FORM 34
[See Rule 60]
Application for making an entry of an agreement of Hire Purchase, Lease Hypothecation subsequent to registration
(To be made in duplicate)




To
The Registering Authority,



The motor vehicle bearning Registration No.

is the subject of an agreement of Hire - purchase / Lease / Hypothecation between

the Registered Owner / Person to be registered as owner and


( FULL NAME & FULL ADDRESS OF THE FINANCIER)

We request that an Entry of the agreement be made in the certificate of Registration & relevant records in your office.

The certificate of registration together with the appropriate fee is enclosed.



Date:   ---------------------------------------------
Signature/thumb impression of Registered owner





--------------------------------------
Signature of Financier.
 

*STRIKE OUT WHICHEVER IS NOT APPLICABLE.


OFFICE ENDORSMENT


R.No Date:

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 Registration on
D D   M M   Y Y Y Y  




Date:     ----------------------------------------------------
Signature of the
Registering Authority


To
The Financier



To
The Registering Authority,



    ( To be sent to both the above parties by Regd. Post Ack. Due)

Specimen signatures or thumb impressions of the registered owner and Financier are to be obtained for affixing and attestation be the Registering Authority with official seal in Form 23 & 24 in such manner that part of impression of the seal or a stamp and attestation shall fall upon each signature)



----------------------------------------------
Specimen Signature of Financier
------------------------------------------------
Specimen signature of Reg. Owner