A p p l i c a t i o n N o : G J 2 2 0 9 1 0 V 2 2 1 0 3 4 3

FORM 30

ISEE RULES 55(2)AND (3)]

VEHICLE
OF A MOTOR
OWNERSHIP
AND TRANSFER OF Authonty to bee
INTIMATION
APPLICATION FOR endorsement of the Registenng
with the
The duplicate copy 24)
purchaselease/hypothecation.
Record in Form
hire and Registration
under agreement of of Registration
the vehide is held Certificate
in duplicate if Transfer of Owmership in the
(To be made on making the entry of
Financier simultaneously
retumed to the

TO
THE REGISTERING AUTHORITY

(VADODARA)
TRANSFEROR
USE OF THE
PART-I FOR THE

Son/Wfe/Daughter of CHIMANLAL RANA Pincode-390019Gujarat

AKIL
Name of thee Transferor
SUKHDEV
TENAMENT, BAPOD
JAKAT NAKA, ,WAGHODIA ROAD, VADODARA,
mark GJ06HB8544
to Shri/Smt.
MOHAMMAD

DHARTI HOUSING (Ful

motor vehidle bearing Registration
Full Address B 19 the year 2022 sold mylour
Pincode-390019,Gujarat
have on this day 10 Sep STATION,PANIGATE ROAD,Vadodara,
that Iwe CITY POLICE
Iwe, here by declare
HUSAIN residing at
UTTAMCHAND ZAVERIPOLE, OPP him/nerthem.
Insurance to
SonWife/Daughter of
SHA KIRCertifi.cation of Registration and the Registration and
the Certification of
canceled.
been suspended" or
the vehicle has not
over the
Address) and handed Certificate of Registration of
of my/our knowiedge the
IWe hereby declare that to the best a s required
under subD
the Registening Authonty. application a declaration
Certificate) issued by should file along with this
IWe enclose the (No Objection not enclosed, the
transferor
from the Registering Authonty is
Certificate issued
i f the "No Objection 8 5 . R u

section(1) of Section-50. Transferor

impression of the
Signatureor thumb

ae10loa/2022
Details of suspension or cancellation

"Strike out whichever is inapplicable.

TRANSFEREE
PART-II FOR THE USE OF

who is my/our NA
the nominee for this vehide
.

IWe hereby declare NA as

POLICE
Full Address UTTAMCHAND ZAVERIPOLE, OPP CITY
MOHAMMAD AKIL Son/Wife/Daughter
of SHAKIR HUSAIN Age.2..
Name of the Transferee Mobile Number 9979953255.
of Address to be enclosed),
Pincode-390019,Gujarat (Proof
STATION, PANIGATE ROAD,Vadodara,
Number GJ06HB8544 from (SUKHDEV and B 19
motor vehide bearing registration
have this day 10 Sep of the year 2022 Purchased the that necessary entries regarding
the transfer of
Iwe, here by declare that Ilwe
on
Pincode-390019Gujarat)and request
DHARTI HOUSING TENAMENT,, BAPOD JAKAT NAKA, ,WAGHODIA ROAD,VADODARA, which is encdosed.
Certificate of Registration/Certificate
of Fitness of the vehide
name may be recorded in the
ownership of the vehicle in my/our
is true. The vehide is not
facts and information fumished
Io the best of my knowledge
and belief, IWe have not suppressed any
The certificate of Insurance is also encdosed.
to hold myself responsible for any inaccuracy of information.
superdan and free from all in encumbrances. IWe undertake

Mo.
Signature or thumb impression of the Transferee

Date_10
0l2022
of motor vehicle subject to an agreement of Hire-Purchase/Lease/Hypothecation
Consent of the financier in the case

of motor vehicles pecified above give consent to the transfer of ownership of the said motor
in respect
IWe being a party to agreement of hire-purchase/lease/hypothecation
an
hypothecation.
IWe have bound into an agreement of hire-purchaselease/
vehicde in the name of Transferee named above, with whom
(Full name and address of the Financier) Signature of the Financier

Date Date

OFFICE ENDORSEMENT

office of the VADODARA.

Ref. No. has been recorded with effect from
an endorsement of the hire-purchaseleasehypothecation agreement
The transfer of ownership of the vehicle under continuation of
in the Registration Certificate of the vehicle GJ06HB8544
and in the registration record of this office in Form 24.
Signature of Registering Authonty
Date

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 affxing and attestation by the Registering
Authority with the office seal in Foms 23 and 24, in such manner that the parts of impression of seal or stamp and attestation shall fall upon each signature.

Specimen Signature of the Financier Speaimen Signature of Registered Owner

2.

Endosed Documents.
1. Original Registration Certificate
2. Self Attested copy of valid vehicle insurance certificate
3. Self Attested copy of address proof of the registered vehicle owner
4. Self Attested copy of valid pollution certificate
5. No objection certificate from the financier

1/1