AFFIDAVIT
I / We, Mr./Mrs./Ms./M/s. ___________________________________________
S/o_________________________________________R/o ______________________________________
_____________________________________________________________________________________
Do hereby solemnly affirm and declare as under:
1. That I am the owner of the Vehicle bearing Regd No:_______________________________________
Engine No. ________________________________Chassis No. __________________________________
Make. ____________________________________Model. _____________________________________
2. That I have got No Objection Certification (N.O.C) for the vehicle on ___________. However, I have
<<reason for cancellation of NOC>>
3. That I have not misused the vehicle.
4. That I am getting NOC cancelled w.e.f___________________________ in your office
5. That all documents of vehicle address are right and genuine and if found bogus I shall be responsible
for the same.
Despondent
VERIFICATION: Verified that the above statement of mine is true and correct to the best of my
knowledge.
Place: _______________________ Dated: _______________________
Despondent