HSRP Application Form (Old Vehicles - Applicable for vehicles registered in the State of Punjab before the 1st of April 2019)

All (*) fields are mandatory.

*Application Type :
*Vehicle No :

Please Enter Vehicle Registration Number in Format : PB65AA0000.

*Chassis No :
*Owner Name :
*Mobile No :
*Registration Date :

Date Formate Should be in Formate [2024-02-27]

*Front LID :
*Rear LID :
*Fuel Type :
*Vehicle Class :
*Vehicle Type :
*Select Fitment Location :
*House No/Apartment :
*Landmark :
*City :
*Select RTA/SDM :
*Select Fitment Center :
*Select District :
*Pincode :
I / We

1. I am the registered owner of above mentioned vehicle.
2. I agree that the details mentioned above are correct to the best of my knowledge.
3. RC and KYC document uploaded above are valid as on date.
4. Additional payment gateway charges are applicable. Charges vary from 0% to 1.85% depending on mode of payment selected. For further details kindly click here.