. 2 ..2 27. Province 8. Licensing Authority (Divisional Secretariat) 9.

3 District Please mark the number in the appropriate cage. 10. Ownership 11. Usage 1. Private 1. Personal 2. Public 2. Commercial 12. Please indicate whether used for 1. Transport of passengers 2. Transport of goods 3. Goods and Passengers 4. Agriculture 5. Construction 6. Other (Specify) 13. REGISTRATION Status 1. Locally built 2. Recondition 3. Brand New 4. Bought from Auction 5. Other (Specify) 14. Is it a DPL vehicle? Yes No 15. Manufacturer s Description of Vehicle Type 1. MOTOR car 2. Three Wheeler Car 3. Jeep 4.

4 MOTOR Lorry 5. Delivery Van 6. Three Wheeler Van 7. Crane 8. Dump Truck 9. Prime Mover 10. MOTOR Cycle 11. Hearse 12. Ambulance 13. Dual Purpose Vehicle 14. Hand Tractor 15. Tractor 4 wheel 16. Lorry Trailer 17. Land Vehicle 18. MOTOR Coach 19. Container Truck 20. Other (Please Specify) 16. Make 17. Model/Type of Body 18. Year of Manufacture 19. Country of Origin For Agents Only If a Prototype is available Prototype Number For office use only Make Code 20. 2 3 21. Chassis Number 22. Engine Number 23. Colour (If multiple colours separate by) Colour 1 Colour 2 Colour 3 24.

5 Fuel used 25. Cylinder Capacity (CC) 26. Wheel Base 27. A Tyre Size Front D/S Rear D/S 27. B Type S-Single S-Single A-Air D-Dual D-Dual O-Other 28. Overall Measurement (In cm) A-Length B. Width C. Height 29. Seating Capacity 30. Driving Side 31. Unladen Weight 31A. Unit of measure 1. Reighthand 1.

6 Kg 2. Lefthand 2. Ton (No of seated passengers) 32. Gross Vehicle Weight 32A. Unit of Measure 33. Pay Load 33A. Unit of measure 1. Kg 1. Kg 2. Ton 2. Ton 34. Weight and Measurements Certified by 1. CMT 2. Agent 3. Dealer 4. District/Divisional Secretariat (EMV) 34A. Name of the Agent/ Dealer/ District/Divisional Secretariat where inspection carried out. 35. Is the vehicle imported on Import Licence? 1. Yes 11. No 36A. If on import licence, licence number 36B. Date of Licence D M Y 37. Special Conditions 38.

7 Customs Entry Number 39. Date of Customer Entry D M Y 40. Date of Clearance From Customs D M Y 41. Date of sale Declared by Dealer D M Y 42A. Name of Importer 42B. Address of Importer 43. Does the vehicle have dual ownership 1. Yes 2. No If yes, 43A. Specify type: Mortgage Lease Hire Purchase Other Code 43B. Name and address of the organization .. Frank and Signature of Importer Date.

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