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AUTHORISATION

I, GOUTAM LOHAR, S/O LATE SANTOSH LOHAR aged about years,

Resident of Vill – Palarpur Purni , PO – Poddardih, PS - Nirsa, Dist - Dhanbad Jharkhand Pin -
828205 do hereby state as follows:-

(1) That, I am the owner of the vehicle No – JH09P7396

Chasis No. – MAIYA2BVNA2M27918.

Engine No. – BVA4M24514

(2) That, I authorise Shri NARESH LOHAR , S/O RATAN LOHAR, resident of Bhagatpara,

Pakur nagar, Pakur 816107 by occuapation Driver, holding of Driving

Licence No – JH0720112469015, dated 16 AUGUST 2011 , issued by DTO

PAKUR , valid upto 22 JUNE 2026 to ply my Aforesaid vehicle.

(3) That, this authorization is valid upto 24 NOVEMBER 2023 to 23 MAY NOVEMBER 2024..

(4) That, Sri NARESH LOHAR (DRIVER) is well known to me and I know nothing against him.

(5) That, the Specimen signature of my said Driver Sri NARESH LOHAR is attested below.

SIGNATURE OF THE DRIVER

ATTESTED SIGNATURE OF THE OWNER OF THE

VEHICLE

IDENTIFIED BY

SIGNATURE OF THE OWNER OF THE VEHICLE

ADVOCATE

NOTARY PUBLIC, DHANBAD ( S. K CHATURVEDI )

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