Form 30

Application No:DL230520X8107674
[See rules 55(2)and (3)]
Application For Intimation and Transfer of Ownership of a Motor Vehicle
(To be made in duplicate if the vehicle is held under agreement of hire purchase/lease/hypothecation. The
duplicate copy with the endorsement of the Registering Authority to be returned to the Financier
simultaneously on making the entry of Transfer of Ownership in the Certificate of Registration and
Registration Record in Form 24)

To

THE REGISTERING AUTHORITY,

WAZIRPUR

PART-I FOR THE USE OF THE TRANSFEROR

Name of the Transferor HITESH MOHAN Son/Wife/Daughter of NARESH ARORA

Full Address 195 MILANSAAR APPT NEAR PEERAGARHI CHOWK PASCHIM VIHAR
I/we, here by declare that I/we have on this day .................. 18-Apr of the year 2023 sold my/our motor
vehicle bearing Registration mark DL8SBJ9420 to Shri/Smt. DIPANSHU TYAGI Son/Wife/Daughter of
C/O: SURENDER residing at HOUSE NO-20 GALI NO-2 H-BLOCK QUTUB, VIHAR PHASE-1
QUTAB PUR, , Delhi, 110071 (Full Address) and handed over the Certification of Registration and the
Registration and the Certification of Insurance to him/her/them.

I/We hereby declare that to the best of my/our knowledge the Certificate of Registration of the vehicle has
not been suspended* or canceled.

*I/We enclose the (No Objection Certificate) issued by the Registering Authority.

**If the "No Objection Certificate" issued from the Registering Authority is not enclosed, the transferor
should file along with this application a declaration as required under sub -section(1) of Section-50.

Date:_____________________ Signature or thumb impression of the Transferor

*Details of suspension or cancellation

**Strike out whichever is inapplicable.

PART-II FOR THE USE OF TRANSFEREE

Name of the Transferee DIPANSHU TYAGI Son/Wife/Daughter of C/O: SURENDER Age ............ Full
Address HOUSE NO-20 GALI NO-2 H-BLOCK QUTUB, VIHAR PHASE-1 QUTAB PUR, , Delhi,
110071, (Proof of Address to be enclosed).

I/we, here by declare that I/we have on this day_____________________ Tue Apr 18 00:00:00 IST 2023
of the year Sun Feb 21 00:00:00 IST 2016 Purchased the motor vehicle bearing registration Number
DL8SBJ9420 from HITESH MOHAN and request that necessary entries regarding the transfer of
ownership of the vehicle in my/our name may be recorded in the Certificate of Registration/Certificate of
Fitness of the vehicle which is enclosed.

The certificate of Insurance is also enclosed.To the best of my knowledge and belief, I/We have not
suppressed any facts and information furnished is true. The vehicle is not superdari and free from all in
encumbrances. I/We undertake to hold myself responsible for any inaccuracy of information.

Date:_____________________ Signature or thumb impression of the Transferee

Consent of the financier in the case of motor vehicle subject to an agreement of Hire-
Purchase/Lease/Hypothecation

I/We being a party to an agreement of hire-purchase/lease/hypothecation in respect of motor vehicles

pecified above give consent to the transfer of ownership of the said motor vehicle in the name of Transferee
named above , with whom I/We have bound into an agreement of hire-purchase/lease/ hypothecation.
(Full name and address of the Financier)

Signature of the Financier

Date:_____________________
Date:_____________________

OFFICE ENDORSEMENT

Ref. No. ___________________office of the WAZIRPUR .

The transfer of ownership of the vehicle under continuation of an endorsement of the hire-
purchase/lease/hypothecation agreement has been recorded with effect from ____________ in the
Registration Certificate of the vehicle DL8SBJ9420 and in the registration record of this office in Form 24.

Date:_____________________ Signature of Registering Authority

To

The Financier,

(To be sent by Registered Post Acknowledgment Due)

Specimen signature or thumb impression of the registered owner and the Financier are to be obtained in the
original application for affixing and attestation by the Registering Authority with the office seal in Forms 23
and 24, in such manner that the parts of impression of seal or stamp and attestation shall fall upon each
signature.

Specimen Signature of the Financier Specimen Signature of Registered Owner

1. 1.

2. 2.

Enclosed Documents:

1. Original Registration Certificate

2. Copy of valid vehicle insurance certificate (Self Attested)
3. Copy of Purchaser's Address Proof (Self Attested)
4. Copy of valid pollution certificate (Self Attested)
5. No objection certificate from the financier (if applicable)

Print
 Form 29
Application No:DL230520X8107674
[See Rule 55(1)]
Notice of Transfer of Ownership of A Motor Vehicle
( To be made in duplicate and the duplicate copy with the endorsement of the Registering Authority to be
returned to the transferor or immediately on making entries of transfer of ownership in certificate of
Registration and Form 24).

To

THE REGISTERING AUTHORITY,

WAZIRPUR Delhi

I/we HITESH MOHAN Resident of 195 MILANSAAR APPT NEAR PEERAGARHI CHOWK
PASCHIM VIHAR have on the 18-04-2023 day 18 April of the year 2023 sold and delivered my/our
vehicle No DL8SBJ9420 Model M-Cycle/Scooter Chassis No MD626BG45G3A06246 [Engine No or
motor number in the case of Battery Operated Vehicles] BG4PF21XXXXX to Shri/Smt DIPANSHU
TYAGI (Name) son/wife/daughter of C/O: SURENDER Residing at HOUSE NO-20 GALI NO-2 H-
BLOCK QUTUB, VIHAR PHASE-1 QUTAB PUR, , Delhi 110071, (House No./Street Village/Town
Distt. and State) under an agreement of hire purchase/lease/hypothecation with

The Registration Certificate and Insurance certificate have been handed over to him /her/them.

To the best of my/our knowledge and belief the vehicle is not superdari and free from all encumberances
and information furnished is true .

I/We undertake to hold my/our self-responsible for any inaccuracy or suspension of information.

Signature of the Financier Signature or thumb impression of the Registered owner.

(as his consent) (Transferor)

Date:_____________________ Date:_____________________

I/We .............................(Transferee)

Copy to the Registering Authority WAZIRPURin whose jurisdiction the transferor reside.

Note :- To be sent to the Registering Authority by Registered post Acknowledgment Due.

OFFICE ENDORSEMENT
Ref No ___________________ office of the WAZIRPUR

The ownership of the vehicle has been transferred to the name of ____________________________ With
the note of above said agreement with effect from __________________(date).

Signature of the Registering Authority

Date:_____________________
(With Office Seal)
* Strike out whichever is inapplicable.

To

The Transferor ............................................

(To be sent by Registered Post Acknowledgement Due)

Enclosed Documents:

1. Original Registration Certificate

2. Self Attested copy of valid vehicle insurance certificate
3. Self Attested copy of address proof of the vehicle buyer

Print

% DSUnknown % DSUnknown
q q
1G 1G
1g 1g
0.1 0 0 0.1 9 0 cm 0.1 0 0 0.1 9 0 cm
0 J 0 j 4 M []0 d 0 J 0 j 4 M []0 d
1i 1i
0g 0g
313 292 m 313 292 m
313 404 325 453 432 529 c 313 404 325 453 432 529 c
478 561 504 597 504 645 c 478 561 504 597 504 645 c
504 736 440 760 391 760 c 504 736 440 760 391 760 c
286 760 271 681 265 626 c 286 760 271 681 265 626 c
265 625 l 265 625 l
100 625 l 100 625 l
100 828 253 898 381 898 c 100 828 253 898 381 898 c
451 898 679 878 679 650 c 451 898 679 878 679 650 c
679 555 628 499 538 435 c 679 555 628 499 538 435 c
488 399 467 376 467 292 c 488 399 467 376 467 292 c
313 292 l 313 292 l
h h
308 214 170 -164 re 308 214 170 -164 re
f f
0.44 G 0.44 G
1.2 w 1.2 w
1 1 0.4 rg 1 1 0.4 rg
287 318 m 287 318 m
287 430 299 479 406 555 c 287 430 299 479 406 555 c
451 587 478 623 478 671 c 451 587 478 623 478 671 c
478 762 414 786 365 786 c 478 762 414 786 365 786 c
260 786 245 707 239 652 c 260 786 245 707 239 652 c
239 651 l 239 651 l
74 651 l 74 651 l
74 854 227 924 355 924 c 74 854 227 924 355 924 c
425 924 653 904 653 676 c 425 924 653 904 653 676 c
653 581 602 525 512 461 c 653 581 602 525 512 461 c
462 425 441 402 441 318 c 462 425 441 402 441 318 c
287 318 l 287 318 l
h h
282 240 170 -164 re 282 240 170 -164 re
B B
Q Q

Digitally signed by Digitally signed by

Date: 2023.06.26 17:11:05 IST Date: 2023.06.26 17:13:43 IST
Reason: Buyer Reason: Seller