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(प्रवर्तन शाखा / Enforcement Branch) (मोटर यान अधिनियम, 1988 व इसके अधीन बने नियमों को भंग करने की सूचना (Infringement report under Motor Vehicles Act, 1988 and Rules made thereunder) |
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/ Office Name :
........
/Challan Date:
.........
/ Vehicle Class:
.........
/Challan no:
/Vehicle no
/Chassis no:
.........
/ Owner's Name:
.........
/ Owner's Address
........
/ Driver's name
........
/ Father's name
........
/ DL no.
........
/ Validity
.........
/ Place of incident
........
Document Impounded:
No Document Impounded
Witness name:
No witness
/ Offences Charged with:-
/ e-challan compounding fee deposit details
/Receipt no.
/Date ........
/Received Amount Rs ........ (in Words
/Remarks: ........
/Remarks: ........
Name and signature of Driver/Owner
......../.........
/Signature : ......................
/Name and Designation
............ .................
