Application For Intimation And Transfer Of Ownership Of A Motor Vehicle Page 2

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PART II – FOR THE USE OF TRANSFEREE
Name of the Transferee……………………………………………………………………………………..
Son/Wife/Daughter
of……………………………………………………………………………………….
Age………………………………. Full address…………………………………………………………….
……………………………………………………………………………………………………………….
………………………………………………………………………………………………………………
………………………………………………………………………….(Proof of address to be enclosed).
I/We 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/our name may be recorded in the certificate of
registration and certificate of fitness of the vehicle, which is enclosed.
The certificate of Insurance is also enclosed. To the best of my knowledge and belief I/We have
not suppressed any facts and information furnished is true. The vehicle is not superdari and free from all
encumbrances. I/We undertake to hold myself responsible for any inaccuracy of the information.
Signature or thumb impression of the Transferee
Date………………………
CONSENT OF THE FINANCIER IN THE CASE OF MOTOR VEHICLE SUBJECT TO AN AGREEMENT OF
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.
(Full name and address of the Financier)
Date……………………
Signature of the Financier
OFFICE ENDORSEMENT
Ref.No………………………………… Office of the…………………………………………………………………..
The transfer of ownership of 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 in the Registration Record of this office in Form 24.
Date…………………………..
Signature of the Registering Authority
To
The Financier…………………………………………………………………………………………………………
(To be sent by Registered Post Acknowledgment Due)
Specimen signature or thumb impression of the registered owner and the Financier are to be obtained in the original
application for affixing and attestation by the Registering Authority with the office seal in Forms 23 and 24, in such
manner that the parts of impression of seal or stamp and attestation shall fall upon each signature.
Specimen signatures of the Financier
Specimen signatures of the Registered Owner
1……………………………………………..
1………………………………………………………
2…………………………………………….
2………………………………………………………

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