FORM 28 [See Rule 54,58(1),(30 and (6)] Form of Application for "No Objection Certificate" and grant of certificate (To be made in triplicate copy and the triplicate copy with the endorsement of the Registering Authority to be returned to the owner of the vehicle and registering authority in whose jurisdiction the vehicle is to be removed, respectively) PART-1 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 Shri/Smt/Kumari _____________________________ who resides in the jurisdiction of the Registering Authority _____________________________ of the state of ____________ _________________________. I /We thereof request for the issue of a No Objection Certificate for my/our vehicle the particulars of which are furnished below: 1. Name and Address : ________________________________________ 2. Son/Wife, Daughter of : ________________________________________ 3. Vehicle Registration No. : ________________________________________ 4. Class of Vehicle. : ________________________________________ 5. Registration Authority which. : ________________________________________ Originally registered the vehicle 6. Engine No : ________________________________________ 7. Chassis No - Affix 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 Vehicle Act, 1988 is pending before any Registering Authority or other prescribed authority if so, give details 13. Whether the vehicle involved in any : ________________________________________ case of transport of prohibited goods, if so, give details. I/We solemnly declare that the above statements are true. Signature of the owner of the Vehicle Office Endorsement Dated_______________ PART-II (Grant/Refusal of No Objection Certificate under Sub-Section 3 of Section 48 of M. V. Act,1988) (1) No Objection Certificate in respect of the Vehicle, the detailed particular where of recorded overleaf in hereby granted under section 48(3) of M.V. 1988. (2) No Objection Certificate in respect of the motor vehicle the detailed particulars where of recorded overleaf refused under section 48(3) of M.V. Act 1988, for the reasons recorded as under:- ____________________________________ ____________________________________ Dated ______________ Signature with Seal of Registering Authority Address _____________________________ ____________________________________ To _________________________ (Registered owner) Copy to the registering authority By registered post or delivered under Proper acknowledge * Strike out whichever is inapplicable. PART-III Office Endorsement No ___________________ Date ______________________ Office of the ___________________________ Acknowledgement for the receipt of application for 'No Objection Certificate' The application dated ________________from _______________________ (name & address) for the grant of 'No Objection Certificate' in respect of vehicle Number _______________________ has been received __________________________ and is under consideration Dated_______________ Signature of Registering Authority or the Person authorized by his office Seal _____________________________ To ______________________ (Registered Owner) By Registered Post or delivered under proper acknowledgement