FORM 30
Application No: AS240921V6233146
[SEE RULES 55(2)AND (3)]
APPLICATION FOR INTIMATION AND TRANSFER OF OWNERSHIP OF A MOTOR VEHICLE
(To be made in duplicate if the vehicle is held under agreement of hire purchase/lease/hypothecation. The duplicate copy with the endorsement of the Registering Authority to be
returned to the Financier simultaneously on making the entry of Transfer of Ownership in the Certificate of Registration and Registration Record in Form 24)
To
THE REGISTERING AUTHORITY,
(KAMRUP)
PART-I FOR THE USE OF THE TRANSFEROR
Name of the Transferor SAYANTA ROY Son/Wife/Daughter of SUBODH ROY
Full Address VILL,MANPUR,PALASHBARI,PALASHBARI,P/O&P/S-PALASHBARI,Kamrup,Pincode-781128Assam
I/we, here by declare that I/we have on this day 02 Aug the year 2023 sold my/our motor vehicle bearing Registration mark AS01FL8140 to Shri/Smt. PANKAJ DUSAD
Son/Wife/Daughter of MISHRI LAL DUSAD residing at 173,BHORAKHAI GRANT,SILCHAR,Cachar,Pincode-788010,Assam (Full Address) and handed over the Certification of
Registration and the Registration and the Certification 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 not been suspended* or canceled.
*I/We enclose the (No Objection Certificate) issued by the Registering Authority.
**If the "No Objection Certificate" issued from the Registering Authority is not enclosed, the transferor should file along with this application a declaration as required under sub -
section(1) of Section-50.
Date: Signature/digital signature/e-signature of owner of motor vehicle or authorized dealer of registered vehicle
*Details of suspension or cancellation
**Strike out whichever is inapplicable.
PART-II FOR THE USE OF TRANSFEREE
I/We hereby declare NA as the nominee for this vehicle who is my/our NA .
Name of the Transferee PANKAJ DUSAD Son/Wife/Daughter of MISHRI LAL DUSAD Age.................. Full Address 173,BHORAKHAI GRANT,SILCHAR,Cachar,Pincode-
788010,Assam (Proof of Address to be enclosed), Mobile Number 7086701705 .
I/we, here by declare that I/we have on this day 02 Aug of the year 2023 Purchased the motor vehicle bearing registration Number AS01FL8140 from (SAYANTA ROY and
VILL,MANPUR,PALASHBARI,PALASHBARI,P/O&P/S-PALASHBARI,Kamrup,Pincode-781128Assam)and request that necessary entries regarding the transfer of ownership of
the vehicle in my/our name may be recorded in the Certificate of Registration/Certificate of Fitness of the vehicle which is enclosed.
The certificate of Insurance is also enclosed.To the best of my knowledge and belief, I/We have not suppressed any facts and information furnished is true. The vehicle is not
superdari and free from all in encumbrances. I/We undertake to hold myself responsible for any inaccuracy of information.
Date: Signature or thumb impression of the Transferee
Consent of the financier in the case of motor vehicle subject to an agreement of Hire-Purchase/Lease/Hypothecation
I/We being a party to an agreement of hire-purchase/lease/hypothecation in respect of motor vehicles pecified above give consent to the transfer of ownership of the said motor
vehicle in the name of Transferee named above , with whom I/We have bound into an agreement of hire-purchase/lease/ hypothecation.
(Full name and address of the Financier)
Signature of the Financier
Date:
Date:
OFFICE ENDORSEMENT
Ref. No. office of the KAMRUP.
The transfer of ownership of the vehicle under continuation of an endorsement of the hire-purchase/lease/hypothecation agreement has been recorded with effect from
in the Registration Certificate of the vehicle AS01FL8140 and in the registration record of this office in Form 24.
Date: Signature of Registering Authority
To
The Financier,
(To be sent by Registered Post Acknowledgment Due)
Specimen signature or thumb impression of the registered owner and the Financier are to be obtained in the original application for affixing and attestation by the Registering
Authority with the office seal in Forms 23 and 24, in such manner that the parts of impression of seal or stamp and attestation shall fall upon each signature.
Specimen Signature of the Financier Specimen Signature of Registered Owner
1.
2. 1.
2.
Enclosed Documents:
1. Original Registration Certificate
2. Self Attested copy of valid vehicle insurance certificate
3. Self Attested copy of address proof of the registered vehicle owner
4. Self Attested copy of valid pollution certificate
5. No objection certificate from the financier
