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[See Rules 55 (2) and (3)] Application for Intimation and Transfer of Ownership of a Motor Vehicle (To be made in duplicate if the Vehicle is held under an agreement of Hire - Purchase / Lease / Hypothecation. The duplicate copy with the endorsement of the Registering Authority to be returned to the Financier simultaneously on making the entry of the transfer of Ownership in the Certificate of Registration Record in Form 24.) To The Registering Authority _____________________ FOR THE USE OF THE TRANSFEROR Name of the Transferor Son / Wife / Daughter of
make_________________________Chassis No.______________________Engine No._________________
(Full address) and handed over the Certificate of Registration and the Certificate of Insurance to him / her / them. I / We hereby declare to the best of my / our knowledge the Certificate of Registration of the Vehicle has not been suspended* or cancelled. * I / We enclose the 'No Objection Certificate' issued by the Registering Authority. ** If the 'No Objection Certificate' from the Registering Authority is not enclosed, the Transferor should
file along with this application a declaration as required under sub-section (1) of Section 50.
* Details of suspention or cancellation, ** Strike out whichever is inapplicable FOR THE USE OF TRANSFEREE Name of the Transferee : ________________________________________________________________________ Son / Wife / Daughter of : ________________________________________________________________________ Age_____Full address : ________________________________________________________________________ _____________________________________________________________________________________________ I, hereby declare that I/We have on this________ day of the year____________ purchased the motor vehicle bearing Registration number____________________ from ___________________________________________ _________________________________________________________________(name and full address)
and request that necessary entries regarding the transfer of ownership of the vehicle in my/out case may be
Hire - purchase / Lease / Hypothecation
I / We being a party to an agreement of Hire - Purchase / Lease / Hypothecation in respect of motor
vehicle specified above, give consent to the transfer of ownership of the said motor vehicle in the name of
the transferee named above, with whom I / We have entered into an agreement of Hire - Purchase / Lease /
Hypothecation.
Ref No._____________________________Office of the__________________________________________
The Transfer of ownership of motor vehicle under continuation of an endorsement of Hire-purchase/Lease/
Hypothecation agreement has been recorded with effect from_____________________ in the Registration
Certificate of the vehicle_________________________ and ine the Registration record of this office in Form 24.
(To be sent to both the above parties by Registered Post Acknowledgement Due)
Specimen signature or thumb impression of the Registered owner and the Financier are to be obtained
in the original application for affixing and attestaion by the Registering Authority with the office seal in
Forms 23 and 24. In such manner that the part of impression of seal or stamp and attestation shall fall
upon each signature.
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