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Table ID: 4

Government Of Kerala
Motor Vehicles Department KL2022V33448576
Transaction
Form TR5(c) (See Rule 90(a) of Pay Date: 22-08-2022
Office Name SRTO,NORTH PARAVOOR
Applicant Name RAJEEV O A
Application No 3348403222

Transaction Name Class of Vehicles Fee Amount Addn Fee Total


RENEWAL OF DL 200.00 0.00 200.00
FORM-7 FEE 200.00 0.00 200.00
SER/USR CHARGE 60.00 0.00 60.00
POSTAL CHARGES 45.00 0.00 45.00

TOTAL Amount : 505.00


TOTAL Amount (In Words) Five Hundred and Five Rupees only

Bank Reference No T22234113859HI525

Bank / Gateway FPG

* This is a computer generated document and does not require any signature
* Any modification or misuse of this receipt is an offence which shall attract legal action and

(Office Copy. Please attach with the application)


.....................................................................................................................................................................................

22-08-2022
Government Of Kerala Table ID: 4
Motor Vehicles Department Transaction KL2022V33448576
Form TR5(c) (See Rule 90(a) of Pay Date:

Office Name SRTO,NORTH PARAVOOR

Applicant Name RAJEEV O A

Application No 3348403222

Class of Vehicles Fee Amount


Transaction Name Addn Fee Total
RENEWAL OF DL 200.00 0.00 200.00
FORM-7 FEE 200.00 0.00 200.00
SER/USR CHARGE 60.00 0.00 60.00
POSTAL CHARGES 45.00 0.00 45.00

TOTAL Amount : 505.00


TOTAL Amount (In Words) Five Hundred and Five Rupees only

Bank Reference No T22234113859HI525

Bank / Gateway FPG

* You are instructed to submit the Online application with required documents at the counter of RT office/Sub RT Office within 3
days, belated applications shall not be entertained.
* Department is not responsible for the delay in service due to short remittance of fee,tax,service charge,cess,inaccurancy in
application and documents submitted.
* This is a computer generated document and does not require any signature
* Any modification or misuse of this receipt is an offence which shall attract legal action and
(Acknowledgement and applicant’s copy)

IT-Services NIC Hyderabad


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