Form Of Application For The Registration Of Motor Vehicle Page 2
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3Section V
39. Hire purchase/hypothecation information :
The vehicle is subject to hire purchase/hypothecation with :
a)
Name :
b) Date :
Address :
40. Insurance information :
a) Policy no :
b) Type of policy :
c) Insurer’s name & address :
b)
Date of expiry :
41. Joint owner information :
a) Name :
b) Name :
Father/Husband :
Father/Husband :
Section VI
(Declaration, Certificates and documents)
42. Declaration by owner :
a) I the undersigned do hereby declare that to the best of my knowledge and belief, the information given and the
documents enclosed (as per list attached) are true. I also declare that in case the papers/documents and information
furnished are found to be incorrect at any later stage, I shall be liable for legal action.
Date :
Signature of owner
Seal
Encl : List of documents
43. Registered dealer’s certificate :
I the undersigned do hereby certify that the vehicle in question has been sold by me/my firm and the ownership
documents attached with the application for registration are true. The information/specifications pertaining to the vehicle
are correct and the vehicle complies with all the requirements of the registration.
Date :
Signature of owner
Seal
Encl : List of documents
44. certificate by the Inspector of Motor Vehicles :
Certificate that the particulars pertaining to the owner and the vehicle (Chassis No. .......................................Engine
No...................................................) given in the application match with the ownership documents attached to this
application. It is further certified that the vehicle complies with the registration requirements specified in the MV Act
and the Rules and/or Regulations made thereunder and the vehicle is not mechanically defective. The necessary
documents/papers are available as per list enclosed.
Date :
Signature of Inspector of Motor Vehicles
Official Seal
Encl : List of documents
45. Registration Status :
Registration allowed/not allowed
Signature of Registering Authority
Seal
46. Fees and Tax Accounts :
Necessary fees and taxes amounting to taka.............................................................................................has been paid to
PO/Bank...................................................................vide vouchers and receipts enclosed.
Signature of owner
Signature of dealing assistant
of his representative
Counter signature by the registering authority.
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