Applicatlon No: GJ230119V3414989

FORM 28

ISEE RULES 54,58(1),(3) AND (4)

APPLICATION AND GRANT OF NO OBJECTION CERTIFICAIE
To be made in quadruplcate if the vehicle is held under an with the
agreement of hire In duplcate copy ,the triplcate copy
quadruplicate copy
and the
endorament of the Registering Authority to be retumed to the
reglstered
purchaselease/hypothecation,
Purchaseleasehypothecation,
owner of the
dupi udadliction the vehicle is to be removed no
financler simullaneously granUretusal of 'No-Objection
on vehlcle, the Reglstering Auun7*
Certificate").

PART-APPLICATION
The Regislering Authority,
(AHMEDABAD EAST, Gujarat)

lwe intend to transfer the vehicde to the jurisdiction of the Registering Authority Electronlc City RTO Kanataka.
Iwe intend to sell the vehide to Sr/SmtKumari
PRAVEEN KUMAR R who resides in the jurlsdiction of the Reglstering Authorlty of the state Karmataks.
we therefore request for the Issue of a No Objection Certificate for my/our vehicle,the particulars of which are furnished below
1. Name and
Address.PRAVINSINH("475, PARMAR STREET "DASKROI, AHMEDABAD" 474,382425)
2. SonWifeldaughter of LAXMANSINH TANK
a. Mobile number of the owner of the vehicde Not
Available
3. Registration Number of the Vehicle GJ27CK9109
4. Class of Vehicde
M-Cycle/Scooter
5. Registering Authority which originally registered the vehicle AHMEDABAD
6.
EAST, Gujarat
[Engine Number or motor number in the case of battery operated
7. Chassis Number (Afix also
vehlcies) RC74E2408555
pencil pint)-MEARC842JJ8000078
8. Period
of In the State:-
stay 5Year10Days
9. Period up to which Motor Vehicde 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 case, if so, give details

12. whether any action under Section 53, 54 or 55 of the Motor Vehicde Act, 1988 is pending before any Registering Authority or other prescrlbed authonitY, n so, gve 0etais

13. Whether the

Vehicle is involved in any case of transport of prohibited goods, i so, give details .
14. Whether the vehicle is held under an
agreement of Hire-Purchase/Lease/Hypothecation,t so, glve Ful Name and Address of
thepnancler
We solemnly declare that the above statement is true.

Date.19-01-2023
Signature or thumb impression of
Registered Owner