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Select Plate Type/ प्लेट प्रकार*

--Select Plate Type-- Only Sticker Bike Four Wheeler Heavy Vehicle

State /राज्य * --Select State-- Andhra Pradesh Andaman and Nicobar Islands Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadar and Nagar Haveli Daman and Diu Delhi Lakshadweep Puducherry Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal

Vehicle Registration No /वाहन पंजीकरण संख्या *

Delivery Address /डिलिवरी का पता *

Applicant's Name /आवेदक का नाम*

Mobile No /मोबाइल नंबर *

E-mail ID /ईमेल आईडी *