form 28 after a4v

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Page 1: Form 28 After a4v

FORM-28

APPLICATION AND GRANT OF NO OBJECTION CERTIFICATE

( To be made in quadruplicate, if the vehicle is held under an agreement of hire purchase/lease/hypothecation the duplicate copy and the triplicate copy and the quadruplicate copy with the endorsement of the Registering Authority to be returned to the registered owner of the vehicle, the Registering Authority in whose jurisdiction the vehicle is to be removed and the financier simultaneously on grant/refusal of no-objection certificate).

PART-I-APPLICATION To: The Registering Authority, …………………………… I/We intend to transfer the vehicle to the jurisdiction of the Registering Authority ………………………………………………………………………….. I/We intend to sell the vehicle to Sri/Smt./Kumari ………………………… who resides in the jurisdiction of the Registering Authority ……………………….. of the State of …………………….. I/We therefore request for the issue of a No Objection Certificate for my/our vehicle, the particulars of which are furnished below:- 1. Name Address : 2. Son/Wife/Daughter of : 3. Registration Number of the Vehicle : 4. Class of Vehicle : 5. Registering Authority which originally registered the vehicle : 6. Engine Number : 7. Chassis Number (Affix also pencil print) : 8. Period of stay in the State : 9. Period up to which Motor Vehicle Tax has been paid : 10.Whether any demand for tax pending, if so,

Page 2: Form 28 After a4v

give details. : 11.Whether the Vehicle is involved in any theft case, if so, give details. : 12.Whether any action under Section 53, 54 or 55 of the Motor Vehicle Act 1988 is pending before any Registering Authority or other prescribed authority if so, give details. : 13.Whether the Vehicle is involved in any case of transport of prohibited goods, if so, give details : 14.Whether the vehicle is held under an agreement of Hire-Purchase/Lease/Hypothecation, if so, give Full Name and Address of the Financier : I/We solemnly declare that the above statement are true. Date:………………… Signature or thumb impression of

the owner of the vehicle

PART-II CONSENT OF THE FINANCIERS IN THE CASE OF MOTOR VEHICLE SUBJECT TO AN AGREEMENT

I/We being a party to an agreement of the Hire-Purchase/Lease/Hypothecation in respect of the above said vehicle hereby:

1. Give consent to issue the No Objection Certificate for the said vehicle only for the purpose referred above.

2. Refuse to give consent for issue of No Objection Certificate for the said vehicle due to the reasons furnished hereunder:

………………………………………………………………………………………. Date: ………………. Signature of the Financier

Page 3: Form 28 After a4v

PART-III-OFFICE ENDORSEMENT

(Grant/Refusal of ‘ No Objection Certificate’ under subsection (3) of Section 48of

M.V.Act 1988)

1. No Objection Certificate in respect of the vehicle, the detailed particulars whereof recorded over above is hereby granted under Sec. 48(3)of M.V.Act 1988 (Valid for use at the Registering Authority on whom it is issued).

2. No Objection Certificate in respect of the Motor Vehicle, the detailed particulars whereof recorded over above is hereby refused under Sec.48(3) of M.V.Act,1988 for the reasons recorded as under:

………………………………………………………………………………….. Date: ………………… Signature with seal of

Registering Authority Address …………………

* Strike out whichever is inapplicable. TO: The Registered Owner ……………………………………………………….. The Financier ………………………………………………………………… The Registering Authority ……………………………………………………

(To be sent to all the above three parties by Registered Post Acknowledgement Due)