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 HirePurchase/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 ________________________________________________ Address PERMANENT TEMPORARY Door No. _______________________ __________________________ Village/town/city _______________________ Mandal _______________________ Dist. _______________________ Pincode _______________________ 3. Registration Number of the Vehicle _______________________________________ 4. Class of Vehicle _______________________________________ 5. Registering Authority which originally Registered the Vehicle _____________________________________ 6. Engine Number _____________________________________ 7. Chassis Number (Affix also pencil print) _____________________________________ 8. Period of stay in the State _____________________________________ 9. Period up to which Motor Vehicle Tax has been paid _____________________________________ 10. Whether any demand for tax is pending, if so, give details _____________________________________ 11. Whether the vehicle is involved in any theft cases, if so, give details _____________________________________ 12. 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 ______________________________________ 13. Whether the Vehicle is involved in any case of transport of prohibited goods, if so, give details __________________________________ 14. 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. Signature or thumb impression Date _____________________ 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. 3. 4. PART III OFFICE ENDORSEMENT ( GRANT / REFUSAL OF NO OBJECTION CERTIFICATE UNDER SECTION 48 (3) OF MOTOR VEHICLES ACT, 1988) 5. 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________________ To The Registered Owner The Financier Signature with seal of Registering Authority Address
