OEM Logo
[dlr_name]
(Authorised Dealer for [brand_name] Sales, Service and Spares)
Dealer Logo
GSTIN - [dlr_gst]
[dlr_adrs],
[dlr_loc] - [dlr_pin].
Mobile No. - [dlr_phno]
FORM 21
( See Rule 47 (a) and (d) - 7 )
S  A  L  E     C  E R  T  I  F  I  C  A  T  E

(To be issued by Manufacture/Dealer, for presentation along with the application for registration of a motor vehicle)

Name of the buyer : [cust_name]
Son / Wife / Daughter of : [father_name]
Address ( Permanent ) : [cust_adrs]
Village : [cust_village]
Tehsil : [cust_tehsil]
District : [cust_district]
Phone : [cust_phno]
(Temporary) : [cust_temp]

The vehicle is held under agreement of Hire purchase Lease / Hypothecation with : [hypo_to]

The details of the Vehicle are given below :

1. Class of vehicle : [veh_class]
2. Makers Name : [make_name]
3. Chassis Number : [chasis_no]
4. Engine Number : [eng_no]
5. Material Description : [mtrl_desc]
6. Horse Power of cubic capacity : [hp_cubic_capacity]
7. Fuel used : [fuel_used]
8. No. of Cylinders : [cylinders]
9. Month & Year of manufacture : [month] & [year]
10. Seating capacity (Including driver) : [seat_capacity]
11. Unladen weight : [unladen_weight]
12. Maximum axle weight and number and description of tyres ( in cases of Transport Vehicle )
(a) Front axle : [front_axle]
(b) Rear axle : [rear_axle]
(c) Any other axle : [other_axle]
(d) Tandem axle : [tandem_axle]
13. Colour or colours of body : [body_color]
14. Gross Vehicle Weight : [gross_weight]
15. Type of body : [body_type]
For [dlr_name],
Authorised Signatory.
( Strike out whichever is not Applicable )
Created By : [user]