FORM 26
[See Rule 53]
Intimation of loss or destruction etc. of the certificate of registration and
application For the issue of Duplicate Certificate Of Registration
(To be made in duplicate if the vehicle is held under an agreement of hire-purchase
/hypothecation /lease and the duplicate copy of endorsement of the R.A to be the financier
simultaneously on the issue of duplicate).
To,
The Registering Authority,
Ambala.
Sir,
The Certificate of Registration of my / our Motor Vehicle, the Registration Mark of which is
_________________________________ has been lost /destroyed / completely written off /
soiled / torn / mutilated in the following circumstances______________________________
I /We hereby declare that to the best of my /our knowledge the registration of the vehicle has
not been suspended or cancelled under the provisions of the Act or rules made there under
and the circumstance explained above are true
I/ We do hereby apply for the issue of a Duplicate Certificate Registration
is enclosed. The written off/soiled / torn /mutilated Certificate is enclosed
The vehicle is not held under any agreement of
hire-purchase/lease/hypothecation. I/We have reported the loss to the
police station on …………………………..(date)
Date: ………………………. Signature of the applicant
* Strike out whichever is inapplicable. The vehicle is held under
hire-purchase/lease/hypothecation agreement
And the “No Objection Certificate” obtained from the financier is enclosed.
[ Where “No Objection Certificate” is not enclosed, applicant shall make a declaration as
required under sub-section (8) of section 51].
Note- (1) Full particulars of the circumstances shall be furnished in case of loss or destruction of
the Registration Certificate. (2) Strike out whichever is inapplicable.
Specimen signature of the owner:-
(1)_________________________________(2)___________________________________
Office Endorsement
Number ………………………………….dated……………………………….office of the…
A duplicate certificate of registration as requested above is issued with the note of agreement
of hire-purchase/ lease / hypothecation on …………………………………..and is noted in
the original registration Record in Form 24.
Signature of the registering authority
