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FORM 27

(See Rule 54)

Application for assignment of new registration

mark on removal of a Motor Vehicle to another State

(To be made in duplicate if the vehicle is held under an agreement of hire-purchase / lease I hypothecation and the duplicate copy with the endorsement of the Registering Authority to be returned to the financier simultaneously, on the assignment of a new registration mark.)

To,

       The Registering Authority,

       

I/We son/ wife/ daughter of being the registered owner of Motor Vehicle

No. bearing Chassis No. Engine No.

type of vehicle registered in the state of

hereby declare that I / We have, since the day of kept

the said Motor Vehicle in this State and hereby apply for the assignment of a New Registration Mark to the said Motor Vehicle.

             I/We  hereby declare that the registration is valid upto and

it has not been suspended or cancelled under the provisions of this Act.

       I / We enclose the certificate of registration and the certificate of fitness (*) of this Motor Vehicle.

       I / We enclose a 'No Objection Certificate' from the Registering Authority.

 [If the 'No Objection Certificate' from the Registering Authority is not enclosed the applicant should file along with this application a declaration as required under the first proviso to sub-section (1) of section 47]

      *The vehicle is not subject to an agreement of hire purchase / lease I hypothecation.

      *The vehicle is subject to an agreement of hire purchase / lease / hypothecation with      
                                                                                                                                                

and I /We enclose the NOC received from the financier.

     [If 'No Objection Certificate' from the financier is not enclosed, the applicant should fill alongwith this application a declaration as required under sub-section (8) of section 51.]

Date

      *strike out whichever is inapplicable

Signature of thumb impression of the Applicant

------------------------------------------------------------------------------------------------------------------------------        Office Endorsement

 Number                                                        date                 office of the                                    

       The Vehicle No                                                               on removal to this state has been

Assigned a new registration mark                                                           and (date)                  

(here enter the registration mark)

To,

                                      

                                      

Registering Authority

     (The name and address of the Financier)

By Registered post or delivered under proper acknowledgement.