FORM 34
[Refer Rule 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 duplicate copy and the triplicate copy with the
endorsement of the registering authority to be returned to the financier
and the registering authority simultaneously on making the entry in the
certificate of registration and in Form 24.)
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 having agreement number / loan
account number. )
We request that an entry of the agreement be made in the certificate
of registration and the relevant records in your office.
My / Our mobile number is ...........................................
The certificate of registration together with the fee is enclosed.
Date .................... Signature or thumb impression of registered
owner
.............................................
Date .................... Signature of the
financier
* Strike out whichever is inapplicable.
OFFICE
ENDORSEMENT
Ref. Number ................... Office of the
......................................................
The entry of the agreement of hire-purchase / lease / hypothecation as
requested above is recorded in this office registration record in Form 24
and certificate of registra- tion on.(date).
.....................................................
.............
Date .......................... Signature of the registering
authority To
The Financier .........................................................
The Registering Authority ...................................
(To be sent to both the above parties by registered post
acknowledgment due)
Specimen signatures of the financier are to be obtained in original
application for affixing and attestation by the registering authority with
official seal in Forms 23 and 24 in such a manner that part of impression
of the seal or a stamp and attestation shall fall upon each signature :
Specimen signatures of the
financier 1.
2.
