I Mr./Mrs./Ms/________________________ CNIC___________________ do hereby
affirm and solemnly declare that the vehicle Make ________________________Chassis No______________________ Engine No _____________________ Model ________________ cleared in Amnesty scheme vide SRO 172(I)/2013 dated 05.03.2013 is neither a stolen vehicle nor its Chassis Number is tampered with. I further declare that the vehicle was presented for examination at the time of assessment at the station where it was cleared from under the Amnesty scheme. I solemnly declare that in case any thing stated above is found untrue, I will surrender the vehicle to the customs authorities on demand without entering into any litigation or taking any legal recourse whatsoever.
Name _________________________________ CNIC __________________________________ Address________________________________ _______________________________________ Contact No.____________________________