Tax Invoice

Invoice Number :- DO
PB03000723V03027 No:
Invoice Date:-
Reference Invoice Number :- VEHINV-PB030007-2324-03027 11/10/2023
Supplier Details (Ship From): Ship To(Place of Delivery):
Legal
Name: Legal Name:
Dealer KRISHNA
Name: KRISHNA AUTOMOBILES Dealer Name: AUTOMOBILES
1586/3 MOHALLA ANANDPURA, BASTI JODHEWAL Addres
Address : CHOWK s: 1586/3 MOHALLA ANANDPURA, BASTI JODHEWAL CHOWK
BYE-PASS ROAD, LUDHIANA LUDHIANA Punjab 141007 BYE-PASS ROAD, LUDHIANA LUDHIANA Punjab 141007
Pin
Pin Code: 141007 Code: 141007
State: Punjab
GSTIN
No:
03AAWFK9166B1Z
3
krishnahonda@hotmail.
Phone: Email: com State Code: 3

PAN No: AAWFK9166B CIN No:

GSTIN
:
03AAWFK9166B1Z3
Pun State
State: jab Code: 3
Customer Care 9779807
No: 600

Place of Bill To
Supply (Details of Recipient)
Legal
Name: SUNIL VERMA S/O RAM ADHAR, Legal Name: SUNIL VERMA S/O RAM ADHAR,
Customer
Customer Name: SUNIL VERMA S/O RAM ADHAR, Name: SUNIL VERMA S/O RAM ADHAR,
ST.NO.2, HARKRISHAN NAGAR, 33 FEET ROAD, Addres
Address : GIASPURA, s: ST.NO.2, HARKRISHAN NAGAR, 33 FEET ROAD, GIASPURA,
LUDHIANA Punjab
LUDHIANA Punjab 141010 141010
Pin
Pin Code: 141010 Code: 141010
Email Address: Email Address:
State: Punjab State Code: 3 State: Punjab State Code: 3
GSTIN GSTIN
No: UIN No: No: UIN No:
Phone(M) 7508062 Phone(
: 689 Phone(O): M): 7508062689 Phone(O):
Customer GST Customer GST
No: PAN Number: No: PAN Number:

Cust/Enq Category: Individual / LS Order

Individual No: Service No:
Purchase Type: LS Order
Booking No: VEHBK-PB030007-1-2324-03037 Finance Date:
Battery No: Booklet No:
358721 NA Whether Supply is service or not:
Invoice Type Code: Key No:
Invoice Type: Tax Invoice INV PM98
Reverse Charge: Not Applicable Supply Type: Transaction mode:
Salesman Name: DEEPAK Mobile No: E-Way Bill
KUMAR 8288838872 No:
Hypothecation With: HINDUJA LEYLAND FINANCE LTD E-Way Bill Valid Upto Date:
Model(Model HSN Colo
Code) Code Type / Variant ur Frame no. Loyalty ID Engine no.
MAT
AXIS
ACTIVA ID/ ACTIVA STD
871120 GR ME4JK155JPD04
19 AY 1796 JK15ED4041814
(SCV110P7)
METALL

Descriptio Qt UO Unit Price

n y M (Rs.) Tax % Amount(Rs.)
Basic
Price 1 Nos. 59,506.69 59,506.69
Discount 0.00
Taxable Amount 59,506.69
IGST 0.00 % 0.00
CGST 14.00 % 8,330.93
 SGST/UTGST 14.00 % 8,330.93
CESS 0.00 % 0.00
Ex Showroom Price (Rs.) 76,168.95
Concessio
n 0.00
Total
Amount 76,169.00
Discount
Remarks:-
S.no Scheme Name
Customer Temp Address :

Assessable Value:
Amount in words Rupees Seventy Six Thousand One Hundred Sixty Nine Only.

If reverse charge applicable then specify amount of tax

Declaration :

I/We hereby certify that my/our registration certificate under the -LUDHIANA Jurisdiction is in force on the date on which the sale of goods specified in this Tax Invoice is made by me/us and that the transaction in the turnover of sales while filling of the return and the due
tax, if any payable on the sale has been paid or shall be paid. Also I/We hereby give consent that all personal or other information (information's) provided herein or otherwise can be used for the business purposes or for performance of agreement between us, if any and
shall not be disclosed to any third party except to the extent its disclosure is essential as per the applicable laws or for any business requirement. The above said information may be shared or transferred with HMSI or its Dealers or group companies within or outside India
for improvement of product, service quality, marketing promotion, development of our products, services, etc. However, the same shall be transmitted, handled & destroyed as per the applicable law or in a manner that will preserve its confidentiality. Further, all or any of
the information's provided herein or otherwise can be withdrawn/corrected by giving notice.

Customer Signature
Payment Receipt No : RCT-PB030007-2324-03176 Payment Method : Cash Payment Receipt Date: 11/10/2023
For KRISHNA AUTOMOBILES

Authorized Signatory

Become member today and avail exciting offers on services

& discounts at partner brands Download the App

Note : Service Schedule for your BSVI model is available on next page.
Free Service Schedule Kms* Days*

1st Free Service 750-1000 15~30

* Kms or Days,
2nd Free Service 5500-6000 165~180 whichever comes

earlier
3rd Free service 11500-12000 350~365

Paid Service Frequency Every 6000 Kms or Within 6 months

Please Note : Applicable for Domestic BSVI Vehicle

Only
 FORM 20

APPLICATION FOR REGISTRATION OF A MOTOR VEHICLE

[See Rule 47]

(To be made in duplicate if the vehicle is held under an agreement of Hire-Purchase/ Lease/ Hypothecation and duplicate
copy with the endorsement of Registering Authority to be returned to the Financier
simultaneous on Registration of motor vehicle)

To

THE REGISTERING AUTHORITY

1 Full name of person to be registered as registered SUNIL VERMA
.
owner Son/Wife/Daughter of
S/O RAM
ADHAR,

2 Age of the person to be registered as registered owner

.
3. Permanent address of the person to be registered as ST.NO.2, HARKRISHAN NAGAR, 33 FEET ROAD,
Registered owner (Evidence to be produced) GIASPURA, LUDHIANA Punjab 141010

Mobile #

7508062689

4. Temporary address of the person to be registered as 19. Engine No

registered owner
20. Seating capacity (including driver)
5. Name and address of the Dealer or Manufacturer from whom
the vehicle was purchased 21. Fuel used in the engine

22. Unladen weight

23. Particulars of previous registration and registered

number (if any)
6. If ex-army vehicles or imported vehicle, enclose proof. If
approval of design by the State Transport Authority and 24. Colour or colour of body, wings and front end

7. Class of vehicle

(If motor cycle, whether with or without gear)

8 The Motor vehicle is

(a) a new vehicle

(b) Ex-army vehicle

(c) imported vehicle

9. Type of body

10. Type of vehicle

11 .Maker's name

12. Month and year of manufacturer

13. Number of cylinders

14. Horse power

15. Cubic capacity

16. Maker's classification or if not known

17. Wheel base

18. Chassis No. (Affix Pencil print)

Mobile #

KRISHNA AUTOMOBILES

1586/3 MOHALLA ANANDPURA, BASTI JODHEWAL

CHOWK BYE-PASS ROAD, LUDHIANA LUDHIANA

Punjab 141007

Contact #

9876207600

NEW VEHICLE

NA

NA

FULLY BUILD

ID

Honda Motorcycle & Scooter India Pvt. Ltd

September 2023

8 bhp

109.51 cc

ACTIVA (ACTIVA STD-OBD2)ID

ME4JK155JPD041796

JK15ED4041814

PETROL

106

MAT AXIS GRAY METALL

I hereby declare that the Motor Vehicle has not been registered in any State in India.

Additional particulars to be completed only in the case of transport vehicles other than motor cab.

25. Number, description and size of tyres

(a) Front axle

(b) Rear axle

(c) Any other axle

(d) Tandem axle

26. Gross vehicle weight

(a) As certified by the manufacture .........................................................................................Kg

(b) To be registered .................................................................................................................Kg

27. Maximum axle weight

(a) Front axle ...........................................................................................................................Kg

(b) Rear axle ............................................................................................................................Kg

(c) Any other axle.....................................................................................................................Kg

(d) Tandem axle.......................................................................................................................Kg

28.(a) Overall length .................................................................................................................

(b) Overall width ..................................................................................................................

(c) Overall height..................................................................................................................

(d) Over hang........................................................................................................................

The above particulars are to be filled in for a rigid frame motor vehicle of two or more axles for an articulated vehicles of three or
more axles, or, to the extent applicable for trailer, where a second semi-trailer or additional semi-trailer are to be registered with an
articulated motor vehicle.

The following particulars are to be furnished for each semi-trailer.

29. Type of body........................................................................................................................

30. Unladen weight.....................................................................................................................

31. Number, description and size of tyres on each axle .............................................................

32. Maximum axle weight in respect of each axle .....................................................................

33. The Vehicle is covered by a valid certificate Insurance certificate or Cover note of insurance under Chapter XI of the

Act................ .No............... Date................of............... (Name of Company) valid from ................to..............

34. The vehicle is exempted from Insurance.

The relevant order is enclosed..............................................................................................

35. I have paid the prescribed fee of rupees ..............................................................................

Date
Signature or thumb impression of the person
to
be registered as registered owner.

Note : The Motor Vehicle above described is :

 (i) Subject to Hire-Purchase agreement/Lease agreement with

(ii) Subject to hypothecation in favour of HINDUJA LEYLAND FINANCE LTD

(iii)Not held under Hire-Purchase agreement, or lease agreement, or subject Hypothecation

Strike out whatever is inapplicable, if the vehicle is subject to any such agreement the signature of the

Financier with whom such agreement has been entered in to is to be obtained

Signature of the financier with whom an

Agreement of Hire-Purchase, Lease or Signature or thumb impression
Hypothecation has been entered into of the registered owner
 CERTIFICATE

INSPECTION OF MOTOR VEHICLE

Certified that the particulars contained in the application are the true and that the vehicle

Complies with the requirements of the Motor Vehicle Act, 1988 and the Rules made there under.

Signature of the INSPECTING AUTHORITY

Name

Designation

(For OFFICE ENDORSEMENT)

Ref. No.

Office of the

Dated

The vehicle bearing chassis number and engine number has been assigned the registration number / and registered in the
name of and the vehicle is subject to an agreement of hire purchase lease/hypothecation.

Registering Authority

TO

Name and address of the financer

By registered post or deliver under proper acknowledgment.

Specimen signature or thumb-impression of the person to be registered as Registered Owner and Financier are to be obtained in
original application for affixing and attestation by the Registering stamp and attestation shall fall upon each signature.
Specimen signature of the Financier Specimen signature of the Registered Owner
(1)
(1) --------------------------------------------------------------------- ------------------------------------------------------------
(2)
(2) --------------------------------------------------------------------- ------------------------------------------------------------
(3)
(3) -------------------------------------------------------------------- ------------------------------------------------------------
 Form 22

[See rules 47 (1)(g)]

ROAD-WORTHINESS CERTIFICATE

For

Compliance to Emission and Noise Standards

(To be issued by the Manufacturer or Importer or Registered Association in case of E-rickshaw or E-cart, along with the vehicle)

It is certified that the following vehicle complies with the provisions of the Motor Vehicles Act, 1988, and the rules
made thereunder:

1
. Model / Commercial Name of the vehicle : ACTIVA
2 ME4JK155JPD041
. Chassis number : 796

(Example:- Vehicle Identification Number (VIN) or ATIN or PIN / Trailer Identification Number etc.)

3 JK15ED4041
. Engine number (Motor number, in case of Battery-Operated Vehicles) : 814
4
. Applicable Emission norms : BS VI

(Example:- Bharat Stage-IV / VI / TREM-III/ Equivalent, as permitted under the act, Select NA for Battery
Operated Vehicle)

Emission, Sound Level for Horn and Pass by noise values of the above vehicle model, obtained during Type Approval
5.
Testing as per Central Motor Vehicle Rules, 1989 are given below:

(i) Type Approval Certificate No. : CARN1199 E01

(ii) Type of Fuel : Petrol
(Example:- Petrol / Diesel / CNG / LPG / Dual / Biofuel / Hybrid etc.)
:
(iii)Emission values for vehicles:
TABLE
Positive Ignition Engine or Compression Ignition Engine Vehicles

Sr. Pollutant Units Value

No.
(as applicable) (as applicable) (upto 3 decimal places)

(
1
) (2) (3) (4)
mg/ km or mg/kWh or
1. Carbon Monoxide (CO) g/kWh 285.091
mg/ km or mg/kWh or
2. Hydrocarbon, (THC/HC) g/kWh 44.709
Non-Methane Hydrocarbon mg/ km or mg/kWh or
3. (NMHC) g/kWh 41.720
mg/ km or mg/kWh or
4. Oxides of Nitrogen (NOx) g/kWh 17.519

(iv) Noise level (as applicable):

(a) Horn (for all vehicles other than agricultural tractors and construction equipment vehicles) as installed on the
vehicle: 101.5 dB(A);

(b) Pass by or Bystander's position: 72.6 dB(A);

(c) Driver-perceived or Operator's ear level (as applicable for agricultural tractors and construction equipment
vehicles): ....Not Applicable.... dB(A);

For Honda Motorcycle & Scooter India (Pvt.) Ltd.

(Facsimile Signature of Manufacturer or Importer or Registered

Association, in case of E-rickshaw or E-cart)
 DEALER: KRISHNA AUTOMOBILES
FORM 21

(See Rule 47 (a) & D)

SALE CERTIFICATE

Certified that Honda ACTIVA (ACTIVA STD-OBD2) BS VI has been delivered on 11/10/2023 by us to
1.Name of the buyer : SUNIL VERMA

S/O RAM ADHAR,

2.Permanent Address :
ST.NO.2, HARKRISHAN NAGAR, 33 FEET ROAD,
GIASPURA, LUDHIANA Punjab 141010

3. Temporary Address:
4. Mobile No. :
7508062689

The vehicle is held under agreement of Hire Purchase/Lease/Hypothecation with HINDUJA LEYLAND FINANCE LTD ,
Details of the vehicle are given below :
1 Class of Vehicle SCOOTER
.
2. Maker's Name Honda Motorcycle & Scooter India Pvt. Ltd.

3 Chassis No ME4JK155JPD041796

4 Engine No. JK15ED4041814

.
5 Horse Power /Cubic 8 bhp / 109.51 cc
Capacity
6 Fuel Used PETROL
.
7 No. of Cylinders 1
.
8 Month & Year of September 2023
.
manufacture
9 Seating Capacity (including 2
.
driver)
10. Unladen Weight 106
11. Maximum axel weight & number & description of tyres
(In case of Transport vehicle)
a) Front axle : N.A. b) Rear axle : N.A.
d) Tandem axle :
c) Front axle : N.A. N.A.
1
2
. Colour Of Body MAT AXIS GRAY METALL
1
3
. Gross Vehicle Weight 280
1
4
. Type of Body FULLY BUILD
1
5
. Blinkers/Indicators Fitted YES

For : KRISHNA AUTOMOBILES

Authorised Signatory
STRIKE OUT WHICHEVER IS NOT APPLICABLE.
Registered 1586/3 MOHALLA ANANDPURA, BASTI JODHEWAL CHOWK BYE-PASS ROAD, LUDHIANA
Office: LUDHIANA Punjab 141007