FORM 34
[See Rules 60]
       Application for Making an entry of an Agreement of Hire Purchase/Lease/
                                                                                        Hypothecation Subsequent to Registration.
      (To be made in duplicate and in triplicate where the Original
                                                                     Authority is different, the
      with the endorsement of the
                                   Registering Authority to be returned to the Financier and the duplicate copy and the triplicate copy
                                                                                                 Registering
      on making the
                     entry in the Certificate of Registration and Form
                                                                        24)
                                                                                                             Authority Simultaneously
      To
      The Registering Authority
      *******'*"******°***     ****************.*"****
      The motor vehicle                   bearing registration            number           ***********     ********'*'        '*********
                                                                                                                                       ..is  the subject of an agreement of
      Hire-Purchase/Lease/Hypothecation between                                                      *     ******'**'*'*              the registered owner / person to be
      registered as owner* and . . .
                                                          (fill the name and full address of the financier)
     We request that                 an    entry of the agreement be made in the certificate of
     in your office.                                                                                     registration and the relevant records
     The certificate of          registration together              with the fee is enclosed.
     Date   ***            ***"***
                                                                                                         Signature/ Thumb Impression of Registered Owner
     *Strike out whichever                  is   inapplicable.
                                                                                                                            Signature ofthe Pjhargio
                                                                                   OFFICE ENDORSEMENT
    Ref. No...                                                            .. Office of the ...
                                                                                            **                  *     ***     ***
                                                                                                                                    ***********
                                                                                                                                                  *****   ******   *************''*'
    The entry of the          agreement of Hire Purchase                    /Lease/Hypothecation requested above is recorded in this office Registration
                                                                                                           as
    Record in Form 24 and Certificate of
                                                                          Registration on .          *       *********'****'*''***''**"
                                                                                                                                ***********'°*****°°********.
 Date. *****°*°*°***         °**** ****
                                                                                                                    Signature of Registering Authority
To
The Financier.          **********'**°°*********°********'***************
********°**********°********?********         *******°************************°*
The Registering Authority ...                       *    ***********'"*****°
*************°********           *         ********************°****°****°°***
(to be sent both the above
                                                 parties by Registered
                                                        Acknowledgement date)      Post
Specimen signatures or thumb impressions of the Registered
                                                                          Owner and the Financier are to be obtained for
affixing and attestation by the Registering Authority with official seal in Form 23
                                                                                             & 24 in such a manner that
part of impression of the seal or a
                                    stamp and attestation shall fall upon each signture.
Specimen signature of the FINANCIER                                                   Specimen signature of the REGISTERED OWNER
.
                                                                                      1.
                              B
2.
                                                                                      2.
                       '