Application No: CG230613V3700600

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,
Bilaspur RTO, (in whose jurisdiction the Transferee resides)

I/we MR. SUMIT MANGWANI Resident of RISHI COLONY,DAYALBAND BILASPUR,,BILASPUR CG,,Pincode-495001,Chhattisgarh have on the 13 day of Jun the year 2023 sold
and delivered my/our vehicle No CG10AK9988 Maker MARUTI SUZUKI INDIA LTD Chassis No MA3CZF63SHM251027 [Engine No or motor number in the case of Battery Operated
Vehicles] K12MN2136504 to Shri/Smt ARVIND KUMAR (Name) son/wife/daughter of RAJENDRA KUMAR Residing at WARD NO 04,THANA PARA RATANPUR (NP)
BILASPUR,RATANPUR (NP),Bilaspur,Pincode-495442,Chhattisgarh (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 /digital signature/ e-signature of owner of motor vehicle or authorised dealer of registered vehicle.
(as his consent) (Transferor)
Date:_____________________ Date:_____________________

I/We ARVIND KUMAR (Transferee)

Copy to the Registering Authority Bilaspur RTOin 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 Bilaspur RTO
The ownership of the vehicle has been transferred to the name of ARVIND KUMAR With the note of above said agreement with effect from 13-Jun-2023 (date).

Signature of the Registering Authority

Date:_____________________
(With Office Seal)
* Strike out whichever is inapplicable.

To
The Transferor MR. SUMIT MANGWANI
RISHI COLONY,DAYALBAND BILASPUR,,BILASPUR CG,,Pincode-495001,Chhattisgarh
(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

Note:Application for this service is applied via ONLINEFEE .In case of any data discrepancy, please contact respective State/RTO department.