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temp3877096995525949196
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(To be made in duplicate if the vehicle is held under 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 Transfer of Ownership in the Certificate of Registration and Registration Record in Form 24)
To
THE REGISTERING AUTHORITY,
(PURI RTO)
Date:_____________________ Signature/digital signature/e-signature of owner of motor vehicle or authorized dealer of registered vehicle
I/We hereby declare as the nominee for this vehicle who is my/our .
I/we, here by declare that I/we have on this day of the year Purchased the motor vehicle bearing registration Number from ( and
)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/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 in encumbrances. I/We undertake to hold myself responsible for any inaccuracy of information.
I/We being a party to an agreement of hire-purchase/lease/hypothecation in respect of motor vehicles pecified above give consent to the transfer of ownership of the said motor
vehicle in the name of Transferee named above , with whom I/We have bound into an agreement of hire-purchase/lease/ hypothecation.
(Full name and address of the Financier)
Signature of the Financier
Date:_____________________
Date:_____________________
To
The Financier,
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.
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