FORM 28
[ See Rules 54, 58 (1), (3) and (4) ]
Application and grant of No Objection Certificate
(To be made in quadruplicate if the vehicle is held under an agreement of Hire-Purchase/Lease/Hypothication, in duplicate copy 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 a "No Objection Certificate".)

PART 1
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 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

    2. Son / Wife / Daughter of

      1. Address PERMANENT TEMPORARY
        Door No.
        Village/town/city
        Mandal
        Dist.
        Pincode


      2. Registration Number of the Vehicle         ____________________________________________
      3. Class of Vehicle                                    ____________________________________________
      4. Registering Authority which originally
        Registered the Vehicle                           ____________________________________________
      5. Engine Number                                      ____________________________________________

      6. Chassis Number
        (Affix also pencil print)                            ____________________________________________
      7. Period of stay in the State                      ____________________________________________
      8. Period up to which Motor Vehicle Tax
        has been paid                                        ____________________________________________
      9. Whether any demand for tax is pending,
        if so, give details                                    ____________________________________________
      10. Whether the vehicle is involved in any
        theft cases, if so, give details                  ____________________________________________
      11. Whether any action under Section 53,54, or 55
        of the Motor Vehicles Act, 1988 is pending
        before any Registering Authority or other
        prescribed Authority, if so give details        ___________________________________________
      12. Whether the Vehicle is involved in any case of
        transport of prohibited goods, if so, give details ________________________________________
      13. Whether the vehicle is held under an agreement
        of Hire - Purchase / Lease / Hypothecation, if
        so give full name and address of the Financier_________________________________________

      We solemnly declare that the above statement is true.
      Date__________________________ ________________________
      Signature or thumb impression
      of Registered owner.


      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.

        PART III
        OFFICE ENDORSEMENT

        ( GRANT / REFUSAL OF NO OBJECTION CERTIFICATE UNDER SECTION 48 (3) OF MOTOR VEHICLES ACT, 1988)

        1. No Objection Certificate in respect of the Vehicle, the detailed particulars whereof recorded over above is hereby granted under Section 48 (3) of Motor Vehicles 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 Section 48 (3) of Motor Vehicles Act, 1988 for the reasons recorded as under.


        Date ____________________ Signature with seal of Registering Authority.

        Address ________________________
                      ________________________
                      ________________________


        To
        The Registered Owner ____________________________
        _______________________________________________
        _______________________________________________
        _______________________________________________


        The Financier____________________________________
        _______________________________________________
        _______________________________________________