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1 0291-2572 757 , 9828023262

Mata Ka Than, Jodhpur FORM-30
[Rule 55(2) and (3))
Application for intimation and Transfer of Ownership Moto Vehicle
(To be made in duplicate in the vehicle is held undec an agreement of hire purchase / lease
hypothecation and the duplicate copy with the endorsemen.t-.o~-.the registring authority to be returned to the
financer simultaneously on making the entry of trans'fCI'i of.ownership in fhe.oertificate of registration and
registration record in form 24)
To, The Registering Authority.

Part - I For use-of the ·transferor

Name of the Transferor _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Son I wife/ daughter of _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _Age._ _ _ __
Full Address _ _ _ _ _ __ _ __ _ _ _~ - - - - - - - - - - - - - - - -
I/We hereby, declare that I we have on t h i s - - - - - - - - - - - - - " - - - - - - - - -
y ear _ _ _...;......_ _ _ _ _ _ _ _ _ _ _sold my/ our motor vehicle bearing registration mark
_ _ _ _ _ _ _ _ _ _ _ _ _ _to Shri / ~ m t . - - - - - - - - - -- - ' - - - - -
Son/Wife/ Daughter of _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ __ _ _ __

residing a t _ - - - - - - - - - - - - - - - - - - - - - - , - - - - ~ - - - - - -
(Full Address) and handed over the certificate of registration and the certificate of insurance to him/ her/ ·
them.
I/We hereby declare that to the best of my/ our Knowledge the certificate of registration of the
vehicle has been suspended or cancelled. ·
I enclosed the No obj~tion Certifi~te issued by the Registering Aqthority. ·
If the No objection Certificate from the Registering Authority is not enclosed the transferor
should fil~ aglong this application for a declartion as required under sub- section (I) of section 50 ·
Date _ _~ - - .
Details of suspension or cancellation Signature or T.I. of the Transferor
Strike out whichever is inapplicable
PART ! II For use of Transferee
To, Th~ Registe~~g-Authority.

NameoftheTransferee _ __ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ __
Son I wife/ daughter of _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ Age,_ _ _ __
· Full Address _ _ _ __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ __ __ _ _
(Proof of address to be enclosed)
I hereby, declare that I/ we have on this _ _ _ __ ____________ _day or the
your_ _ _ _ _ _ __,urchased·the motor vehicle bearing registration number
from . (Name and full address) an'd request _the necessary entries regarding the transfer
ofownership oft he vehicle in my/ our name may be recorded i,i the certificate of registration.
The certificate of may insurance is also enclosed, Certificate of fitness of the vehicle -whi~h is
enclosed.
,To the best of may knowledge and belief I/ we have not supported any fact& and information
furnished is true. The vehicle is not supardari and free from all encumbrances, I/ we undertake to hold my self
responsible for any inoccourancy of the information.

Speci"'en signature of the transferee Signature or T.I. of the Transferee

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