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Vehicle Information
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State*
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ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
KARNATAKA
KERALA
MADHYA PRADESH
MEGHALAYA
ORISSA
RAJASTHAN
SIKKIM
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
Registration Number*
(Reg No. Ex.- DL3CBV7501)
Chassis No.*
(Kindly enter last 5 digits including special characters (eg *,~,-,/,.)
Engine No./Motor No.*
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Front Laser Code*
Rear Laser Code*
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Vehicle Details
Bharat Stage (BS)*
Select Bharat Stage
Bharat (Trem) Stage III B
Bharat (Trem) Stage IV
Bharat (Trem) Stage V
BHARAT STAGE I
BHARAT STAGE II
BHARAT STAGE III
Bharat Stage III (CEV)
BHARAT STAGE III/IV
BHARAT STAGE IV
Bharat Stage IV (CEV)
BHARAT STAGE IV/VI
Bharat Stage V (CEV)
BHARAT STAGE VI
EURO 6AD
EURO 1
EURO 2
EURO 3
EURO 4
EURO 6
EURO 6A
EURO 6B
EURO 6C
EURO 6D
Vehicle Registration Date(DD/MM/YYYY)*
(Vehicle Reg. date before 01 APR 2020 only)
Fuel Type*
Select Fuel Type
CNG ONLY
DIESEL
DIESEL/HYBRID
ELECTRIC(BOV)
ETHANOL
LNG
LPG ONLY
METHANOL
PETROL
PETROL/CNG
PETROL/ETHANOL
PETROL/HYBRID
PETROL/LPG
PETROL/METHANOL
SOLAR
Maker*
Vehicle Type*
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Transport
Non-Transport
Vehicle Category *
Select Vehicle Category
3WN
3WT
LPV
4WIC
LMV
HPV
MPV
HMV
MMV
LGV
MGV
HGV
AABT
AMBT
ARKT
ARPN
ARVT
ATCHN
AUTT
BRVN
BULT
CAVT
CEHHN
CHSN
CHST
CMPN
CMVT
COCT
CRMN
CRNN
CRNT
CTHT
CTPN
CVHT
CVPN
DEXN
DEXT
DMPN
DMPT
EART
EIBT
EKRT
EXCN
EXCT
FFVT
FRLN
FTRT
FWGT
GCAT
GCRT
GEMN
HERT
IVCN
JEPN
LIBT
LODN
LTCT
MACT
MAXT
MBWT
MCEN
MCGT
MCPT
MCRN
MCTT
MCWN
MCYN
MGRN
MMCN
MOCT
MSVN
MTLT
MVCT
OBPN
OBT
OTPN
PSVT
PWTN
PWTT
QUAN
QUAT
REVN
RIGN
RRLN
SCRT
SLCM
SNLT
SPHN
STCT
STWT
SWPN
TATN
TCPN
TFTT
TGVT
TMVCN
TOTN
TOVT
TOWN
TRCN
TRLT
TRTT
TTRN
TTTT
TTVN
TWVN
XRYT
Front Laser Photo *
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Rear Laser Photo *
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Front Plate Photo *
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Rear Plate Photo *
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Contact Information
Owner Name*
Full Name
Email Id
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Mobile No..*
BillingAddress*
State*
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ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
City*
GST No. (Optional)
If any details provided by me for HSRP is found incorrect (Partially/Fully). The HSRP will not be affixed to my vehicle and HSRP Fee will not be Refundable.
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