1 FORM C. R. R. A. APPLICATION FOR RENEWAL OF CERTIFICATE OF FITNESS To. The Registering Authority I hereby apply for renewal of the certificate of fitness described below: Registration mark of Vehicle Type of Vehicle Name of Owner Address of Owner Place where the Vehicle is ordinarily kept Number of the certificate of fitness and date of issue of last renewal Signature or thumb impression of applicant Date TGPA-21-8-2003-10,000--J.C. No. 10377