PHOTOGRAPHS AND FINGER PRINTS AS PER SECTION 32A OF

REGISTRTION ACT 1908

SL FINGER PRINT IN PASS PORT SIZE NAME AND PERMANENT POSTAL ADDRESS OF
NO: BLACK INK PHOTOGRAPH PRESENTANT/SELLER/BUYER
(LEFT THUMB) (BLACK&WHITE)
VENDOR:

PHOTO

VENDEE:

PHOTO

REPRESENTATIVE:

PHOTO

SIGNATURE OF WITNESSES SIGNATURE OF THE VENDOR

1)

2)

NOTE: If the buyer(s) is/are not present before the sub-registrar, the following request should be signed.

I / We send herewith my / our photograph(s) and finger prints in the form prescribed, through
my representative SRI. __________________________________________, as I cannot appear personally before the
Registering Officer in the Sub-Registrar of Assurances _____________________.

SIGNATURE OF REPRESENTATIVE SIGNATURE OF VENDEE