Self Attested

Photograph of

applicant

SELF
DECLARATION/ UNDERTAKING
(Regarding taking care of file
after submitting the same in RLA with regard to New Registration of
Vehicle/Renewal of RC/Addition or Deletion of
hypothecation/Correction in RC/Addition of CNG/Alternation

in
Vehicle/Transfer of ownership within state or other state/No
Objection Certificate/Duplicate RC/Transfer
of ownership in death
case/Transfer of ownership in auction any other services related to
RC)

To
be used in the office of Registering & Licensing Authority,
Sector 17, Chandigarh.

I....................................................................
S/D/W/.......................................................................
is resident of
H.No..................................................................
Sector/Village.....................................................................
,
Near......................................................................
, Chandigarh.

1. That I accept through this Self Declaration/Undertaking

that I will keep my file in my safe custody after
submitting the
same in the office of RLA and I will produce the file/documents
before the office of Registering &
Licensing Authority, U.T.,
Chandigarh, any Court of Law or any police authority etc. wherever
it will demanded.
2. That I am applying for the
service.................................................................................

3. That my Landline Number

is.........................................., Current Mobile
Number.......................................... and
Alternate
Mobile Number...........................................
4. That my email address
is..................................................................................
.

5. That I am
enclosing......................................................................................
as my resident proof and
..................................................................................
for Date of Birth.

Applicant's Signature

Verification:

Verified
that the information given at 2,3,4 and 5 and undertaking for
taking care of file/production of file at Sr.No.1
is correct and
nothing has been concealed therein.

Applicant's Signature