(To be made in quadruplicate if the vehicle is held under an agreement of Hire-Purchase/Lease/Hypothication, in duplicate copy the triplicate copy and the quadruplicate copy with the endorsement of the Registering Authority to be returned to the Registered owner of the Vehicle, the Registering Authority in whose jurisdiction the vehicle is to be removed and the Financier simultaneously on grant, refusal of a "No Objection Certificate".)

I / We intend to transfer the vehicle to the jurisdiction of the Registering Authority.

I / We intend to sell the Vehicle to Sri / Smt / Kumari________________________________________________ who resides in the jurisdiction of the Registering Authority______________________________________________ of I / We therefore request for the issue of a No Objection Certificate for my / our vehicle, the particulars of which are furnished below:

1. Name
   
   
2. Son / Wife / Daughter of  
   1. 
      
      

   2. Address	PERMANENT	TEMPORARY
      Door No.
      Village/town/city
      Mandal
      Dist.
      Pincode

      
      
      
   3. Registration Number of the Vehicle         ____________________________________________
      
      
   4. Class of Vehicle                                    ____________________________________________
      
      
   5. Registering Authority which originally
      Registered the Vehicle                           ____________________________________________
      
      
   6. Engine Number                                      ____________________________________________
      
      
   7. Chassis Number
      (Affix also pencil print)                            ____________________________________________
      
      
   8. Period of stay in the State                      ____________________________________________
      
      
   9. Period up to which Motor Vehicle Tax
      has been paid                                        ____________________________________________
      
      
   10. Whether any demand for tax is pending,
       if so, give details                                    ____________________________________________
       
       
   11. Whether the vehicle is involved in any
       theft cases, if so, give details                  ____________________________________________
       
       
   12. Whether any action under Section 53,54, or 55
       of the Motor Vehicles Act, 1988 is pending
       before any Registering Authority or other
       prescribed Authority, if so give details        ___________________________________________
       
       
   13. Whether the Vehicle is involved in any case of
       transport of prohibited goods, if so, give details ________________________________________
       
       
   14. Whether the vehicle is held under an agreement
       of Hire - Purchase / Lease / Hypothecation, if
       so give full name and address of the Financier_________________________________________
       
       

   We solemnly declare that the above statement is true.
   
   
   
   

   Date__________________________

   ________________________ Signature or thumb impression of Registered owner.

   
   
   
   

   PART II
   CONSENT OF THE FINANCIERS IN THE CASE OF MOTOR VEHICLE SUBJECT TO AN AGREEMENT
   
   

   I / We being a party to an agreement of the Hire - Purchase / Lease / Hypothecation in respect of the above said vehicle hereby,

   1. Give consent to issue the No Objection certificate for the said vehicle only for the purpose referred above.
   2. Refuse to give consent for issue of No Objection Certificate for the said vehicle due to the reasons furnished hereunder:_____________________________________________________________________________
      
      
      
      

      Date ___________________

      ____________________ Signature of the Financier.

      
      
      
      PART III
      OFFICE ENDORSEMENT
      
      ( GRANT / REFUSAL OF NO OBJECTION CERTIFICATE UNDER SECTION 48 (3) OF MOTOR VEHICLES ACT, 1988)
      
      
      1. No Objection Certificate in respect of the Vehicle, the detailed particulars whereof recorded over above is hereby granted under Section 48 (3) of Motor Vehicles Act, 1988 ( (Valid for use at the Registering Authority on whom it is issued.
      2. No Objection Certificate in respect of the Motor Vehicle, the detailed particulars whereof recorded over above is hereby, refused under Section 48 (3) of Motor Vehicles Act, 1988 for the reasons recorded as under.
      
      
      
      

      Date ____________________

      Signature with seal of Registering Authority. Address ________________________               ________________________               ________________________

      
      
      To
      The Registered Owner ____________________________
      _______________________________________________
      _______________________________________________
      _______________________________________________
      
      
      The Financier____________________________________
      _______________________________________________
      _______________________________________________
      
      
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