FORM 26 {See Rule 53} Intimation of loss or destruction etc. of the certificate of registration and application for the issue of duplicate certificate of registration. (To be made in duplicate if the Vehicle is held under an agreement of hire purchase/hypothecation/lease and the duplicate copy endorsement of the registering authority to be returned to the financier simultaneously on the issue of duplicate). The Registering Authority .......................... Sir, The certificate of registration my/our motor vehicle , the registration mark of which is..........................................................has been lost destroyed/completely/written off/soiled/torn multilated in the following circumstances: .................................................. .................................................. I/We hereby declare that to the best of my/our knowledge the registration of the vehicle has not been suspended or cancelled under the provisions of Act or rules made there under the circumstances explained above are true. I/We do hereby apply for issue of a duplicate certificate of registration. The written off/solid/torn mutilated certificate of registration enclosed. The Vehicle is not held under any agreement of HP/Lease/Hypothecation. I/We have reported the loss to the Police Station on ........................(dated) Date............... Signature/thumb impression of applicant alongwith full address (Strike out whichever is inapplicable) The Vehicle is held under the hire purchase/lease/hypothecation agreement with .................................................... and No Objection Certificate obtained from the financier is enclosed. (Where "No Objection Certificate" is not enclosed applicant shall make an declaration as required under subsection (8) of section 51) Signature of the owner Specimen signature of the owner Name (1) Full Address (2) Note:(1) Full particulars of the circumstances shall be furnished in the case of loss or destructions of the registration certificate. (2) Strike out whichever is in applicable. OFFICE ENDORSEMENT Number..................... Date...................Office of.................. A duplicate certificate of registration as requested above is issued with the note of agreement hire purchase lease hypothecation.................. and noted in the original registration record is Form 24. To ......................... Signature of the Registering Authority ......................... (Name and address of financier) By registered post of delivery under proper acknowledgement
