[See Rule 53]
Application for the issue of Duplicate Certificate of Registration
[To be made in duplicate if the vehicle is held under an agreement of Hire-Purchse / lease / Hypothication and in triplicate if the Original Registering Authority is different, the duplicate copy and the triplicate copy with the endorsement of the Registering Authority to be returned to the Financier and Registering Authority simultaneously on issue of duplicate Certificate.]
To
The Registering Authority,
__________________________
The Certificate of Registration of my / our Motor Vehicle, with the Registration
Mark 
has been lost
/destroyed completely written off / soiled / torn / mutilated in the following
circumstances.
I / We hereby declare that to the best of my / our knowledge the Registration of the Vehicle has not been suspended or cancelled under the provisions of the Act or Rules made thereunder and the circumstances explained above are true. I / We do hereby apply for the issue of a duplciate certificate registration.
The written off / soiled / torn / mutilated Certificate of Registration is enclosed.
The Vehicle is not held under any agreement of Hire - Purchase / Lease / Hypothecation.
The Vehicle is also not superdari and free from all encumbrances.
* I / We hereby declare that I / We on (date) have filed a complaint (copy enclosed)
with the police about the loss of Certificate of Registration immediately after the loss has been noticed.
| Date:_______________ | Signature / Thumb impression of Applicant. |
The Vehicle is held under Hire - Purchase / Lease / Hypothecation agreement with___________________________________
___________________________________________________________
and the "No Objection Certificate" has been granted / refused by the Financier hereunder:
Where "No Objection Certificate" is refused applicant shall make a declaration as required under sub-section (8) of Section 51
| Date____________________ | Signature or Thumb impression of the Owner . Name______________________________ Full Address_________________________ _________________________ _________________________ |
Note:-
- Full particulars of the circumstances shall be furnished in the case of loss or destruction of the Registration Certificate.
- Strike out whichever is inapplicable.
*I / We being a party to an agreement of Hire - Purchase / Lease / Hypothecation in respect of Motor Vehicle specified above:
- have "No Objection" in issue of the duplicate Certificate of Registration of the said Vehicle.
- have " Objection" in issue of the duplicate Registration Certificate of the said Vehicle for the reasons given hereunder_____________________________________________________________________________
| Date__________________________ | _____________________ Signature of the Financier. |
Ref. Number_________________________ office of the________________________________________
A duplicate Certificate of Registration as requested above is issued with the note of agreement of
Hire - Purchase / Lease / Hypothecation on______________________________________
and is noted in the original Registration Records in Form 24.
| Date________________________ | _________________________ Signature of Registering Authority. |
Copy to
| ____________________________ ____________________________ ____________________________ |
Copy to
| ____________________________ ____________________________ ____________________________ |
Specimen signature or thumb impression of the Registered Owner and Financier are to be obtained in original Application for affixing and attestation by the Registering Authority with the Office seal in Forms 23 and 24 in such a manner that the part of impression of seal or a stamp and attestation shall fall upon each signature:
|
Specimen Signature of the Financier 1._________________________________ 2._________________________________ |
Specimen Signature of the Registered Owner 1._________________________________ 2._________________________________ |