GCPP.-105/8-10,000 Cps.-23-2-2007. FORM-28 [See rules 54,58(1)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 Hire-Purchase/Lease/ Hypothecation. In the duplicate copy, 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, refuse of a "No-objection Certificate"). PART-I 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 Shri/Smt./Kumari .................................................................................................. who resides in the jurisdiction of the Registering Authority ........................................................................... I/We therefore request for the issue of a No-objection Certificate my/our vehicle, the particulars of which 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 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 pending. If so, give details 11. Whether the vehicle is involved in any theft case? 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 I/We solemnly declare that the above statement is true. Place : Date Signature or Thumb-impression of Registered Owner. 2 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. Place : Date : Signature of the Financier. PART-111 OFFICE ENDORSEMENT [GRANTI REFUSAL OF NO-OBJECTION CERTIFICATE UNDER SECTION 48(3) OF M. V. ACT, 1988] 1. No-objection Certificate in respect of the vehicle, the detailed particulars where of recorded over above is hereby granted under section 48(3) of Motor Vehicles Act, 1988 (valid for use at Registering Authority on whom it is issued). 2. No-objection Certificate in respect of 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: Place Date : Signature with seal of Registering Authority. Address: To The Registered Owner The Financier
