Form 34

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FORM 34

[See Rules 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
with the endorsement of the
Registering Authority to be returned to the Financier and the duplicate copy and the triplicate copy
Registering
on making the
entry in the Certificate of Registration and Form
24)
Authority Simultaneously
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)


We request that an entry of the agreement be made in the certificate of
in your office. registration and the relevant records
The certificate of registration together with the fee is enclosed.
Date *** ***"***

Signature/ Thumb Impression of Registered Owner


*Strike out whichever is inapplicable.

Signature ofthe Pjhargio


OFFICE ENDORSEMENT
Ref. No... .. Office of the ...
** * *** ***
***********
***** ****** *************''*'

The entry of the agreement of Hire Purchase /Lease/Hypothecation requested above is recorded in this office Registration
as

Record in Form 24 and Certificate of


Registration on . * *********'****'*''***''**"
***********'°*****°°********.

Date. *****°*°*°*** °**** ****

Signature of Registering Authority


To
The Financier. **********'**°°*********°********'***************

********°**********°********?******** *******°************************°*

The Registering Authority ... * ***********'"*****°

*************°******** * ********************°****°****°°***

(to be sent both the above


parties by Registered
Acknowledgement date) Post

Specimen signatures or thumb impressions of the Registered


Owner and the Financier are to be obtained for
affixing and attestation by the Registering Authority with official seal in Form 23
& 24 in such a manner that
part of impression of the seal or a
stamp and attestation shall fall upon each signture.

Specimen signature of the FINANCIER Specimen signature of the REGISTERED OWNER


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