Form 29 https://vahan.parivahan.gov.in/vahanservice/vahan/ui/eapplication/for...
Application No: AS220915V5628719
FORM 29
[SEE RULE 55(1)]
NOTICE OF TRANSFER OF OWNERSHIP OF A MOTOR VEHICLE
( To be made in duplicate and the duplicate copy with the endorsement of the Registering Authority to be returned to the transferor or immediately on making entries of transfer of
ownership in certificate of Registration and Form 24).
To
THE REGISTERING AUTHORITY,
KAMRUP, (in whose jurisdiction the Transferee resides)
I/we JAYANTA MEDHI Resident of VILL-DHOBARGAON,PO-NATUN JARABARI,PS-CHHAYGAON, PH-9854949549,Kamrup,Pincode-781124,Assam have on the 02 day of Sep
the year 2022 sold and delivered my/our vehicle No AS25L5017 Maker BAJAJ AUTO LTD Chassis No MD2A36FY6JCL15973 [Engine No or motor number in the case of Battery
Operated Vehicles] JLYCJL59078 to Shri/Smt PALLAB KUMAR ROY (Name) son/wife/daughter of MADHAB CHANDRA ROY Residing at Ambari Pt-I Ambari PT I Near LP
sch,ol,,Goalpara,Pincode-783123,Assam (House No./Street Village/Town Distt. and State) under an agreement of hire purchase/lease/hypothecation with
The Registration Certificate and Insurance certificate have been handed over to him /her/them.
To the best of my/our knowledge and belief the vehicle is not superdari and free from all encumberances and information furnished is true .
I/We undertake to hold my/our self-responsible for any inaccuracy or suspension of information.
Signature of the Financier Signature or thumb impression of the Registered owner.
(as his consent) (Transferor)
Date:_____________________ Date:_____________________
I/We PALLAB KUMAR ROY (Transferee)
Copy to the Registering Authority KAMRUP(RURAL)in whose jurisdiction the transferor reside.
Note :- To be sent to the Registering Authority by Registered post Acknowledgment Due.
OFFICE ENDORSEMENT
Ref No ___________________ office of the KAMRUP
The ownership of the vehicle has been transferred to the name of PALLAB KUMAR ROY With the note of above said agreement with effect from 02-Sep-2022(date).
Signature of the Registering Authority
Date:_____________________
(With Office Seal)
* Strike out whichever is inapplicable.
To
The Transferor JAYANTA MEDHI
VILL-DHOBARGAON,PO-NATUN JARABARI,PS-CHHAYGAON, PH-9854949549,Kamrup,Pincode-781124,Assam
(To be sent by Registered Post Acknowledgement Due)
Enclosed 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
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