FORM 28

FORM 28Application and grant of No Objection Certificate(To be made quadruplicate if the vehicle is held under an agreement of Hire - Purchase / Lease /Hypothecation. The duplicate copy, the triplicate copy and the quadruplicate copy with the endorsement of theRegistering Authority is to be returned to the Registered owner of the vehicle, the Registering Authority in whosejurisdiction the vehicle is to be removed and the Financier simultaneously on grant / refusal of a ‘No ObjectionCertificate’)ToThe Registering Authority,PART - I APPLICATIONI / We intend to transfer the vehicle to the jurisdication of the Registering Authority. I /We intend to sell the vehicle to Shri / 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 ofwhich are furnished below:1. Name and address : ...2. Son / wife / daughter of : ...3. Registration number of the vehicle : ...4. Class of vehicle : ...5. Registering Authority whichoriginally registered the vehicle : ...6. Engine Number :7. Chassis Number - Affix pencil print : ...8. Period of stay in the State : ...9. Period upto which motor vehicletax has been paid : ...

10. Whether any demand for tax ispending, if so, give details : ...11. Whether the vehicle is involvedin any theft cases, if so give details : ...12. Whether any action u/s 53, 54, 55of the Motor Vehicles Act, 1988,is pending before any RegisteringAuthority or other prescribed authority, ifso give details : ...13. Whether the vehicle is involved inany case of transport of prohibitedgoods, if so, give details : ...14. Whether the vehicle is held underan agreement or Hire - Purchase / Lease /Hypothecation, if so, give full name andthe address of the Financier : ...We solemnly declare that the above statement is true.Date:Signature of the owner of the vehicle.